A5026522145- Maternal and fetal healthcare
- Global Maternal and Child Health
- Pregnancy and preeclampsia studies
- Family and Patient Care in Intensive Care Units
- Palliative Care and End-of-Life Issues
- Maternal and Perinatal Health Interventions
- Blood Pressure and Hypertension Studies
- Intensive Care Unit Cognitive Disorders
- Birth, Development, and Health
- Grief, Bereavement, and Mental Health
- Delphi Technique in Research
- Global Cancer Incidence and Screening
- Gestational Diabetes Research and Management
- Geriatric Care and Nursing Homes
- Emergency and Acute Care Studies
- Patient Satisfaction in Healthcare
- Mental Health and Patient Involvement
- Reproductive Health and Technologies
- Empathy and Medical Education
- Health Policy Implementation Science
- Primary Care and Health Outcomes
- Family Support in Illness
- Interprofessional Education and Collaboration
- Trauma and Emergency Care Studies
- Maternal Mental Health During Pregnancy and Postpartum
University of Cambridge
2020-2025
University of Oxford
2016-2025
North Bristol NHS Trust
2024
University of Bristol
2022-2024
University of Liverpool
2024
Cardiff University
2024
Imperial College London
2024
Institute for Healthcare Improvement
2021-2023
St Thomas' Hospital
2022
King's College London
2022
Abstract Background Increasing numbers of children with complex health‐care needs are cared for at home by their family. The aim this qualitative study was to explore the challenges experienced families caring who need medical care home. Methods We conducted a thematic analysis eleven in‐depth interviews parents carry out specialist procedures (eg, enteral feeding, bowel washouts and tracheostomy care) Participants were purposely selected from an existing sample whose child had abdominal...
<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...
The lack of ethnic diversity in health research participation is a multi-dimensional problem. Racism and intersectional disadvantage compel us to use racial categories explore health, but race theorists warn that these can be essentialising pathologising. Yet, the alternative, pursuit colour-blindness, render impact ethnicity on invisible. This paper describes attempt recruit an ethnically diverse sample inform development intervention for stroke patients. study revealed deep uncertainties...
Raised blood pressure (BP) affects approximately 10% of pregnancies worldwide, and a high proportion affected women develop pre-eclampsia. This study aimed to evaluate the feasibility self-monitoring BP in pregnancy at higher risk prospective cohort was carried out two hospital trusts Birmingham Oxford thirteen primary care practices Oxfordshire. Eligible were those defined by UK National Institute for Health Care Excellence (NICE) guidelines as A total 201 participants recruited between 12...
Hypertensive disorders in pregnancy are a leading cause of maternal and fetal morbidity worldwide. Raised blood pressure (BP) affects 10% pregnancies worldwide, which almost half develop pre-eclampsia. The proportion pregnant women who have risk factors for pre-eclampsia (such as pre-existing hypertension, obesity advanced age) is increasing. Pre-eclampsia can manifest itself before experience symptoms between antenatal visits. Incentives to improve early detection gestational hypertensive...
To explore the healthcare experiences of parents whose baby died either before, during or shortly after birth between 20+0 and 23+6 weeks gestation in order to identify practical ways improve provision. Qualitative interview study. England through two parent support organisations four NHS Trusts. A purposive sample parents. Thematic analysis semi-structured in-depth narrative interviews. Parents' experiences. The key overarching theme emerge from interviews with 38 was importance terminology...
Introduction Patients who develop intensive care unit (ICU) acquired delirium stay longer in the ICU, and hospital, are at risk of long-term mental physical health problems. Despite guidelines for patient assessment, limitation, treatment ICU population, associated delusions remain a relatively common occurrence on ICU. There is considerable information literature describing incidence, suspected causes of, discussion benefits side-effects various treatments But peer-reviewed patient-focused...
Current clinical guidelines and national policy in England support offering ‘low risk’ women a choice of birth setting. Options include: home, free-standing midwifery unit (FMU), alongside (AMU) or obstetric (OU). This study, which is part broader project designed to inform on ‘choice’ relation childbirth, aimed provide evidence UK women’s experiences decision-making the period since publication Birthplace findings (2011) new NICE (2014). paper reports relating information needs when making...
Introduction Self-monitoring of blood pressure (BP) in pregnancy could improve the detection and management hypertension, while also empowering engaging women their own care. Two linked trials aim to evaluate whether BP self-monitoring improves raised during higher risk pregnancies (BUMP 1) reduces systolic hypertensive 2). Methods analyses Both are multicentre, non-masked, parallel group, randomised controlled trials. Participants will be with telemonitoring or usual BUMP 1 recruit a...
We aimed to explore the experiences and perspectives of pregnant women, antenatal healthcare professionals, system leaders understand impact implementation remote provision care during COVID-19 pandemic beyond.We conducted a qualitative study involving semi-structured interviews with 93 participants, including 45 individuals who had been period, 34 health 14 managers system-level stakeholders. Analysis was based on constant comparative method used theoretical framework candidacy.We found...
Long-term conditions and accompanied co-morbidities now affect about a quarter of the UK population. Enabling patients caregivers to communicate their experience illness in own words is vital developing shared understanding condition its impact on patients’ caregivers’ lives delivering person-centred care. Studies patient language show how metaphors provide insight into physical emotional world patient, but such studies are often limited by focus single illness. The authors this study...
For every maternal death, nine women develop severe morbidity. Many of those will need care in an intensive unit (ICU) or high dependency (HDU). Critical the context pregnancy poses distinct issues for staff and patients, example, with breastfeeding support separation from newborn. This study aimed to understand experiences who experience a near miss require critical after childbirth.Women some partners across UK were interviewed as part near-miss morbidity.A qualitative study, using...
Objective Severe life-threatening complications in pregnancy that require urgent medical intervention are commonly known as "near-miss" events. Although these rare (1 100 births), there potentially 8,000 women and their families the UK each year who live through a emergency its aftermath. Near-miss obstetric emergencies can be traumatic frightening for women, impact last years. There is little research has explored how events on partners. The objective of this interview study was to explore...
Background Studies of maternal mortality have been shown to result in important improvements women’s health. It is now recognised that countries such as the UK, where deaths are rare, study near-miss severe morbidity provides additional information aid disease prevention, treatment and service provision. Objectives To (1) estimate incidence specific morbidities; (2) assess contribution existing risk factors incidence; (3) describe different interventions their impact on outcomes costs; (4)...
<h3>Background</h3> One in 100 women who give birth the UK develop life-threatening illnesses during childbirth. Without urgent medical attention these could lead to mother's death. Little is known about how experience of severe illness childbirth affects mother, baby, and family. <h3>Aim</h3> As part National Maternal Near-miss Surveillance Programme, this study explored experiences their partners childbirth, identify long-term impact on families. <h3>Design setting</h3> Qualitative based...
Guidelines encourage the use of self monitoring blood pressure in pregnancy, and research suggests that women prefer it. But HODGKINSON AND COLLEAGUES: explain our enthusiasm may run ahead evidence call for more before it is routinely adopted.
Objective To assess family satisfaction with intensive care units (ICUs) in the UK using Family Satisfaction Intensive Care Unit 24-item (FS-ICU-24) questionnaire, and to investigate how characteristics of patients their members impact on satisfaction. Design Prospective cohort study nested within a national clinical audit database. Setting Stratified, random sample 20 adult general ICUs participating National Audit & Research Centre Case Mix Programme. Participants staying at least 24...