Fathers are increasingly involved in the care of their babies and young children. In a study of over 6000 families NPEU researchers, Mary Kroll, Claire Carson, Maggie Redshaw and Maria Quigley investigated the relationship between fathers’ early involvement and later child behaviour. Their results suggest that the quality of parenting, rather than the division of care between parents, is important for child behavioural outcomes. Read the paper in PLOS ONE.
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The Poppi Trial has been designed to test whether morphine can provide effective pain relief in babies during invasive medical procedures.
Led by Dr Eleri Adams and Dr Rebeccah Slater in collaboration with the NPEU and the Paediatric and Infant Pain & Anaesthesia (PiPA) group, the trial is due to recruit the first patient at the John Radcliffe Hospital in Oxford next week.
A study of the effects on the mother's mental health and wellbeing of holding their baby after stillbirth has been published in BMJ Open. The study, carried out by NPEU researchers Maggie Redshaw, Julie Hennegan and Jane Henderson, used data from Listening to Parents, a national survey of women who had a stillborn baby in England in 2012. The results suggest an adverse effect of holding their stillborn baby, with significant increases in anxiety and relationship difficulties with their family 9 months after the birth. There were important limitations to the study which must be born in mind when considering the results. Read the full paper.
National guidance and policy supports choice of birth setting for healthy women with straightforward pregnancies and the number of midwifery units is increasing. Most women, however, still give birth in consultant-led hospital obstetric units and there is uncertainty about how best to configure services. As part of the Birthplace Choices project Jennifer Hollowell and others have reviewed quantitative evidence on women's preferences for place of birth in order to better understand what attributes 'low risk' women prefer or prioritise when choosing their intended birth setting. The review, published in BMC Pregnancy and Childbirth, found that much of the evidence came from poor quality studies carried out before 2000. Some service attributes, including local services, being looked after by a known midwife and being involved in decision-making, were almost universally valued by women. For other attributes, including the availability and involvement of medical staff, the availability of pain relief and a clinical or more 'homely' environment, women's views and preferences varied. Read the full paper.
Director of the NPEU Clinical Trials Unit, Ed Juszczak, has co-authored a paper in Archives of Disease in Childhood - Education and Practice outlining how clinical trials units work with clinicians in paediatric and neonatal care to develop clinical trials.
Building on the successful National Maternity Surveys in England, NPEU Social Scientist Maggie Redshaw has collaborated with colleagues from the School of Nursing and Midwifery at Queen's University in Belfast on a Survey of Women's Experiences of Care in Northern Ireland. The survey report, the first of its kind in Northern Ireland, details the experiences of 2,722 women who gave birth between October 2014 and December 2016. Comparisons with the English National Maternity Surveys show that the experiences of women in Northern Ireland and in England are broadly similar, but that overall women in Northern Ireland were less likely to feel involved in decision making about their care and were more satisfied with their care after the birth of their baby. Read the report.
A letter published in the Lancet by NPEU researchers Maria Quigley and Claire Carson shows that around 1 in 10 UK women are still breastfeeding when their baby is 12 months old. This estimate is based on a UK study of 14,848 women who gave birth in 2000-2001 and then answered questions about infant feeding when their baby was 9 months old and again at 5 years. Corroborated with data from the last three UK Infant Feeding Surveys, their estimate of 1 in 10 contrasts with a recent report which suggested that only 1 in 200 UK women are still breastfeeding at 12 months.
NPEU Clinical Trials Unit staff will be getting out and about at Oxford University Hospitals on Friday 20th May, to mark International Clinical Trials Day, celebrated in commemoration of the day that James Lind started his famous trial on treatments for scurvy in sailors. Together with staff from the five other UKCRC registered CTUs in Oxford, and in collaboration with NIHR Clinical Research Network Thames Valley and South Midlands, we will be presenting our work on over 80 clinical trials answering important clinical questions in a wide range of specialties. If you'd like to know more about our trials investigating care for pregnant women and babies come and find us at one of the research stands at the John Radcliffe Hospital or pick up a flyer at the Churchill Hospital, the Nuffield Orthopaedic Centre or the Horton Hospital in Banbury.
Join us at the Nuffield Orthopaedic Centre in the evening to hear Professor Sallie Lamb, Co-Director of the Oxford Clinical Trials Unit, talk about Clinical Trials: One of the most important medical inventions in the last 100 years.
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