Posts tagged: Midwifery

60 Sec with Dr Salma Patel, Research Fellow

9 July 2018

1.What is your position within the School?

I’m a (postdoctoral) research fellow in Midwifery.

2.How long have you worked in the School of Health & Society

Since Dec 2017.

3.Which building are you based in?

I’m in the Allerton Building, Room L530.

4.Why did you choose to work within the School?

The project that I am working on BaSICS (Baby Skin Integrity Comparison Survey) initially attracted me to the school. It also fits with my research interests, which include public health, maternal health and digital health.

5.What is your most memorable moment of being in the School?

When I received the email in my inbox that our ethics application to REC had been approved without amendments – the crazy hours working on the ethics application for our research project had finally paid off.

6.What is your biggest dream?

To develop multiple charitable projects internationally that aim to help those being abused.

7.When you are not at work what do you do to relax?

Spend time with my family, read, attend fitness classes, and go for a walk around a lake.

8.What was your first job?

Teaching assistant.

9. What has been your greatest achievement?

My daughter.

10.What would make your job easier?

Less bureaucracy and a warm, healthy and delicious lunch that was freshly made and subsidised/affordable. If there was such a thing as 100% healthy chocolate and cake – that would of course be a huge help!

11.Finally, what one piece of advice would you give to students/colleagues?

Work hard, aim high, and give everything you do, your very best!

Courageous Nurses Celebrated at Salford University Seminar

22 May 2016

On Thursday May 12th the University of Salford celebrated International Nurses’ Day and the courage of two nurses significantly associated with Salford.

Nurse Edith Cavell’s execution by German Military Forces on 12th October 1915 was commemorated by several events on or around the centenary.  Indeed in the period 1906-7 Cavell worshipped at Salford’s Sacred Trinity Church when she lived in the area and worked in Manchester and Salford under the auspices of the Queen’s Nursing Institute.

(See extracts from Edith Cavell life presented  by Diana Souhami, Cavell’s biographer at the event)

Sister Minnie Wood, who trained at Salford Royal, just yards from the University’s main campus, survived the war with three mentions in dispatches, the Military Medal, and the very high honour of the Royal Red Cross, for gallantry in the field when under bombardment. She ran a field hospital near the front line for much of World War One and was commended for devotion and bravery.

(See extracts from Minnie Wood’s life presented  by historian Claire Chatterton at the event)

Colleagues at the School of Nursing, Midwifery, Social Work & Social Science at Salford University felt that a more permanent tribute to the courage and sacrifice of nurses in World War 1 from, or associated with Salford, was fitting. The re-development of high fidelity clinical simulation facilities in the Mary Seacole Building offered a perfect opportunity to recognise these two models of courage and dedication.

The simulation suites were dedicated to Miss Cavell and Sister Wood at a ceremony in the School in which Cavell’s biographer Diana Souhami and historian Claire Chatterton gave moving accounts of the women’s lives.  Lt. Col. Marian Leatham, Officer Commanding 207 Army Field Hospital in Old Trafford, brought the audience up to date with the work of the modern army unit of the type that Sister Wood had served in a century ago.

(Click on the photo below to see more images from the event)

Courageous Nurses Celebrated at Salford University Seminar

For more information contact organiser Professor Martin Johnson

Spreading the Midwifery Love

17 January 2016
Bev Jervis, PhD Student

Bev Jervis, PhD Student

At the moment I feel I have many midwifery hats……. Most of my time is spent doing my PhD, I am now in my third year of a full time course at the University of Salford. I am looking at knowledge acquisition around movement in labour from women’s, midwives and obstetricians perspectives and from this I am hoping to change the midwifery world!!! (Wish me luck, I am thinking it is going to be a long road!) I am also teaching midwifery at Salford on a graduate teaching studentship, a whole other learning journey about teaching and learning. I absolutely love it! I am also involved in a national midwifery charity. Sadly I haven’t done any clinical midwifery since 2014 due to time pressures but I had the opportunity to be a doula last summer which was truly amazing.

My research

For my PhD I am looking at movement during labour. For the literature review, I wanted to look at how this knowledge was put together. I did a critical review of literature reviews on movement and positioning during the first stage of labour and looked at how knowledge around movement and positioning was viewed, validated and put together from other sources.

From my perspective women’s movement and positioning during labour was a natural and normal part of normal birth, it was something available to most women who experienced labour, yet the reviews termed movement and positioning as an intervention. These reviews took a cause and effect approach, they aimed to quantify movement and the effect it had on reducing the length of time in labour. They failed to take into account other factors which impacted on the process of labour, did not justify why length of time in labour mattered and had maternal comfort as a minor outcome that movement had on the labour process. These were all from a very medical perspective yet these reviews and other which were similar in methodology were the main source of evidence and research which inform the NICE intrapartum guidelines.

arm glasto call the midwifeThis led me to question why quantitative, positivist, obstetric knowledge formed the basis of midwifery practice for normal birth and what sources of knowledge did women, midwives and obstetricians use in practice.

Midwifery knowledge

I then went on to review the midwifery knowledge around movement in labour. What I found was very different from the medical cause and effect perspective. From a historical perspective, the literature looked at how women had moved during birth in their homes supported by other women. As midwifery knowledge was documented, the physical process of birth is explored in the context of the woman and the fetus. Movement is something that women do during birth as part of the process and can be used antenatally and during labour to aid fetal alignment.

This was the information I was looking for to help women in clinical practice, I questioned if this was being used. Movement doesn’t have to have an outcome according to some of this literature but it is what women do spontaneously. But I questioned why this knowledge is absent from guidelines and good practice within many hospital labour wards.

Knowledge of physiology is deemed as expert opinion and therefore of low quality. Physiology is the basis for most midwifery knowledge. How can an understanding of how the body works, and using that knowledge be ‘low quality’ evidence? Does this mean that midwifery knowledge is not as worthy as RCT’s, systematic reviews, meta- analysis? Knowledge that is gained from working with women, observing birth and the moves that women make, knowledge of the physiology of birth which few obstetricians learn.

Midwives and women

I have now collected the data for my research from midwives and women and I am in the process of transcribing and analysing. I am beginning to identify how the midwives in the study gain knowledge around movement during birth and what barriers there are to implementing this knowledge.

Arm me glastoFrom the data gained from the women I have interviewed I am finding how women gain knowledge around movement during birth. Unsurprisingly, despite the huge amount of information available to women, midwives continue to be the main source of knowledge.

The 3rd year; the end is insight

I am loving my PhD journey, I love to study and I am really grateful that I have the opportunity to teach within the midwifery department. The biggest struggles for me have been the diminished contact with the outside world whilst cocooned in the library and the financial pressure going back to full time study has meant. But as 2016 emerges, so do my hopes and expectations for the fruition of my research, study, self-development and new opportunities this course has given me.

Bev Jervis, 

Ph.D. student,

School of Nursing, Midwifery, and Social Work & Social Sciences, University of Salford.