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Outputs (64)

How to Implement Digital Clinical Consultations in UK Maternity Care: the ARM@DA Realist Review (2024)
Journal Article
Evans, C., Clancy, G., Evans, K., Booth, A., Nazmeen, B., Sunney, C., Clowes, M., Jones, N. W., Timmons, S., & Spiby, H. (in press). How to Implement Digital Clinical Consultations in UK Maternity Care: the ARM@DA Realist Review. Health and Social Care Delivery Research,

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.

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., …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., …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.

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., …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.

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., …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 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., …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.

Understanding antenatal care use in pastoralist communities: a focused ethnographic study in Kenya (2023)
Journal Article
Barako, T. D., Spiby, H., Evans, C., & Konstantinidis, S. (2023). Understanding antenatal care use in pastoralist communities: a focused ethnographic study in Kenya. African Journal of Midwifery and Women's Health, 17(2), 1-13. https://doi.org/10.12968/ajmw.2022.0021

Background/Aims The provision of high-quality antenatal care improves maternal and child health outcomes. Pastoralist communities face unique challenges in accessing healthcare associated with a nomadic, marginalised lifestyle, and have high rates o... Read More about Understanding antenatal care use in pastoralist communities: a focused ethnographic study in Kenya.

Learning analytics of TOTEMM virtual learning resources – transforming transnational intercultural sensitivity for midwifery students through an inclusive mobility model (2023)
Presentation / Conference Contribution
PEARS, M., Henderson, J., Smit, A.-M., Van Oost, M., Borrelli, S., Walker, L., …Konstantinidis, S. .. (2023). Learning analytics of TOTEMM virtual learning resources – transforming transnational intercultural sensitivity for midwifery students through an inclusive mobility model. In Proceedings of INTED2023 Conference 6th-8th March 2023 (8021-8030). https://doi.org/10.21125/inted.2023

Equality, social inclusion, and participation of non-mobile midwifery students studying in England, Italy, Estonia and the Netherlands was of interest in this project. Five Virtual Learning Packages (VLPs) were created to address needs within materni... Read More about Learning analytics of TOTEMM virtual learning resources – transforming transnational intercultural sensitivity for midwifery students through an inclusive mobility model.

Which events are experienced as traumatic by obstetricians and gynaecologists, and why? A qualitative analysis from a cross-sectional survey and in-depth interviews (2022)
Journal Article
Sheen, K., Goodfellow, L., Balling, K., Rymer, J., Weeks, A., Spiby, H., & Slade, P. (2022). Which events are experienced as traumatic by obstetricians and gynaecologists, and why? A qualitative analysis from a cross-sectional survey and in-depth interviews. BMJ Open, 12(11), Article e061505. https://doi.org/10.1136/bmjopen-2022-061505

Objectives: To explore the events perceived as traumatic by obstetricians and gynaecologists (O&G), and to examine factors contributing to the perception of trauma. Design: Mixed methods: cross-sectional survey and in-depth interviews. Sample and s... Read More about Which events are experienced as traumatic by obstetricians and gynaecologists, and why? A qualitative analysis from a cross-sectional survey and in-depth interviews.

RAPID-2 study protocol: a cluster randomised feasibility trial of a midwife facilitated intervention for pregnant women with symptoms of mild to moderate anxiety (2022)
Journal Article
Evans, K., Spiby, H., Slade, M., Jomeen, J., & Beckhelling, J. (2022). RAPID-2 study protocol: a cluster randomised feasibility trial of a midwife facilitated intervention for pregnant women with symptoms of mild to moderate anxiety. BMJ Open, 12(10), Article e064659. https://doi.org/10.1136/bmjopen-2022-064659

INTRODUCTION: Many women experience symptoms during pregnancy. Elevated and prolonged anxiety can have negative effects on the woman and baby. The RAPID intervention aims to provide suitable, timely support for women with mild-moderate anxiety. The R... Read More about RAPID-2 study protocol: a cluster randomised feasibility trial of a midwife facilitated intervention for pregnant women with symptoms of mild to moderate anxiety.

Realist inquiry into Maternity care @ a Distance (ARM@DA): realist review protocol (2022)
Journal Article
Evans, C., Evans, K., Booth, A., Timmons, S., Jones, N., Nazmeen, B., …Spiby, H. (2022). Realist inquiry into Maternity care @ a Distance (ARM@DA): realist review protocol. BMJ Open, 12(9), Article e062106. https://doi.org/10.1136/bmjopen-2022-062106

INTRODUCTION: One of the most commonly reported COVID-19-related changes to all maternity services has been an increase in the use of digital clinical consultations such as telephone or video calling; however, the ways in which they can be optimally... Read More about Realist inquiry into Maternity care @ a Distance (ARM@DA): realist review protocol.

Birth environments for women with complex pregnancies: A mixed-methods systematic review (2022)
Journal Article
Sands, G., Evans, K., Spiby, H., Eldridge, J., Pallotti, P., & Evans, C. (2023). Birth environments for women with complex pregnancies: A mixed-methods systematic review. Women and Birth, 36(1), 39-46. https://doi.org/10.1016/j.wombi.2022.04.008

Background: Birth environments can help support women through labour and birth. Home-like rooms which encourage active birthing are embraced in midwifery-led settings. However, this is often not reflected in obstetric settings for women with more com... Read More about Birth environments for women with complex pregnancies: A mixed-methods systematic review.

The importance of face to face, group antenatal education classes for first time mothers: A qualitative study (2022)
Journal Article
Spiby, H., Stewart, J., Watts, K., Hughes, A., & Slade, P. (2022). The importance of face to face, group antenatal education classes for first time mothers: A qualitative study. Midwifery, 109, Article 103295. https://doi.org/10.1016/j.midw.2022.103295

Objectives: To explore and understand perspectives of women expecting their first child and why they wanted to attend NHS antenatal education. This included what worries and concerns they wanted to be addressed and why this would be beneficial. It al... Read More about The importance of face to face, group antenatal education classes for first time mothers: A qualitative study.

Remotely Delivered Interventions to Support Women With Symptoms of Anxiety in Pregnancy: Mixed Methods Systematic Review and Meta-analysis (2022)
Journal Article
Evans, K., Rennick-Egglestone, S., Cox, S., Kuipers, Y., & Spiby, H. (2022). Remotely Delivered Interventions to Support Women With Symptoms of Anxiety in Pregnancy: Mixed Methods Systematic Review and Meta-analysis. Journal of Medical Internet Research, 24(2), Article e28093. https://doi.org/10.2196/28093

Background: Symptoms of anxiety are common in pregnancy, with severe symptoms associated with negative outcomes for women and babies. Low-level psychological therapy is recommended for women with mild to moderate anxiety, with the aim of preventing a... Read More about Remotely Delivered Interventions to Support Women With Symptoms of Anxiety in Pregnancy: Mixed Methods Systematic Review and Meta-analysis.

Midwifery students' perspectives of physical and virtual mobility activities including preferences for e-learning: A cross-sectional survey (2021)
Journal Article
Borrelli, S., Walker, L., Coolin, K., Fumagalli, S., Karema, A., Konstantinidis, S., …Spiby, H. (2022). Midwifery students' perspectives of physical and virtual mobility activities including preferences for e-learning: A cross-sectional survey. Nurse Education Today, 109, Article 105214. https://doi.org/10.1016/j.nedt.2021.105214

Background: Contemporary higher education requires that all midwifery students have insight and understanding of global health practice and demonstrate intercultural sensitivity. However, the mobility models currently offered do not often fit the liv... Read More about Midwifery students' perspectives of physical and virtual mobility activities including preferences for e-learning: A cross-sectional survey.

The effect of iron deficiency and anaemia on women's health (2021)
Journal Article
Benson, C., Shah, A., Stanworth, S., Frise, C., Spiby, H., Lax, S., …Klein, A. (2021). The effect of iron deficiency and anaemia on women's health. Anaesthesia, 76(S4), 84-95. https://doi.org/10.1111/anae.15405

Iron deficiency and anaemia are global health problems and major causes of morbidity in women. Current definitions of anaemia in women are historic and have been challenged by recent data from observational studies. Menstrual loss, abnormal uterine b... Read More about The effect of iron deficiency and anaemia on women's health.

Spontaneous rupture of membranes and potential use of reagent pads: midwives' experiences and perspectives (2021)
Journal Article
Borrelli, S., Harton, S., Poole, G., Robertson, K., Walmsley, A., Jomeen, J., …Spiby, H. (2021). Spontaneous rupture of membranes and potential use of reagent pads: midwives' experiences and perspectives. Midirs Midwifery Digest, 31(1), 89-95

Aims and objective: The aim of this study was to explore midwives' experiences and perspectives of current approaches to midwifery care for women with pre-labour or early labour spontaneous rupture of membranes (SROM), with a focus on the potential u... Read More about Spontaneous rupture of membranes and potential use of reagent pads: midwives' experiences and perspectives.

Establishing information needs and research priorities in response to the Covid-19 pandemic in the local maternity setting (2021)
Journal Article
Evans, K., Janiszewski, H., Evans, C., & Spiby, H. (2021). Establishing information needs and research priorities in response to the Covid-19 pandemic in the local maternity setting. Midwifery, 95, Article 102922. https://doi.org/10.1016/j.midw.2021.102922

The purpose of this project was to identify gaps in the current evidence base and to identify research priorities in the local context during the Covid-19 pandemic. This paper reports on the application and adaptation of the CHNRI methodology which f... Read More about Establishing information needs and research priorities in response to the Covid-19 pandemic in the local maternity setting.

Developing a complex intervention to support pregnant women with mild to moderate anxiety: application of the Medical Research Council framework (2020)
Journal Article
Evans, K., Spiby, H., & Morrell, C. J. (2020). Developing a complex intervention to support pregnant women with mild to moderate anxiety: application of the Medical Research Council framework. BMC Pregnancy and Childbirth, 20(1), Article 777. https://doi.org/10.1186/s12884-020-03469-8

Background: To design and develop an intervention to support women with symptoms of mild to moderate anxiety in pregnancy. Methods: The development followed the MRC framework for complex interventions, utilising psychological theory, review level evi... Read More about Developing a complex intervention to support pregnant women with mild to moderate anxiety: application of the Medical Research Council framework.

A systematic review of supportive interventions to promote women's comfort and well-being during induction of labour (2020)
Journal Article
Evans, K., Sands, G., Spiby, H., Evans, C., Pallotti, P., & Eldridge, J. (2021). A systematic review of supportive interventions to promote women's comfort and well-being during induction of labour. Journal of Advanced Nursing, 77(5), 2185-2196. https://doi.org/10.1111/jan.14711

© 2020 John Wiley & Sons Ltd Aims: To evaluate the effectiveness of non-pharmacological non-invasive supportive interventions for impacts on women's comfort and well-being during induction of labour. Design: A quantitative systematic review without... Read More about A systematic review of supportive interventions to promote women's comfort and well-being during induction of labour.

Midwifery students’ views and experiences of birth on mainstream factual television (2020)
Journal Article
Roberts, J., Bennett, B., Slack, H., Borrelli, S., Spiby, H., Walker, L., & Jomeen, J. (2021). Midwifery students’ views and experiences of birth on mainstream factual television. Midwifery, 92, Article 102859. https://doi.org/10.1016/j.midw.2020.102859

© 2020 Objectives: To investigate midwifery students’ experiences of viewing childbirth on mainstream factual television and to explore implications for student career intentions and potential pedagogical uses of television excerpts in midwifery educ... Read More about Midwifery students’ views and experiences of birth on mainstream factual television.

Mixed-methods systematic review: Childbearing women's views, experiences, and decision-making related to epidural analgesia in labour (2020)
Journal Article
Borrelli, S., Evans, K., Pallotti, P., Evans, C., Eldridge, J., & Spiby, H. (2020). Mixed-methods systematic review: Childbearing women's views, experiences, and decision-making related to epidural analgesia in labour. Journal of Advanced Nursing, 76(12), 3273-3292. https://doi.org/10.1111/jan.14555

© 2020 John Wiley & Sons Ltd Aims: To investigate childbearing women's views, experiences and decision-making related to epidural analgesia in labour. Design: Mixed-methods systematic review. Data Sources: A comprehensive literature search was impl... Read More about Mixed-methods systematic review: Childbearing women's views, experiences, and decision-making related to epidural analgesia in labour.

Introducing midwifery students to the world of research: building the basis for future leaders in evidence-based practice (2020)
Journal Article
Borrelli, S., Walker, L., Jomeen, J., Roberts, J., Edgley, A., Bennett, B., …Spiby, H. (2020). Introducing midwifery students to the world of research: building the basis for future leaders in evidence-based practice. Midirs Midwifery Digest, 30(3), 324-329

This educational project aimed at involving undergraduate midwifery students as co-investigators in research studies, with the primary aim of acquiring first-hand experience of operationalising fundamental aspects of the research process by working w... Read More about Introducing midwifery students to the world of research: building the basis for future leaders in evidence-based practice.

STRAWB2 (Stress and Wellbeing After Childbirth): a randomised controlled trial of targeted self‐help materials to prevent post‐traumatic stress disorder following childbirth (2020)
Journal Article
Slade, P., West, H., Thomson, G., Lane, S., Spiby, H., Tudor Edwards, R., …Weeks, A. (2020). STRAWB2 (Stress and Wellbeing After Childbirth): a randomised controlled trial of targeted self‐help materials to prevent post‐traumatic stress disorder following childbirth. BJOG: An International Journal of Obstetrics and Gynaecology, 127(7), 886-896. https://doi.org/10.1111/1471-0528.16163

Objectives To test whether providing psychological self‐help materials would significantly lower the incidence of post‐traumatic stress disorder (PTSD) at 6–12 weeks postnatally. Design Open‐label randomised controlled trial, with blinded ou... Read More about STRAWB2 (Stress and Wellbeing After Childbirth): a randomised controlled trial of targeted self‐help materials to prevent post‐traumatic stress disorder following childbirth.

Women's information needs, decision-making and experiences of membrane sweeping to promote spontaneous labour (2020)
Journal Article
Spiby, H., Roberts, J., Evans, K., Evans, C., Pallotti, P., & Eldridge, J. (2020). Women's information needs, decision-making and experiences of membrane sweeping to promote spontaneous labour. Midwifery, 83, Article 102626. https://doi.org/10.1016/j.midw.2019.102626

© 2019 Objective: To explore and synthesise evidence of women's information needs, decision-making and experiences of membrane sweeping to promote spontaneous labour. Design: A systematic review following the Joanna Briggs Institute (JBI) meta-aggreg... Read More about Women's information needs, decision-making and experiences of membrane sweeping to promote spontaneous labour.

An analysis of media reporting on the closure of freestanding midwifery units in England (2019)
Journal Article
Rayment, J., McCourt, C., Scanlon, M., Culley, L., Spiby, H., Bishop, S., & de Lima, L. A. (2020). An analysis of media reporting on the closure of freestanding midwifery units in England. Women and Birth, https://doi.org/10.1016/j.wombi.2018.12.012

Problem Despite clinical guidelines and policy promoting choice of place of birth, 14 Freestanding Midwifery Units were closed between 2008 and 2015, closures reported in the media as justified by low use and financial constraints. Background Th... Read More about An analysis of media reporting on the closure of freestanding midwifery units in England.

Non-pharmacological interventions to reduce the symptoms of mild to moderate anxiety in pregnant women: a systematic review and narrative synthesis of women’s views on the acceptability of and satisfaction with interventions (2019)
Journal Article
Evans, K., Spiby, H., & Morrell, J. C. (2019). Non-pharmacological interventions to reduce the symptoms of mild to moderate anxiety in pregnant women: a systematic review and narrative synthesis of women’s views on the acceptability of and satisfaction with interventions. Archives of Women's Mental Health, https://doi.org/10.1007/s00737-018-0936-9

To assess women’s views on the acceptability of and satisfaction with non-pharmacological interventions to reduce the symptoms of anxiety in pregnant women. A systematic review and narrative synthesis (Prospero protocol number CRD42015017841). Fourte... Read More about Non-pharmacological interventions to reduce the symptoms of mild to moderate anxiety in pregnant women: a systematic review and narrative synthesis of women’s views on the acceptability of and satisfaction with interventions.

Preparing midwifery students for traumatic workplace events: findings from the POPPY (Programme for the Prevention of Posttraumatic Stress Disorder in Midwifery) feasibility study (2018)
Journal Article
Spiby, H., Sheen, K., Collinge, S., Maxwell, C., Pollard, K., & Slade, P. (2018). Preparing midwifery students for traumatic workplace events: findings from the POPPY (Programme for the Prevention of Posttraumatic Stress Disorder in Midwifery) feasibility study. Nurse Education Today, 71, 226-232. https://doi.org/10.1016/j.nedt.2018.09.024

Background: Midwifery students can experience events on clinical placements that they perceive to be traumatic. There is currently no requirement to provide training about the nature of trauma, normal responses, or the most helpful ways of self-manag... Read More about Preparing midwifery students for traumatic workplace events: findings from the POPPY (Programme for the Prevention of Posttraumatic Stress Disorder in Midwifery) feasibility study.

A programme for the prevention of post-traumatic stress disorder in midwifery (POPPY): indications of effectiveness from a feasibility study (2018)
Journal Article
Slade, P., Sheen, K., Collinge, S., Butters, J., & Spiby, H. (2018). A programme for the prevention of post-traumatic stress disorder in midwifery (POPPY): indications of effectiveness from a feasibility study. European Journal of Psychotraumatology, 9(1), Article 1518069. https://doi.org/10.1080/20008198.2018.1518069

Background: Midwives can experience events they perceive as traumatic when providing care. As a result some will develop posttraumatic stress disorder (PTSD) with adverse implications for midwives’ mental health, the quality of care provided for wome... Read More about A programme for the prevention of post-traumatic stress disorder in midwifery (POPPY): indications of effectiveness from a feasibility study.

A qualitative study of midwives’ perceptions on using video-calling in early labor (2018)
Journal Article
Spiby, H., Faucher, M. A., Sands, G., Roberts, J., & Kennedy, H. P. (2019). A qualitative study of midwives’ perceptions on using video-calling in early labor. Birth, 46(1), 105-112. https://doi.org/10.1111/birt.12364

© 2018 Wiley Periodicals, Inc. Background: Decisions made in early labor influence the outcomes of childbirth for women and infants. Telephone assessment during labor, the current norm in many settings, has been found to be a source of dissatisfactio... Read More about A qualitative study of midwives’ perceptions on using video-calling in early labor.

Post-traumatic stress symptomatology following exposure to perceived traumatic perinatal events within the midwifery profession: the impact of trait emotional intelligence (2018)
Journal Article
Nightingale, S., Spiby, H., Sheen, K., & Slade, P. (2018). Post-traumatic stress symptomatology following exposure to perceived traumatic perinatal events within the midwifery profession: the impact of trait emotional intelligence. Journal of Advanced Nursing, 74(9), 2115-2125. https://doi.org/10.1111/jan.13719

Aims: To explore factors associated with, and predictors of, post‐traumatic stress symptoms in midwives. To explore factors associated with, and potential moderating effects of, trait emotional intelligence. Secondary analysis explored predictors of... Read More about Post-traumatic stress symptomatology following exposure to perceived traumatic perinatal events within the midwifery profession: the impact of trait emotional intelligence.

Emotional intelligence and caring in health care professionals (2018)
Journal Article
Nightingale, S., Slade, P., Sheen, K., & Spiby, H. (2018). Emotional intelligence and caring in health care professionals. International Journal of Nursing Studies, 80, https://doi.org/10.1016/j.ijnurstu.2018.01.006

Background: Over recent years there has been criticism within the United Kingdom’s health service regarding a lack of care and compassion, resulting in adverse outcomes for patients. The impact of emotional intelligence in staff on patient health car... Read More about Emotional intelligence and caring in health care professionals.

Results of the FIRST STEPS study: a randomised controlled trial and economic evaluation of the Group Family Nurse Partnership (gFNP) programme compared to routine care in improving outcomes for high-risk mothers and their children and preventing abuse (2017)
Journal Article
Barnes, J., Stuart, J., Allen, E., Petrou, S., Sturgess, J., Barlow, J., …Elbourne, D. (2017). Results of the FIRST STEPS study: a randomised controlled trial and economic evaluation of the Group Family Nurse Partnership (gFNP) programme compared to routine care in improving outcomes for high-risk mothers and their children and preventing abuse. Public Health Research, 5(9), https://doi.org/10.3310/phr05090

Background: Family Nurse Partnership (FNP) is a home-based nurse home-visiting programme to support vulnerable parents. Group FNP (gFNP) has similar aims and materials and was demonstrated to be feasible in implementation evaluations. Objectives: To... Read More about Results of the FIRST STEPS study: a randomised controlled trial and economic evaluation of the Group Family Nurse Partnership (gFNP) programme compared to routine care in improving outcomes for high-risk mothers and their children and preventing abuse.

Experiences of early labour management from perspectives of women, labour companions and health professionals: a systematic review of qualitative evidence (2017)
Journal Article
Beake, S., Chang, Y.-S., Cheyne, H., Spiby, H., Sandall, J., & Bick, D. (2018). Experiences of early labour management from perspectives of women, labour companions and health professionals: a systematic review of qualitative evidence. Midwifery, 57, https://doi.org/10.1016/j.midw.2017.11.002

Objectives: To examine evidence of women's, labour companions’ and health professionals’ experiences of management of early labour to consider how this could be enhanced to better reflect women's needs. Design: A systematic review of qualitative e... Read More about Experiences of early labour management from perspectives of women, labour companions and health professionals: a systematic review of qualitative evidence.

Randomized controlled trial and economic evaluation of nurse-led group support for young mothers during pregnancy and the first year postpartum versus usual care (2017)
Journal Article
Barnes, J., Stuart, J., Allen, E., Petrou, S., Sturgess, J., Barlow, J., …Elbourne, D. (2017). Randomized controlled trial and economic evaluation of nurse-led group support for young mothers during pregnancy and the first year postpartum versus usual care. Trials, 18, Article 508. https://doi.org/10.1186/s13063-017-2259-y

Background: Child maltreatment is a significant public health problem. Group Family Nurse Partnership (gFNP) is a new intervention for young, expectant mothers implemented successfully in pilot studies. This study was designed to determine the effect... Read More about Randomized controlled trial and economic evaluation of nurse-led group support for young mothers during pregnancy and the first year postpartum versus usual care.

Defining the latent phase of labour: is it important? (2017)
Journal Article
Hundley, V. A., Way, S., Cheyne, H., Janssen, P., Gross, M., & Spiby, H. (2017). Defining the latent phase of labour: is it important?. Evidence Based Midwifery, 15(3),

Background and rationale. The latent phase of labour is recognised as a period of uncertainty for women and midwives. There is evidence from the literature of considerable variation in labour definitions and practice. Stimulated by discussion at an i... Read More about Defining the latent phase of labour: is it important?.

Women’s expectations and experiences of rupture of membranes and views of the potential use of reagent pads for detecting amniotic fluid (2017)
Journal Article
Spiby, H., Borrelli, S. E., & Hughes, A. J. (2017). Women’s expectations and experiences of rupture of membranes and views of the potential use of reagent pads for detecting amniotic fluid. Journal of Advanced Nursing, 73(12), 3041-3049. https://doi.org/10.1111/jan.13365

AIMS: To explore first time mothers’ expectations and experiences regarding rupture of membranes (RoM) at term, and their views on the potential use of reagent pads that detect amniotic fluid. BACKGROUND: There is little information available on wom... Read More about Women’s expectations and experiences of rupture of membranes and views of the potential use of reagent pads for detecting amniotic fluid.

Women’s views on anxiety in pregnancy and the use of anxiety instruments: a qualitative study (2016)
Journal Article
Evans, K., Morrell, C. J., & Spiby, H. (in press). Women’s views on anxiety in pregnancy and the use of anxiety instruments: a qualitative study. Journal of Reproductive and Infant Psychology, https://doi.org/10.1080/02646838.2016.1245413

Objective: To explore women’s experience of anxiety in pregnancy and views on the use of anxiety instruments in antenatal care. Background: Anxiety in pregnancy is associated with adverse birth outcomes, developmental and behavioural problems in... Read More about Women’s views on anxiety in pregnancy and the use of anxiety instruments: a qualitative study.

‘The greatest feeling you get, knowing you have made a big difference’: survey findings on the motivation and experiences of trained volunteer doulas in England (2016)
Journal Article
Spiby, H., Mcleish, J., Green, J., & Darwin, Z. (2016). ‘The greatest feeling you get, knowing you have made a big difference’: survey findings on the motivation and experiences of trained volunteer doulas in England. BMC Pregnancy and Childbirth, 16(1), Article 289. https://doi.org/10.1186/s12884-016-1086-6

Background Support from a doula is known to have physical and emotional benefits for mothers, but there is little evidence about the experiences of volunteer doulas. This research aimed to understand the motivation and experiences of volunteer dou... Read More about ‘The greatest feeling you get, knowing you have made a big difference’: survey findings on the motivation and experiences of trained volunteer doulas in England.

What are the characteristics of perinatal events perceived to be traumatic by midwives? (2016)
Journal Article
Sheen, K., Spiby, H., & Slade, P. (in press). What are the characteristics of perinatal events perceived to be traumatic by midwives?. Midwifery, 40, https://doi.org/10.1016/j.midw.2016.06.007

Objective: There is potential for midwives to indirectly experience events whilst providing clinical care that fulfil criteria for trauma. This research aimed to investigate the characteristics of events perceived as traumatic by UK midwives. Metho... Read More about What are the characteristics of perinatal events perceived to be traumatic by midwives?.

The processes of implementing and sustaining an intensive volunteer one-to-one support (doula) service for disadvantaged pregnant women (2016)
Journal Article
McLeish, J., Spiby, H., Darwin, Z., Wilmot, H., & Green, J. (in press). The processes of implementing and sustaining an intensive volunteer one-to-one support (doula) service for disadvantaged pregnant women. Voluntary Sector Review, https://doi.org/10.1332/204080516X14650415652465

'Doulas' (lay women who are trained to support other women during pregnancy, birth and postnatally) can improve outcomes for disadvantaged mothers and babies. This Realist Evaluation study uses qualitative interviews to explore the views of staff, co... Read More about The processes of implementing and sustaining an intensive volunteer one-to-one support (doula) service for disadvantaged pregnant women.

The kaleidoscopic midwife: a conceptual metaphor illustrating first-time mothers' perspectives of a good midwife during childbirth. A grounded theory study (2016)
Journal Article
Borrelli, S. E., Spiby, H., & Walsh, D. (2016). The kaleidoscopic midwife: a conceptual metaphor illustrating first-time mothers' perspectives of a good midwife during childbirth. A grounded theory study. Midwifery, 39, 103-111. https://doi.org/10.1016/j.midw.2016.05.008

Background: The literature review reveals general information about a good midwife from a range of perspectives and what childbearing women generally value in a midwife, but there is a lack of information around mothers’ perspectives of what makes a... Read More about The kaleidoscopic midwife: a conceptual metaphor illustrating first-time mothers' perspectives of a good midwife during childbirth. A grounded theory study.

Evaluation of trained volunteer doula services for disadvantaged women in five areas in England: women's experiences (2016)
Journal Article
Darwin, Z., Green, J., McLeish, J., Willmot, H., & Spiby, H. (in press). Evaluation of trained volunteer doula services for disadvantaged women in five areas in England: women's experiences. Health and Social Care in the Community, https://doi.org/10.1111/hsc.12331

Disadvantaged childbearing women experience barriers to accessing health and social care services and face greater risk of adverse medical, social and emotional outcomes. Support from doulas (trained lay women) has been identified as a way to improve... Read More about Evaluation of trained volunteer doula services for disadvantaged women in five areas in England: women's experiences.

Unexpected consequences: women’s experiences of a self-hypnosis intervention to help with pain relief during labour (2015)
Journal Article
Finlayson, K., Downe, S., Hinder, S., Carr, H., Spiby, H., & Whorwell, P. (2015). Unexpected consequences: women’s experiences of a self-hypnosis intervention to help with pain relief during labour. BMC Pregnancy and Childbirth, 15(229), https://doi.org/10.1186/s12884-015-0659-0

Background: Self-hypnosis is becoming increasingly popular as a means of labour pain management. Previous studies have produced mixed results. There are very few data on women’s views and experiences of using hypnosis in this context. As part of a r... Read More about Unexpected consequences: women’s experiences of a self-hypnosis intervention to help with pain relief during labour.

Self-hypnosis for intrapartum pain management in pregnant nulliparous women: a randomised controlled trial of clinical effectiveness (2015)
Journal Article
Downe, S., Finlayson, K., Melvin, C., Spiby, H., Ali, A., Diggle, P., …Whorwell, P. (in press). Self-hypnosis for intrapartum pain management in pregnant nulliparous women: a randomised controlled trial of clinical effectiveness. BJOG: An International Journal of Obstetrics and Gynaecology, 122(9), https://doi.org/10.1111/1471-0528.13433

Objective: (Primary) To establish the effect of antenatal group self-hypnosis for nulliparous women on intra-partum epidural use. Design: Multi-method randomised control trial (RCT). Setting: Three NHS Trusts. Population: Nulliparous women n... Read More about Self-hypnosis for intrapartum pain management in pregnant nulliparous women: a randomised controlled trial of clinical effectiveness.

Multisite implementation of trained volunteer doula support for disadvantaged childbearing women: a mixed-methods evaluation (2015)
Journal Article
Spiby, H., Green, J. M., Darwin, Z., Willmot, H., Knox, D., McLeish, J., & Smith, M. (2015). Multisite implementation of trained volunteer doula support for disadvantaged childbearing women: a mixed-methods evaluation. Health Services and Delivery Research, 3(8), 1-332. https://doi.org/10.3310/hsdr03080

Background The research examined an innovative volunteer doula service, established in one city and rolled out to four other sites. The initiative offers support to disadvantaged women with the aim of enhancing well-being and improving the uptake... Read More about Multisite implementation of trained volunteer doula support for disadvantaged childbearing women: a mixed-methods evaluation.

Exposure to traumatic perinatal experiences and posttraumatic stress symptoms in midwives: prevalence and association with burnout (2014)
Journal Article
Sheen, K., Spiby, H., & Slade, P. (2015). Exposure to traumatic perinatal experiences and posttraumatic stress symptoms in midwives: prevalence and association with burnout. International Journal of Nursing Studies, 52(2), https://doi.org/10.1016/j.ijnurstu.2014.11.006

Background: Midwives provide care in a context where life threatening or stressful events can occur. Little is known about their experiences of traumatic events or the implications for psychological health of this workforce. Objectives: To investiga... Read More about Exposure to traumatic perinatal experiences and posttraumatic stress symptoms in midwives: prevalence and association with burnout.

Evaluating the 'Focus on Normal Birth and Reducing Caesarean Section Rates Rapid Improvement Programme': a mixed method study in England (2014)
Journal Article

Background: Caesarean section plays an important role in ensuring safety of mother and infant but rising rates are not accompanied by measurable improvements in maternal or neonatal mortality or morbidity. The ‘Focus on Normal Birth and Reducing Caes... Read More about Evaluating the 'Focus on Normal Birth and Reducing Caesarean Section Rates Rapid Improvement Programme': a mixed method study in England.