A5043212932- Maternal and Perinatal Health Interventions
- Global Maternal and Child Health
- Maternal and fetal healthcare
- Pregnancy and preeclampsia studies
- Maternal Mental Health During Pregnancy and Postpartum
- Primary Care and Health Outcomes
- Grief, Bereavement, and Mental Health
- Neonatal Respiratory Health Research
- Emergency and Acute Care Studies
- Health Policy Implementation Science
- Healthcare innovation and challenges
- Prenatal Screening and Diagnostics
- Birth, Development, and Health
- Preterm Birth and Chorioamnionitis
- Global Health Workforce Issues
- Healthcare Policy and Management
- Gestational Diabetes Research and Management
- Delphi Technique in Research
- Breastfeeding Practices and Influences
- Pregnancy-related medical research
- Child and Adolescent Health
- Medical Malpractice and Liability Issues
- Health Systems, Economic Evaluations, Quality of Life
- Trauma and Emergency Care Studies
- Assisted Reproductive Technology and Twin Pregnancy
King's College London
2016-2025
St Thomas' Hospital
2015-2024
Kings Health Partners
2011-2024
Franciscan Health
2024
University Teaching Hospital
2024
The London College
2021-2024
The King's College
2008-2024
London Women's Clinic
2012-2023
University of Oxford
2020-2022
City, University of London
1998-2022
<b>Objective</b> To compare perinatal outcomes, maternal and interventions in labour by planned place of birth at the start care for women with low risk pregnancies. <b>Design</b> Prospective cohort study. <b>Setting</b> England: all NHS trusts providing intrapartum home, freestanding midwifery units, alongside units (midwife led on a hospital site an obstetric unit), stratified random sample units. <b>Participants</b> 64 538 eligible singleton, term (≥37 weeks gestation), “booked” pregnancy...
BackgroundBehavioural interventions might improve clinical outcomes in pregnant women who are obese. We aimed to investigate whether a complex intervention addressing diet and physical activity could reduce the incidence of gestational diabetes large-for-gestational-age infants.MethodsThe UK Pregnancies Better Eating Activity Trial (UPBEAT) is randomised controlled trial done at antenatal clinics eight hospitals multi-ethnic, inner-city locations UK. recruited (15–18 weeks plus 6 days...
BackgroundIn women with late preterm pre-eclampsia, the optimal time to initiate delivery is unclear because limitation of maternal disease progression needs be balanced against infant complications. The aim this trial was determine whether planned earlier initiation reduces adverse outcomes without substantial worsening neonatal or outcomes, compared expectant management (usual care) in pre-eclampsia.MethodsIn parallel-group, non-masked, multicentre, randomised controlled done 46 maternity...
An evaluation carried out at King's College Hospital Foundation National Health Service Trust in London identified that women who received continuity of carer from the Albany Midwifery Practice were significantly less likely to use pharmacological pain relief when comparisons made with eight other midwifery group practices and local maternity service as a whole. This study was designed explore women's views this phenomenon.We conducted thematic analysis semistructured, audiotaped, in-depth...
Over the past 50 years, two things have changed for women giving birth in high-income nations; has become much safer, and now takes place hospital rather than at home. The extent to which these phenomena are related is a source of ongoing debate, but concern about high intervention rates hospitals, financial pressures on health care systems, led governments, clinicians groups representing support return 'alternative' settings such as midwife-led centres or home, particularly well with...
Complex interventions in obese pregnant women should be theoretically based, feasible and shown to demonstrate anticipated behavioural change prior inception of large randomised controlled trials (RCTs). The aim was determine if a) a complex intervention leads changes diet physical activity behaviours, b) refine the protocol through process evaluation fidelity. We undertook pilot RCT women, comparing routine antenatal care with an reduce dietary glycaemic load saturated fat intake, increase...
As evidências sobre os benefícios do apoio contínuo durante o parto levou à recomendação de que este deve ser oferecido a todas as mulheres. No Brasil, ele é garantido por lei desde 2005, mas dados sua implementação são escassos. Nosso objetivo foi estimar frequência e fatores sociodemográficos, obstétricos institucionais associados presença acompanhantes na pesquisa Nascer no Brasil. Foi feita análise estatística descritiva para caracterização dos (em diferentes momentos tempo da...
Objectives To develop an understanding of men’s experiences first-time fatherhood, their mental health and wellbeing needs. Design A qualitative study using semi-structured interviews. Data were analysed framework analysis. Setting Two large National Health Service integrated care trusts covering four London (UK) local authority boroughs. Participants First-time fathers with children under 12 months age included. Maximum variation sampling was used, 21 recruited. Ten these men described...
Despite decades of considerable economic investment in improving the health families and newborns world-wide, aspirations for maternal newborn have yet to be attained many regions. The global turn toward recognizing importance positive experiences pregnancy, intrapartum postnatal care, care first weeks life, while continuing work minimize adverse outcomes, signals a critical change conversation research prioritization. This paper presents "different questions" drawing on evidence presented...
Background In 2015, approximately 42,000 women died as a result of hypertensive disorders pregnancy worldwide; over 99% these deaths occurred in low- and middle-income countries. The aim this paper is to describe the incidence characteristics eclampsia related complications from across 10 geographical regions 8 countries, relation magnesium sulfate availability. Methods findings This secondary analysis stepped-wedge cluster randomised controlled trial undertaken sub-Saharan Africa, India,...
To explore women's experiences of maternity service reconfiguration during the first wave SARS-CoV-2 (COVID-19) pandemic.Qualitative interview study.South London, United Kingdom.Women (N=23) who gave birth between March and August 2020 in one ten South London hospitals.Semi-structured interviews were conducted (N=23), via video-conferencing software. Transcribed analysed 'by hand' using Microsoft Word. Template analysis was selected to code, analyse, interpret data, according findings a...
<h3>Importance</h3> Inadequate management of elevated blood pressure (BP) is a significant contributing factor to maternal deaths. Self-monitoring BP in the general population has been shown improve diagnosis and hypertension; however, little known about its use pregnancy. <h3>Objective</h3> To determine whether self-monitoring higher-risk pregnancies leads earlier detection pregnancy hypertension. <h3>Design, Setting, Participants</h3> Unblinded, randomized clinical trial that included 2441...
Inadequate management of elevated blood pressure is a significant contributing factor to maternal deaths. The role self-monitoring in pregnancy improving clinical outcomes for the pregnant individual and infant unclear.To evaluate effect self-monitoring, compared with usual care alone, on control other related outcomes, individuals hypertension.Unblinded, randomized trial that recruited between November 2018 September 2019 15 hospital maternity units England. Individuals chronic hypertension...