A5010527330- Maternal and Perinatal Health Interventions
- Maternal and fetal healthcare
- Maternal Mental Health During Pregnancy and Postpartum
- Breastfeeding Practices and Influences
- Child and Adolescent Health
- Reproductive Health and Contraception
- Pregnancy and preeclampsia studies
- Grief, Bereavement, and Mental Health
- Global Maternal and Child Health
- Pelvic floor disorders treatments
- Assisted Reproductive Technology and Twin Pregnancy
- Nursing Roles and Practices
- Food Security and Health in Diverse Populations
- Pregnancy and Medication Impact
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Adolescent Sexual and Reproductive Health
- Geriatric Care and Nursing Homes
- Pregnancy-related medical research
- Child Nutrition and Feeding Issues
- Anesthesia and Pain Management
- Gestational Diabetes Research and Management
- Family Support in Illness
- Obesity and Health Practices
- Child Abuse and Trauma
- Trauma and Emergency Care Studies
Cardiff University
2016-2025
Keele University
2024
Shrewsbury and Telford Hospital NHS Trust
2024
University of Aberdeen
2024
Primary Health Care
2000-2024
University of Oxford
2016-2024
National Health Service Wales
2023-2024
Cardiff and Vale University Health Board
2007-2024
University of Colorado Denver
2013-2023
University Hospital of Wales
2011-2021
<h3>Background</h3> Postpartum haemorrhage (PPH) can be exacerbated by haemostatic failure. We hypothesized that early fibrinogen replacement, guided viscoelastometric testing, reduces blood product usage and bleed size. <h3>Methods</h3> Women with PPH 1000–1500 ml were enrolled. If Fibtem A5 was ≤15 mm bleeding continued, subjects randomized to concentrate or placebo. The primary outcome compared the number of units red cells, plasma, cryoprecipitate platelets transfused. <h3>Results</h3>...
BackgroundRisk factors for maternal infection are clearly recognised, including caesarean section and operative vaginal birth. Antibiotic prophylaxis at is widely recommended because there clear systematic review evidence that it reduces incidence of infection. Current WHO guidelines do not recommend routine antibiotic women undergoing birth insufficient effectiveness. We aimed to investigate whether prevented after birth.MethodsIn a blinded, randomised controlled trial done 27 UK obstetric...
Electronic health records are invaluable for pregnancy-related studies. The Clinical Practice Research Datalink (CPRD) Pregnancy Register (PR) identifies pregnancies in primary care records, including uncertain cases. This paper outlines a method to reduce uncertainty identifying within CPRD GOLD PR data, exemplified through study investigating the provision of pre-pregnancy care. We used Mother Baby Link (MBL) and Maternity Hospital Episode Statistics (HES) clean augment data. included all...
In Philadelphia, 66% of new HIV infections are among African Americans and 2% living with HIV. The city Philadelphia has the largest numbers faith institutions any in country. Although faith-based play an important role American community, their response to AIDS epidemic historically been lacking. We convened 38 Philadelphia's most influential leaders for in-depth interviews focus groups examining prevention. Participants were asked comment on barriers engaging prevention provide normative...
Postpartum haemorrhage (PPH) can be exacerbated by haemostatic failure. Based on data from trauma studies, empirical infusions of fresh frozen plasma (FFP) are often given during severe PPH if coagulation tests unavailable. This study observed a cohort women with moderate/severe in whom FFP infusion was guided the use viscoelastometric point-of-care testing (VE-POCT) and clinical assessment.Women were enrolled into this observational when blood loss measured or suspected to about 1000 mL. If...
Abstract Background In the United Kingdom, induction of labour rates are rapidly rising, and around a third pregnant women undergo procedure. The first stage, cervical ripening, traditionally carried out in hospital, is increasingly offered outpatient – or ‘at home’. current place considerable demand on maternity services impact women’s experiences care, at home ripening has been suggested as potential solution for alleviating these. However, there lack evidence both birth partners’...
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...
Peer support is recommended by the World Health Organization for initiation and continuation of breastfeeding, this recommendation included in United Kingdom (U.K.) guidance. There a lack information about how, when, where breastfeeding peer was provided U.K. We aimed to generate an overview how delivered gain understanding challenges implementation. surveyed all infant feeding coordinators (n = 696) who were part U.K.-based National Infant Feeding Networks, covering 177 Service (NHS)...
Autoimmune rheumatic diseases (ARDs) such as inflammatory arthritis and Lupus, many of the treatments for these diseases, can have a detrimental impact on fertility pregnancy outcomes. Disease activity organ damage result ARDs affect maternal foetal The safety acceptability hormonal contraceptives also be affected. objective this study was to identify information support needs women with during planning, early parenting.This mixed methods included cross-sectional online survey qualitative...
Abstract Background Several preconception exposures have been associated with adverse pregnancy, birth and postpartum outcomes. However, few studies investigated women’s knowledge of attitudes towards health, the acceptability potential intervention methods. Methods Seven primary care centres in West England posted questionnaires to 4330 female patients aged 18 48 years. Without providing examples, we asked women list maternal that might affect infant outcomes, assessed their nine...
Background Systematic review evidence suggests preconception health interventions may be effective in improving a range of outcomes. However, few studies have explored women’s views on potential content and delivery methods for these interventions. Methods Participants were purposively sampled from respondents ( n = 313) survey. Semi-structured, in-depth interviews conducted to explore their seven candidate interventions: general practitioners (GPs), nurse practitioners, pharmacists, social...
Abstract Objective Warm water immersion during labour provides women with analgesia and comfort. This cohort study aimed to establish among using intrapartum analgesia, without antenatal or risk factors, whether waterbirth is as safe for them their babies leaving the before birth. Design Cohort non‐inferiority design. Setting Twenty‐six UK NHS maternity services. Sample A total of 73 229 immersion, between 1 January 2015 30 June 2022. The analysis excluded 12 827 (17.5%) who received...
The Nurse Family Partnership programme was developed in the USA where it is made available to pregnant young mothers some socially deprived geographic areas. related introduced England by Department of Health 2006 with aim improving outcomes for health, wellbeing and social circumstances first-time their children.This multi-centre individually randomised controlled trial will recruit 1600 participants from 18 Primary Care Trusts England, United Kingdom. evaluate effectiveness usual care...
Postpartum haemorrhage (PPH) is a major cause of maternal morbidity. Bleeding caused by combination physical causes, such as failure the uterus to contract or operations, and made worse impairment blood clotting system. A number studies have shown that low levels factor fibrinogen are associated with progression bleeding, need for invasive interventions transfusions red cells fresh frozen plasma (FFP). This trial will investigate whether early infusion concentrate during PPH, aim correcting...
Women receive many public health messages relating to pregnancy which are intended improve outcomes for babies and mothers. However, negotiating the risk landscape maternity care system can feel confusing disempowering. Relationships between women their healthcare providers paramount, but they be adversely affected by issues of trust autonomy. We used a nested study design including an online survey qualitative interviews gain understanding women's experiences during pregnancy. purposively...
Abstract Background Optimising women's pre-pregnancy health is a policy priority for benefits spanning pregnancy and throughout the mother baby's life. In UK care (PPC) tends to be delivered in primary care, with onus on women seek services. We aimed describe women’s engagement General Practice (GP) year preceding pregnancy, including specific PPC; explore whether recognised risk factors poor outcomes receive targeted care. Methods Data aged 18-48yrs registered $$\ge$$ <mml:math...