A5072028305- Maternal and Perinatal Health Interventions
- Global Maternal and Child Health
- Maternal and fetal healthcare
- Grief, Bereavement, and Mental Health
- Maternal Mental Health During Pregnancy and Postpartum
- Child and Adolescent Health
- Breastfeeding Practices and Influences
- Migration, Health and Trauma
- Healthcare Systems and Challenges
- Primary Care and Health Outcomes
- Intergenerational Family Dynamics and Caregiving
- Healthcare innovation and challenges
- Geriatric Care and Nursing Homes
- Global Health Workforce Issues
- Pelvic floor disorders treatments
- Child Nutrition and Feeding Issues
- Pregnancy and preeclampsia studies
- Assisted Reproductive Technology and Twin Pregnancy
- Maternal and Neonatal Healthcare
- Birth, Development, and Health
- Problem and Project Based Learning
- Innovations in Medical Education
- Blood Pressure and Hypertension Studies
- Adolescent and Pediatric Healthcare
- Tuberculosis Research and Epidemiology
City, University of London
2016-2025
University of London
2020-2025
St George's, University of London
2024-2025
City St George's, University of London
2024-2025
Universidad de Londres
2020-2023
King's College London
2010-2022
University of Cambridge
2007-2022
St Thomas' Hospital
2022
University of Southampton
2022
The Stables
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...
This paper discusses key themes from a large-scale, long-term multi-perspective evaluation of caseload midwifery practice in the United Kingdom (UK). Caseload was introduced several UK settings, on pilot scale, following publication Changing Childbirth intended to put into its core principles continuity, choice and control for women.1 A range new practices were piloted evaluated across UK. Relatively little attention given defining exploring nature meanings models practice, or midwives this...
Objective To determine the effects on vaginal microbiota of an oral probiotic preparation administered from early pregnancy. Design Randomised, double blind, placebo‐controlled trial. Setting Four maternity units in UK . Population Women aged 16 years or older recruited at 9–14 weeks' gestation. Methods Participants were randomly allocated to receive capsules containing Lactobacillus rhamnosus GR ‐1 and reuteri RC ‐14 each 2.5 × 10 9 colony‐forming ( CFU s) placebo once daily recruitment...
<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...
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...
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...
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’...
This article reports a study of the maternity care experiences Somali refugee women in an area west London. small case formed discrete part wider women's responses to two systems care. Qualitative research methods involving semi-structured interviews and focus groups were used. Interviews carried out with who had recent experience services, health professionals contact their work, Trust employee involved provision language support. The findings confirmed much available evidence on other...
Patients’ contributions to safety include speaking up about their perceptions of being at risk. Previous studies have found that dismissive responses from staff discouraged patients up. A Care Quality Commission investigation a maternity service where serious incidents occurred evidence women had routinely been ignored and left alone in labour. Women using antenatal services hesitated raise concerns they felt might consider irrelevant. The Birthplace England programme, which investigated the...
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...