A5082256244- Maternal Mental Health During Pregnancy and Postpartum
- Maternal and Perinatal Health Interventions
- Survey Methodology and Nonresponse
- Infant Development and Preterm Care
- Venous Thromboembolism Diagnosis and Management
- Cancer survivorship and care
- Breastfeeding Practices and Influences
- Palliative Care and End-of-Life Issues
- Pregnancy-related medical research
- Pharmaceutical Practices and Patient Outcomes
- Innovations in Medical Education
- Health disparities and outcomes
- Family Support in Illness
- Grief, Bereavement, and Mental Health
- Focus Groups and Qualitative Methods
- Emergency and Acute Care Studies
- Atrial Fibrillation Management and Outcomes
- COVID-19 Impact on Reproduction
- Birth, Development, and Health
- Child and Adolescent Psychosocial and Emotional Development
- Infection Control in Healthcare
- Gestational Diabetes Research and Management
- Mobile Health and mHealth Applications
- Family and Patient Care in Intensive Care Units
- Metabolism, Diabetes, and Cancer
University of Oxford
2012-2024
Wrexham Maelor Hospital
2017
Musgrove Park Hospital
2017
Royal Victoria Infirmary
2016
Cheshire West and Chester
2015
East Cheshire NHS Trust
2015
University of Southern Mississippi
2015
Dementia UK
2015
Oxford Brookes University
2011
St James's University Hospital
2011
There are 1.2 million long-term cancer survivors in the United Kingdom. Existing research on health and supportive care needs of these is sparse inconclusive. This study investigated status, psychological morbidity, Kingdom.Five to 16 years after diagnosis, 1,275 eligible breast, colorectal, prostate cancers were approached participate a questionnaire survey. The explored status (European Quality Life-5 Dimensions), morbidity (Hospital Anxiety Depression Scale), (Cancer Survivors' Unmet...
Surveys are established methods for collecting population data that unavailable from other sources; however, response rates to surveys declining. A number of have been identified increase survey returns yet remain low. This paper evaluates the impact five selected on rate pilot surveys, conducted prior a large-scale National Maternity Survey in England.The national maternity were cross-sectional population-based questionnaire women who three months postpartum at random birth registrations....
Studies on prevalence and factors associated with postpartum posttraumatic stress (PTS) typically do not distinguish between PTS related to childbirth (PTS-C) other stressors (PTS-O). This study aimed describe the prevalence, clinical characteristics, PTS-C PTS-O in women.The was a cross-sectional population-based survey of 16,000 women, selected at random from birth registrations England receive postal questionnaire, including Primary Care Posttraumatic Stress Disorder Screen.Questionnaires...
Few studies have evaluated postnatal depression before and during the Covid-19 pandemic using comparable data across time. We used from three national maternity surveys in England to compare prevalence risk factors for pandemic.Analysis was conducted population-based carried out 2014 (n = 4571), 2018 4509), 2020 4611). Weighted estimates (EPDS score ≥13) were compared surveys. Modified Poisson regression estimate adjusted ratios (aRR) association between sociodemographic, pregnancy-...
Abstract Background A cancer diagnosis can have a profound impact on partners and close family members of patients. Little is currently known about the long‐term impact. Objectives The objective this study to describe health status, levels anxiety depression, unmet supportive care needs positive outcomes in partners/family breast, prostate colorectal survivors 5–16 years post‐diagnosis. Methods Patients linked were asked invite partner or other member complete self‐administered postal...
KHAN N.F., HARRISON S., ROSE P.W., WARD A. & EVANS J. (2011) European Journal of Cancer Care21, 177–186 Interpretation and acceptance the term 'cancer survivor': a United Kingdom-based qualitative study The concept cancer survivorship survivor' remains widely interpreted. aim is to explore interpretations amongst British people living past diagnosis. We conducted an in-depth 40 at least 5 years post-diagnosis breast, colorectal or prostate cancer. Each interviewee was asked whether they felt...
Prevalence of non-communicable diseases (NCDs) is increasing globally, with the greatest projected increases in low-income and middle-income countries. We sought to quantify proportion Cochrane evidence relating NCDs derived from such countries.We searched database systematic reviews for highlighted WHO NCD action plan (cardiovascular, cancers, diabetes chronic respiratory diseases). excluded at protocol stage those that were repeated or had been withdrawn. For each review, two independent...
Purpose Critically ill or injured children require prompt identification, rapid referral and quality emergency management. We undertook a study to evaluate the care pathway of critically identify preventable failures in provided. Methods A year-long cohort was performed Cape Town, South Africa, from first presentation healthcare services until paediatric intensive unit (PICU) admission department death, using expert panel review medical records caregiver interview. Main outcomes were...
As maternity services evolve and the population of women served also changes, there is a continuing need to effectively document views with recent experience care. A woman’s can have positive or negative effect upon her emotional well-being health, in immediate long-term, which impact infant wider family system. Measuring women’s perceptions an important way monitoring quality care provision, as well providing key indicators organisations that they are providing. It follows that, without...
Abstract Background The National Perinatal Epidemiology Unit in England has conducted five Maternity Surveys (NMS) at varying intervals since 1995. This paper aims to describe the changes NMS response rates over time and compare demographic characteristics of respondents each NMS. Methods is based on secondary data analysis (cross-sectional postal surveys) from 1995 2018. All women aged 16 years who gave birth (and Wales 1995) during specified periods 2018 were eligible be selected. For...
Abstract Background Previous research suggests that mothers whose infants are admitted to neonatal units (NNU) experience higher rates of mental health problems compared the general perinatal population. This study examined prevalence and factors associated with postnatal depression, anxiety, post-traumatic stress (PTS), comorbidity these for NNU, six months after childbirth. Methods was a secondary analysis two cross-sectional, population-based National Maternity Surveys in England 2018...
Abstract Background The perinatal period is a vulnerable time, with one in five women experiencing mental health problems. Antenatal and postnatal appointments are key contact points for identifying need of support. Since 2014, the UK National Institute Health Care Excellence (NICE) has recommended that all be asked about their at antenatal booking appointment early period. aim this study was to assess proportions who reported being during across consecutive national maternity surveys (NMS)...
Few studies have evaluated postnatal anxiety and posttraumatic stress (PTS) before during the Covid-19 pandemic using comparable data across time. We used from two national maternity surveys in England to explore impact of on prevalence risk factors for PTS.
Objective To examine patients' understanding of hospital-associated thrombosis, and their experiences thromboprophylaxis. Design Qualitative study using semi-structured interviews with 31 patients requiring venous thromboembolism (VTE) prophylaxis following a recent hospital admission. Interviews were audio-recorded, transcribed verbatim analysed thematically framework analysis. Setting 4 hospitals in Birmingham Oxford. Results All the participants received thromboprophylaxis surgical...
Objectives Exposure to tobacco products during pregnancy presents a potential harm both mother and baby. This study sought estimate the prevalence of vaping explore factors outcomes associated with in pregnancy. Setting England. Participants Women who gave birth between 15 th 28 October 2017. Methods A cross-sectional population-based postal survey maternal infant health, National Maternity Survey (NMS) 2018. The patterns cigarette smoking were estimated, regression analysis was used...
Abstract Background Perineal trauma, involving either naturally occurring tears or episiotomy, is common during childbirth but little known about its psychological impact. This study aimed to determine the associations between related perineal trauma and outcomes reported by women three months after giving birth explore factors that could mediate relationships maternal outcomes. Methods was a secondary analysis of data from cross-sectional population-based survey infant health. A total 4,578...
Few studies have compared breastfeeding rates before and during the pandemic using comparable data across time. We used from two national maternity surveys (NMS) to compare in England pandemic.Analysis was conducted NMS 2018 (pre-pandemic; n = 4,509) 2020 (during pandemic; 4,611). The prevalence of initiation, 'any' exclusive (EBF) at 6 weeks months were between these surveys. Data interpreted context underlying trends prevalences previous (from 2010 2014), annual routine for 2009-10...
Purpose Understanding caregivers' experiences of care can identify barriers to timely and good quality care, support the improvement services. We aimed explore perceptions pathways from first access through various levels health service, for seriously ill injured children in Cape Town, South Africa, order areas improvement. Methods Semi-structured, qualitative interviews were conducted with primary caregivers who admitted paediatric intensive or died system prior admission. Interviews...