Publications by authors named "H Spiby"
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 illuminate how, for whom and in what contexts, they can be used to support safe, personalised and equitable care.
Design: A realist synthesis, drawing on diverse sources of evidence (2010-present) from OECD countries, alongside insights from knowledge user groups (representing healthcare providers and service users).
Article Synopsis
- - Oral iron is the primary treatment for iron deficiency anemia during pregnancy, and a pilot randomized trial was conducted to assess different dosing schedules (daily, every other day, and three times a week) on various outcomes in non-anemic pregnant women.
- - Of the 300 participants, overall adherence to the supplementation was 82.5%, with better adherence in the alternate day and three times a week groups (62% and 61%, respectively) compared to the daily group (47%).
- - Results indicated that the daily iron dosing may help maintain hemoglobin levels better, but many reported side effects overlapped with typical pregnancy symptoms. More extensive trials are needed to confirm the benefits of oral iron supplementation for preventing iron deficiency anemia.
Article Synopsis
- - The COVID pandemic led to a rise in digital clinical consultations in midwifery and nursing, prompting a review to determine their safe and acceptable use in maternity care settings
- - The study's aims included developing an initial theory by engaging various stakeholders such as midwives and service users, focusing on questions around these digital consultations
- - Results showed limited existing evidence on digital consultations; however, stakeholder input helped create 13 initial theories and a framework, highlighting the need for more research in this area.
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 psychological responses.
Objectives: We aimed to identify the proportion of MSWs reporting exposure to a traumatic work event and consequential rates of post-traumatic stress disorder (PTSD).
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 service provision. The objective of this scoping review is to identify the key features of FGM/C specialist care.
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