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Article ; Online: Starting with the baby: putting the newborn at the centre of the transition to parenthood.

Redshaw, Maggie

Journal of reproductive and infant psychology

2022 Volume 40, Issue 6, Page(s) 547–549

MeSH term(s)	Infant ; Infant, Newborn ; Humans ; Parents ; Adaptation, Psychological
Language	English
Publishing date	2022-08-10
Publishing country	England
Document type	Editorial
ZDB-ID	639124-2
ISSN	1469-672X ; 0264-6838
ISSN (online)	1469-672X
ISSN	0264-6838
DOI	10.1080/02646838.2022.2131713
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Article ; Online: Maternal mental health: Women's voices and data from across the globe.

Redshaw, Maggie / Wynter, Karen

BMC pregnancy and childbirth

2022 Volume 22, Issue 1, Page(s) 796

MeSH term(s)	Humans ; Female ; Mental Health ; Voice ; Maternal Health ; Family ; Women's Health
Language	English
Publishing date	2022-10-28
Publishing country	England
Document type	Editorial
ZDB-ID	2059869-5
ISSN	1471-2393 ; 1471-2393
ISSN (online)	1471-2393
ISSN	1471-2393
DOI	10.1186/s12884-022-05064-5
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Article ; Online: 'She come like a sister to me': a qualitative study of volunteer social support for disadvantaged women in the transition to motherhood in England.

McLeish, Jenny / Redshaw, Maggie

Philosophical transactions of the Royal Society of London. Series B, Biological sciences

2021 Volume 376, Issue 1827, Page(s) 20200023

Abstract: This qualitative study explores the ways in which disadvantaged women benefit from social support from a trained volunteer during pregnancy and the postnatal period, using the theoretical frameworks of stress and coping and a multi-dimensional model of ... ...

Abstract	This qualitative study explores the ways in which disadvantaged women benefit from social support from a trained volunteer during pregnancy and the postnatal period, using the theoretical frameworks of stress and coping and a multi-dimensional model of social support. Forty-seven mothers took part in semi-structured interviews. The mothers, who had received social support through nine volunteer projects in England, faced many potentially stressful challenges besides having a baby (such as poverty, poor housing, histories of abuse, motherhood at a young age, living with physical or mental health difficulties, migration and insecure immigration status). Analysis was in two distinct stages: first, an inductive thematic analysis of mothers' experiences, and second, mapping of the results onto the theoretical frameworks chosen. Volunteers built relationships of trust with mothers and gave skilled emotional support, positive appraisal support, informational support and practical support according to mothers' individual needs, thereby assisting mothers exposed to multiple stressors with problem-focused, emotion-focused and perception-focused coping. This helped to reduce social isolation, increase effective access to services and community resources, and build mothers' confidence, self-esteem and self-efficacy. Volunteer social support may have particular salience for mothers who lack structural support and need skilled functional support. This article is part of the theme issue 'Multidisciplinary perspectives on social support and maternal-child health'.
MeSH term(s)	Adaptation, Psychological ; Adult ; England ; Female ; Humans ; Mothers/psychology ; Social Support ; Volunteers/psychology ; Volunteers/statistics & numerical data ; Vulnerable Populations/psychology ; Vulnerable Populations/statistics & numerical data ; Young Adult
Language	English
Publishing date	2021-05-03
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	208382-6
ISSN	1471-2970 ; 0080-4622 ; 0264-3839 ; 0962-8436
ISSN (online)	1471-2970
ISSN	0080-4622 ; 0264-3839 ; 0962-8436
DOI	10.1098/rstb.2020.0023
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Article ; Online: Dutch midwives perceive a mixture of rewards and difficulties when caring for non-western women.

Redshaw, Maggie

Evidence-based nursing

2015 Volume 18, Issue 1, Page(s) 24

MeSH term(s)	Humans ; Nurse Midwives/psychology ; Nurse-Patient Relations ; Primary Health Care/manpower
Language	English
Publishing date	2015-01
Publishing country	England
Document type	Comment ; Journal Article
ZDB-ID	1425988-6
ISSN	1468-9618 ; 1367-6539
ISSN (online)	1468-9618
ISSN	1367-6539
DOI	10.1136/eb-2014-101736
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Article ; Online: ‘This is time we’ll never get back’

Jane Henderson / Maggie Redshaw / Charlotte Bevan

BMJ Open, Vol 11, Iss

a qualitative study of mothers’ experiences of care associated with neonatal death

2021 Volume 9

Keywords	Medicine ; R
Language	English
Publishing date	2021-09-01T00:00:00Z
Publisher	BMJ Publishing Group
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: 'This is time we'll never get back': a qualitative study of mothers' experiences of care associated with neonatal death.

Redshaw, Maggie / Henderson, Jane / Bevan, Charlotte

BMJ open

2021 Volume 11, Issue 9, Page(s) e050832

Abstract: Aims: To explore the perceptions and experience of women whose baby died in the neonatal period about their care in the perinatal period, on delivery suite, in the neonatal unit and afterwards, expressed in their own words.: Design: Secondary ... ...

Abstract	Aims: To explore the perceptions and experience of women whose baby died in the neonatal period about their care in the perinatal period, on delivery suite, in the neonatal unit and afterwards, expressed in their own words. Design: Secondary analysis of the Listening to Parents study, using thematic analysis based on the open text responses from a postal survey of parents whose baby died in the neonatal period in England. Women were asked about care during the pregnancy, labour and birth, around the time the baby died and about neonatal care. Women whose pregnancy was terminated for fetal abnormality were excluded from this analysis. Results: Completed questionnaires were received from 249 mothers of whom most (78%) responded with open text. Overarching themes identified were 'the importance of proximity', 'recognition of role and identity as a parent' and 'the experience of care' and subthemes included 'hours and moments', 'barriers to contact', ' being able to parent, even for a short time', 'missed opportunities', 'being heard' and 'sensitive and responsive care'. Conclusion: The findings identify what is most important for mothers in experiencing the life and death of a baby as a newborn. Physical contact with the baby was paramount, as was being treated as a mother and a parent and being able to function as such. The way in which healthcare staff behaved and how their babies were cared for was critical to how mothers felt supported and enabled at this time. If all women whose babies die in the neonatal period after birth are to receive the responsive care they need, greater understanding of the primary need for closeness and proximity, for active recognition of their parental role and staff awareness of the limited time window available is essential.
MeSH term(s)	Female ; Humans ; Infant ; Infant, Newborn ; Mothers ; Parents ; Parturition ; Perinatal Death ; Pregnancy ; Qualitative Research
Language	English
Publishing date	2021-09-13
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2599832-8
ISSN	2044-6055 ; 2044-6055
ISSN (online)	2044-6055
ISSN	2044-6055
DOI	10.1136/bmjopen-2021-050832
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Article ; Online: "Being the best person that they can be and the best mum": a qualitative study of community volunteer doula support for disadvantaged mothers before and after birth in England.

McLeish, Jenny / Redshaw, Maggie

BMC pregnancy and childbirth

2019 Volume 19, Issue 1, Page(s) 21

Abstract: Background: Disadvantaged pregnant women and new mothers are at increased risk of psychosocial stress, anxiety and depression. As well as affecting birth outcomes and child development, poor maternal emotional wellbeing can inhibit the development of ... ...

Abstract	Background: Disadvantaged pregnant women and new mothers are at increased risk of psychosocial stress, anxiety and depression. As well as affecting birth outcomes and child development, poor maternal emotional wellbeing can inhibit the development of parenting self-efficacy and successful adjustment to the maternal role. Social support is a protective factor against antenatal and postnatal depression, anxiety and stress, and improves mothers' confidence in infant care. Community doula programmes have been developed to meet the social support and information needs of disadvantaged women. In these programmes trained volunteer doulas support mothers during pregnancy, at birth and for a short period postnatally. Methods: This was a descriptive qualitative study, informed by phenomenological social psychology, exploring mothers' and doulas' experiences of antenatal and postnatal community doula support. Semi-structured qualitative interviews were undertaken with 13 disadvantaged mothers and 19 doulas at three community volunteer doula projects in England. Interviews were audio-recorded and transcripts were analysed using inductive thematic analysis. Results: The overarching theme emerging from the analysis was "Supporting the mother to succeed and flourish". There were five subthemes: "Overcoming stress, anxiety and unhappiness", "Becoming knowledgeable and skilful", "Developing self-esteem and self-efficacy", "Using services effectively", and "Becoming locally connected". Doulas believed that their community role was at least as important as their role at births. Their support was highly valued by vulnerable mothers and helped to improve their parenting confidence and skills. Conclusions: Volunteer doula support before and after birth can have a positive impact on maternal emotional wellbeing, by reducing anxiety, unhappiness and stress, and increasing self-esteem and self-efficacy. Doulas help mothers feel more knowledgeable and skilful, support them to make effective use of maternity services, and enable them to build social ties in their community. To facilitate the best service for vulnerable mothers at the end of doula support, doula projects should consider formalising their relationship with other community organisations that can offer ongoing one-to-one or group support. They might also alleviate some of the potential distress caused by the ending of the doula relationship by increasing the flexibility of the ending, or by organising or permitting informal low level contact.
MeSH term(s)	Adult ; Anxiety/psychology ; Depression/psychology ; Doulas ; Education, Nonprofessional ; England ; Female ; Humans ; Middle Aged ; Mothers/psychology ; Postpartum Period/psychology ; Pregnancy/psychology ; Qualitative Research ; Self Concept ; Self Efficacy ; Social Class ; Social Support ; Stress, Psychological/psychology ; Volunteers ; Young Adult
Language	English
Publishing date	2019-01-10
Publishing country	England
Document type	Journal Article
ZDB-ID	2059869-5
ISSN	1471-2393 ; 1471-2393
ISSN (online)	1471-2393
ISSN	1471-2393
DOI	10.1186/s12884-018-2170-x
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Article ; Online: Establishing a coherent and replicable measurement model of the Edinburgh Postnatal Depression Scale.

Martin, Colin R / Redshaw, Maggie

Psychiatry research

2018 Volume 264, Page(s) 182–191

Abstract: The 10-item Edinburgh Postnatal Depression Scale (EPDS) is an established screening tool for postnatal depression. Inconsistent findings in factor structure and replication difficulties have limited the scope of development of the measure as a multi- ... ...

Abstract	The 10-item Edinburgh Postnatal Depression Scale (EPDS) is an established screening tool for postnatal depression. Inconsistent findings in factor structure and replication difficulties have limited the scope of development of the measure as a multi-dimensional tool. The current investigation sought to robustly determine the underlying factor structure of the EPDS and the replicability and stability of the most plausible model identified. A between-subjects design was used. EPDS data were collected postpartum from two independent cohorts using identical data capture methods. Datasets were examined with confirmatory factor analysis, model invariance testing and systematic evaluation of relational and internal aspects of the measure. Participants were two samples of postpartum women in England assessed at three months (n = 245) and six months (n = 217). The findings showed a three-factor seven-item model of the EPDS offered an excellent fit to the data, and was observed to be replicable in both datasets and invariant as a function of time point of assessment. Some EPDS sub-scale scores were significantly higher at six months. The EPDS is multi-dimensional and a robust measurement model comprises three factors that are replicable. The potential utility of the sub-scale components identified requires further research to identify a role in contemporary screening practice.
MeSH term(s)	Adult ; Depression, Postpartum/diagnosis ; England ; Factor Analysis, Statistical ; Female ; Humans ; Mass Screening/methods ; Mass Screening/standards ; Models, Psychological ; Postpartum Period/psychology ; Psychiatric Status Rating Scales/standards ; Psychometrics ; Reproducibility of Results
Language	English
Publishing date	2018-03-23
Publishing country	Ireland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	445361-x
ISSN	1872-7123 ; 1872-7506 ; 0925-4927 ; 0165-1781
ISSN (online)	1872-7123 ; 1872-7506
ISSN	0925-4927 ; 0165-1781
DOI	10.1016/j.psychres.2018.03.062
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Article ; Online: Maternity experiences of mothers with multiple disadvantages in England: A qualitative study.

McLeish, Jenny / Redshaw, Maggie

Women and birth : journal of the Australian College of Midwives

2018 Volume 32, Issue 2, Page(s) 178–184

Abstract: Background: Disadvantaged mothers and their babies are at increased risk of poor perinatal outcomes and have less positive experiences of maternity care.: Aim: To explore the maternity care experiences of mothers with multiple disadvantages.: ... ...

Abstract	Background: Disadvantaged mothers and their babies are at increased risk of poor perinatal outcomes and have less positive experiences of maternity care. Aim: To explore the maternity care experiences of mothers with multiple disadvantages. Methods: A qualitative descriptive study based on semi-structured interviews with 40 mothers with multiple disadvantages, using thematic analysis. Findings: Four themes emerged: 'A confusing and frightening time', 'Longing to be respected as an individual', 'The importance of choice and control', and 'Needing trust to feel safe'. Mothers brought feelings of powerlessness and low self-esteem to their encounters with maternity professionals, which could be significantly worsened by disrespectful care. They needed support to navigate the complex maternity system. Positive experiences were much more likely where the mother had received continuity of care from a specialist midwife or small team. Discussion and conclusion: Mothers with multiple disadvantages value being treated as an individual, making informed choices, and feeling safe, but they may lack the confidence to ask questions or challenge disrespectful treatment. Training and supervision should enable maternity professionals to understand how confusing maternity care can be to very disadvantaged mothers. It should emphasise the need to provide accessible and empowering information and guidance to enable all mothers to make choices and understand the system. Leaders of maternity services need to do more to challenge negative staff attitudes and ensure that that all mothers are treated at all times with kindness, respect and dignity. Specialist midwives can deliver a high quality service to mothers experiencing multiple disadvantages.
MeSH term(s)	Adult ; Attitude of Health Personnel ; Emotions ; England ; Female ; Humans ; Maternal Health Services/organization & administration ; Midwifery/organization & administration ; Mothers/psychology ; Pregnancy ; Qualitative Research ; Trust ; Vulnerable Populations ; Young Adult
Language	English
Publishing date	2018-06-15
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2235085-8
ISSN	1878-1799 ; 1871-5192
ISSN (online)	1878-1799
ISSN	1871-5192
DOI	10.1016/j.wombi.2018.05.009
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Article ; Online: Care associated with stillbirth for the most disadvantaged women: A multi-method study of care in England.

Redshaw, Maggie / Henderson, Jane

Birth (Berkeley, Calif.)

2018 Volume 45, Issue 3, Page(s) 275–285

Abstract: Background: Most research on women experiencing stillbirth relies on online user group surveys or qualitative interviews. The objective of this study was to investigate the experience of women who are at a higher risk of stillbirth, living in areas of ... ...

Abstract	Background: Most research on women experiencing stillbirth relies on online user group surveys or qualitative interviews. The objective of this study was to investigate the experience of women who are at a higher risk of stillbirth, living in areas of greatest deprivation, and are commonly not well represented. Methods: This study used birth and death registrations in 2012-2013 to identify a sample of mothers whose babies had died as a result of stillbirth. These women were sent a survey 6-9 months after the stillbirth. We undertook descriptive analysis of quantitative data and used binary logistic regression with the Index of Multiple Deprivation as a measure of disadvantage. We used thematic analysis to describe free text responses. Results: The survey response rate was 30% (N = 473). Ethnic minority, younger age, and single parenthood were associated with disadvantage. Women residents in the most deprived areas perceived care more negatively: during labor they were significantly less likely to be spoken to by medical staff so they could understand (73% compared with 90%, adjusted odds ratio [aOR] 0.33 [95% confidence interval {CI} 0.18-0.65]), or treated with respect by midwives (79% compared with 90%, aOR 0.41 [95% CI 0.22-0.77]). The qualitative themes identified were: "Difficulty in accessing care," "More could have been done," "Ineffective communication," and "Cared for and not cared for" which support the quantitative findings. Conclusion: Women living in the most deprived areas reported poorer experiences of care compared with more advantaged women. All women need compassionate and sensitive care around the time of a stillbirth.
MeSH term(s)	Adolescent ; Adult ; England ; Female ; Health Care Surveys ; Humans ; Interviews as Topic ; Logistic Models ; Mothers/psychology ; Patient Satisfaction/statistics & numerical data ; Postnatal Care/standards ; Pregnancy ; Stillbirth ; Vulnerable Populations ; Young Adult
Language	English
Publishing date	2018-02-13
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	604869-9
ISSN	1523-536X ; 0730-7659
ISSN (online)	1523-536X
ISSN	0730-7659
DOI	10.1111/birt.12335
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