All Outputs (83)

A Mapping Survey of Digital Clinical Consultations in Maternity Care in England (2025)
Journal Article
Clancy, G., Evans, K., Spiby, H., Barrett, V., Sunney, C., & Evans, C. (2025). A Mapping Survey of Digital Clinical Consultations in Maternity Care in England. PLOS Digital Health, 4(7), Article e0000944. https://doi.org/10.1371/journal.pdig.0000944

Many areas of healthcare are exploring the use of digital technologies with the aim of improving and expanding care to service users. In England, maternity care is currently undergoing a digital transformation in line with the National Health Service... Read More about A Mapping Survey of Digital Clinical Consultations in Maternity Care in England.

How to Implement Digital Clinical Consultations in UK Maternity Care: the ARM@DA Realist Review (2025)
Journal Article
Evans, C., Clancy, G., Evans, K., Booth, A., Nazmeen, B., Sunney, C., Clowes, M., Jones, N. W., Timmons, S., & Spiby, H. (2025). How to Implement Digital Clinical Consultations in UK Maternity Care: the ARM@DA Realist Review. Health and Social Care Delivery Research, 13(22), 1-78. https://doi.org/10.3310/WQFV7425

Background: Digital transformation is a key component within the NHS Maternity Transformation Programme. The Covid-19 pandemic led to an acceleration of digital innovation, in particular, the use of digital clinical consultations (telephone/video con... Read More about How to Implement Digital Clinical Consultations in UK Maternity Care: the ARM@DA Realist Review.

The development of a conceptual framework to support global mobility, transnational learning and cultural sensitivity for midwifery students: the TOTEMM project (2025)
Journal Article
Walker, L., Borrelli, S., Konstantinidis, S., Fumagalli, S., Nespoli, A., Kärema, A., Mets-Oja, S., Smit, A.-M., Van Oost, M., & Spiby, H. (2025). The development of a conceptual framework to support global mobility, transnational learning and cultural sensitivity for midwifery students: the TOTEMM project. MIDIRS Midwifery Digest, 35(1), 49-54

Background: Globally, midwives play a vital role in providing safe maternity care and reducing health inequalities. The principles of this care need to be embedded into midwifery education to support the development of a workforce that understands gl... Read More about The development of a conceptual framework to support global mobility, transnational learning and cultural sensitivity for midwifery students: the TOTEMM project.

Optimising digital clinical consultations in maternity care: a realist review and implementation principles (2024)
Journal Article
Evans, C., Clancy, G., Evans, K., Booth, A., Nazmeen, B., Timmons, S., Sunney, C., Clowes, M., Jones, N., & Spiby, H. (2024). Optimising digital clinical consultations in maternity care: a realist review and implementation principles. BMJ Open, 14(10), Article e079153. https://doi.org/10.1136/bmjopen-2023-079153

OBJECTIVES
The Covid-19 pandemic has led to increased use of digital clinical consultations (phone or video calls) within UK maternity services. This project aimed to review the evidence on digital clinical consultations in maternity systems to illu... Read More about Optimising digital clinical consultations in maternity care: a realist review and implementation principles.

Challenges and opportunities of sustained public involvement in maternal health research: a practice case study with reflections from researchers and public contributors (2024)
Journal Article
Roberts, J., Sunney, C., Ekeh, J. I., Tchuissi, C. N., Norman, R., & Spiby, H. (2024). Challenges and opportunities of sustained public involvement in maternal health research: a practice case study with reflections from researchers and public contributors. Research for All, 8(1), https://doi.org/10.14324/rfa.08.1.08

It is widely agreed that collaboration with people with lived experience of specific health conditions or health services is both a moral imperative and a utility to improve research quality, validity and impact. However, there is little agreement ab... Read More about Challenges and opportunities of sustained public involvement in maternal health research: a practice case study with reflections from researchers and public contributors.

The impact of different doses of oral iron supplementation during pregnancy: a pilot randomized trial (2024)
Journal Article
Stanworth, S. J., Churchill, D., Sweity, S., Holmes, T., Hudson, C., Brown, R., Lax, S., Murray, J., Spiby, H., Roy, N., Farmer, A., Gale, C., Crayton, E., Lorencatto, F., Griffiths, J., Mullings, J., Last, S., & Knight, M. (2024). The impact of different doses of oral iron supplementation during pregnancy: a pilot randomized trial. Blood Advances, 8(21), 5683-5694. https://doi.org/10.1182/bloodadvances.2024013408

The burden of iron-deficiency anemia remains significant during pregnancy. Oral iron is first-line medication, but there is uncertainty about a range of factors including adherence and side-effects of different doses. We conducted a pilot randomized... Read More about The impact of different doses of oral iron supplementation during pregnancy: a pilot randomized trial.

Maternity support workers’ experiences of workplace trauma and post-traumatic stress symptoms (2024)
Journal Article
Slade, P., Smart, C., Krahé, C., & Spiby, H. (2024). Maternity support workers’ experiences of workplace trauma and post-traumatic stress symptoms. Midwifery, 136, Article 104071. https://doi.org/10.1016/j.midw.2024.104071

Background Maternity support workers (MSWs) are now a key part of the maternity workforce. They work in environments with potential exposure to traumatic events, but little is known about their rates of exposure or... Read More about Maternity support workers’ experiences of workplace trauma and post-traumatic stress symptoms.

Examining the key features of specialist health service provision for women with Female Genital Mutilation/Cutting (FGM/C) in the Global North: a scoping review (2024)
Journal Article
Albert, J., Wells, M., Spiby, H., & Evans, C. (2024). Examining the key features of specialist health service provision for women with Female Genital Mutilation/Cutting (FGM/C) in the Global North: a scoping review. Frontiers in Global Women's Health, 5, Article 1329819. https://doi.org/10.3389/fgwh.2024.1329819

Background: Health care for women with Female Genital Mutilation/Cutting (FGM/C) in the Global North is often described as sub-optimal and focused on maternity care. Specialist FGM/C services have emerged with little empirical evidence informing serv... Read More about Examining the key features of specialist health service provision for women with Female Genital Mutilation/Cutting (FGM/C) in the Global North: a scoping review.

Motherhood, Human Trafficking, and Asylum Seeking: The Experiences and Needs of Survivor Mothers in Birthing and Postnatal Care (2024)
Journal Article
Bosatta, L., Crespi de Valldaura, M., Bales, K., Spiby, H., & Ni Bhriain, L. (2024). Motherhood, Human Trafficking, and Asylum Seeking: The Experiences and Needs of Survivor Mothers in Birthing and Postnatal Care. Societies, 14(5), Article 69. https://doi.org/10.3390/soc14050069

This article aims to illuminate the little-studied phenomenon of asylum-seeking child-bearing women in the UK, survivors of violence and human trafficking. This is a significant issue in terms of the proportion of women affected and the paucity of ca... Read More about Motherhood, Human Trafficking, and Asylum Seeking: The Experiences and Needs of Survivor Mothers in Birthing and Postnatal Care.

TransfOrming Transnational intErcultural sensitivity for Midwifery students through an inclusive mobility model: A mixed-method evaluation of the TOTEMM project (2024)
Journal Article
Borrelli, S., Konstantinidis, S., Fumagalli, S., Kärema, A., Mets-Oja, S., Nespoli, A., Sands, G., Smit, A.-M., van Oost, M. A., Walker, L., & Spiby, H. (2024). TransfOrming Transnational intErcultural sensitivity for Midwifery students through an inclusive mobility model: A mixed-method evaluation of the TOTEMM project. Nurse Education Today, 138, Article 106186. https://doi.org/10.1016/j.nedt.2024.106186

Background: Contemporary midwifery curricula require that student midwives have insight and understanding of global health practice and intercultural sensitivity. The current mobility model excludes large numbers of students from engaging in transnat... Read More about TransfOrming Transnational intErcultural sensitivity for Midwifery students through an inclusive mobility model: A mixed-method evaluation of the TOTEMM project.

Developing initial programme theories for a realist synthesis on digital clinical consultations in maternity care: contributions from stakeholder involvement (2024)
Journal Article
Evans, C., Clancy, G., Evans, K., Booth, A., Nazmeen, B., Timmons, S., Sunney, C., Clowes, M., Wyn Jones, N., & Spiby, H. (2024). Developing initial programme theories for a realist synthesis on digital clinical consultations in maternity care: contributions from stakeholder involvement. Journal of Research in Nursing, 29(2), 127-140. https://doi.org/10.1177/17449871241226911

Background: The COVID pandemic prompted an increase in the use of digital clinical consultations (telephone or video calls) within midwifery and nursing care. This paper reports on a realist review project related to maternity care that seeks to illu... Read More about Developing initial programme theories for a realist synthesis on digital clinical consultations in maternity care: contributions from stakeholder involvement.

The impact of prior care experience on nursing students' compassionate values and behaviours: A mixed methods study (2024)
Journal Article
Field-Richards, S. E., Aubeeluck, A., Callaghan, P., Keeley, P., Redsell, S. A., Spiby, H., Stacey, G., & Lymn, J. S. (2024). The impact of prior care experience on nursing students' compassionate values and behaviours: A mixed methods study. International Journal of Nursing Studies, 153, Article 104732. https://doi.org/10.1016/j.ijnurstu.2024.104732

Background: Compassion is critical to the provision of high-quality healthcare and is foregrounded internationally as an issue of contemporary concern. Paid care experience prior to nurse training has been suggested as a potential means of improving... Read More about The impact of prior care experience on nursing students' compassionate values and behaviours: A mixed methods study.

Transforming transnational intercultural sensitivity for midwifery students through an inclusive mobility model (TOTEMM) (2023)
Presentation / Conference Contribution
Karema, A., Mets-Oja, S., Borrelli, S., Spiby, H., Coolin, K., Walker, L., Konstantinidis, S., Nespoli, A., Fumagalli, S., Smit, A.-M., van Oost, M., & Falkenhagen, K. (2023, October). Transforming transnational intercultural sensitivity for midwifery students through an inclusive mobility model (TOTEMM). Presented at 7th EMA Education Conference, Athens, Greece

Introduction:
The benefits for students who engage in study mobility experiences should include developing soft skills, interaction skills with individuals from different cultures, adaptability, and proficiency and communication skills in foreign la... Read More about Transforming transnational intercultural sensitivity for midwifery students through an inclusive mobility model (TOTEMM).

Co-Design of a Reusable Learning Object (RLO) to Address Caregiver Responsive Infant Feeding Behaviours (CRIB) to Prevent Childhood Obesity: A Mixed-Method Protocol (2023)
Journal Article
Porter, L., Matvienko-Sikar, K., Wharrad, H., Spiby, H., Siriwardena, A. N., Howitt, C., Green, K., & Redsell, S. (2024). Co-Design of a Reusable Learning Object (RLO) to Address Caregiver Responsive Infant Feeding Behaviours (CRIB) to Prevent Childhood Obesity: A Mixed-Method Protocol. Healthcare, 12(1), Article 29. https://doi.org/10.3390/healthcare12010029

Responsive infant feeding is a key strategy for childhood obesity prevention. Responsive feeding involves caregivers responding to infant hunger and satiety cues in a timely and developmentally appropriate manner. There is a dearth of evidence-based... Read More about Co-Design of a Reusable Learning Object (RLO) to Address Caregiver Responsive Infant Feeding Behaviours (CRIB) to Prevent Childhood Obesity: A Mixed-Method Protocol.

Nature-based interventions to support mental health and well-being of young women in pregnancy: exploratory work for future feasibility RCT (2023)
Journal Article
Sands, G., Blake, H., Carter, T., & Spiby, H. (2023). Nature-based interventions to support mental health and well-being of young women in pregnancy: exploratory work for future feasibility RCT. Public Health Research, https://doi.org/10.3310/NPGR3411

Background
The prevalence of mental health and well-being issues among young women is increasing. Pregnancy is a time when new mental health challenges may arise, or existing conditions can be exacerbated. This project presents preparatory work on h... Read More about Nature-based interventions to support mental health and well-being of young women in pregnancy: exploratory work for future feasibility RCT.

Nature-Based Interventions in the UK: A Mixed Methods Study Exploring Green Prescribing for Promoting the Mental Wellbeing of Young Pregnant Women (2023)
Journal Article
Sands, G., Blake, H., Carter, T., & Spiby, H. (2023). Nature-Based Interventions in the UK: A Mixed Methods Study Exploring Green Prescribing for Promoting the Mental Wellbeing of Young Pregnant Women. International Journal of Environmental Research and Public Health, 20(20), Article 6921. https://doi.org/10.3390/ijerph20206921

Green prescribing is gaining in popularity internationally for the promotion of mental wellbeing. However, the evidence base is limited, particularly in young pregnant women, a population with known risk factors for anxiety and depression. The aim of... Read More about Nature-Based Interventions in the UK: A Mixed Methods Study Exploring Green Prescribing for Promoting the Mental Wellbeing of Young Pregnant Women.

Do antenatal preparation and obstetric complications and procedures interact to affect birth experience and postnatal mental health? (2023)
Journal Article
Cross, H., Krahe, C., Spiby, H., & Slade, P. (2023). Do antenatal preparation and obstetric complications and procedures interact to affect birth experience and postnatal mental health?. BMC Pregnancy and Childbirth, 23, Article 543. https://doi.org/10.1186/s12884-023-05846-5

Background
Antenatal preparation is commonly offered to women in pregnancy in the United Kingdom, but the content is highly variable, with some programmes orientated towards ‘normal birth’, whilst others may incorporate information about complicatio... Read More about Do antenatal preparation and obstetric complications and procedures interact to affect birth experience and postnatal mental health?.

Targeted health and social care interventions for women and infants who are disproportionately impacted by health inequalities in high-income countries: a systematic review (2023)
Journal Article
Khan, Z., Vowles, Z., Fernandez Turienzo, C., Barry, Z., Brigante, L., Downe, S., Easter, A., Harding, S., McFadden, A., Montgomery, E., Page, L., Rayment-Jones, H., Renfrew, M., Silverio, S. A., Spiby, H., Villarroel-Williams, N., & Sandall, J. (2023). Targeted health and social care interventions for women and infants who are disproportionately impacted by health inequalities in high-income countries: a systematic review. International Journal for Equity in Health, 22, Article 131. https://doi.org/10.1186/s12939-023-01948-w

Background
Disadvantaged populations (such as women from minority ethnic groups and those with social complexity) are at an increased risk of poor outcomes and experiences. Inequalities in health outcomes include preterm birth, maternal and perinata... Read More about Targeted health and social care interventions for women and infants who are disproportionately impacted by health inequalities in high-income countries: a systematic review.

Care and support during maternity for mothers affected by modern slavery: A scoping review (2023)
Journal Article
Borrelli, S., Ramasamy, R., Wong, R., & Spiby, H. (2023). Care and support during maternity for mothers affected by modern slavery: A scoping review. International Journal of Nursing Studies Advances, 5, Article 100139. https://doi.org/10.1016/j.ijnsa.2023.100139

Background
Modern slavery is a largely hidden crime disproportionately affecting women and girls, with 71% of the world's enslaved people being female and approximately one third estimated to be pregnant. Healthcare professionals experience difficul... Read More about Care and support during maternity for mothers affected by modern slavery: A scoping review.

How should a video-call service for early labour be provided? A qualitative study of midwives’ perspectives in the United Kingdom and Italy (2023)
Journal Article
Borrelli, S., Fumagalli, S., Colciago, E., Downey, J., Spiby, H., & Nespoli, A. (2023). How should a video-call service for early labour be provided? A qualitative study of midwives’ perspectives in the United Kingdom and Italy. Women and Birth, 36(6), 504-510. https://doi.org/10.1016/j.wombi.2023.06.006

Problem: Women in early labour are typically encouraged to delay admission to the maternity unit, but they may find this challenging without appropriate professional support. Background: Prior to the pandemic, research conducted with midwives and wom... Read More about How should a video-call service for early labour be provided? A qualitative study of midwives’ perspectives in the United Kingdom and Italy.