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Item The development of a core outcome set for studies of pregnant women with multimorbidity(2023-08-21) Lee, Siang Ing; Hanley, Stephanie; Vowles, Zoe; Plachcinski, Rachel; Moss, Ngawai; Singh, Megha; Gale, Chris; Fagbamigbe, Adeniyi Francis; Azcoaga-Lorenzo, Amaya; Subramanian, Anuradhaa; Taylor, Beck; Nelson-Piercy, Catherine; Damase-Michel, Christine; Yau, Christopher; McCowan, Colin; O'Reilly, Dermot; Santorelli, Gillian; Dolk, Helen; Hope, Holly; Phillips, Katherine; Abel, Kathryn Mary; Eastwood, Kelly Ann; Kent, Lisa; Locock, Louise; Loane, Maria; Mhereeg, Mohamed; Brocklehurst, Peter; McCann, Sharon; Brophy, Sinead; Wambua, Steven; Sudasinghe, Sudasing Pathirannehelage Buddhika; Thangaratinam, Shakila; Nirantharakumar, Krishnarajah; Black, Mairead; MuM-PreDiCT Group; University of Aberdeen.Aberdeen Centre for Evaluation; University of Aberdeen.Aberdeen Centre for Women’s Health Research; University of Aberdeen.Other Applied Health Sciences; University of Aberdeen.Institute of Applied Health SciencesItem Maternal and child outcomes for pregnant women with pre-existing multiple long-term conditions : protocol for an observational study in the UK(2023-02-24) Lee, Siang Ing; Hope, Holly; O’Reilly, Dermot; Kent, Lisa; Santorelli, Gillian; Subramanian, Anuradhaa; Moss, Ngawai; Azcoaga-Lorenzo, Amaya; Fagbamigbe, Adeniyi Francis; Nelson-Piercy, Catherine; Yau, Christopher; McCowan, Colin; Kennedy, Jonathan I; Phillips, Katherine; Singh, Megha; Mhereeg, Mohamed; Cockburn, Neil; Brocklehurst, Peter; Plachcinski, Rachel; Riley, Richard; Thangaratinam, Shakila; Brophy, Sinead; Sudasinghe, Sudasing Pathirannehelage Buddhika; Agrawal, Utkarsh; Vowles, Zoe; Abel, Kathryn M; Nirantharakumar, Krishnarajah; Black, Mairead; Eastwood, Kelly-Ann; MuM-PreDiCT Group; University of Aberdeen.Other Applied Health Sciences; University of Aberdeen.Aberdeen Centre for Women’s Health Research; University of Aberdeen.Centre for Health Data Science; University of Aberdeen.Institute of Applied Health SciencesItem An Observational Cohort Study Evaluating Antimicrobial Use in Peripartum Sepsis : A Tendency towards Overdiagnosis?(2020-11-11) Abutheraa, Nouf; Grant, June; Mullen, Alexander B.; University of Aberdeen.Other Applied Health Sciences; University of Aberdeen.Aberdeen Centre for Health Data ScienceItem Sepsis scoring systems and use of the Sepsis six care bundle in maternity hospitals(2021-07-23) Abutheraa, Nouf; Grant, June; Mullen, Alexander B.; University of Aberdeen.Other Applied Health Sciences; University of Aberdeen.Aberdeen Centre for Health Data ScienceItem Access and outcomes of general practitioner obstetrician (rural generalist)-supported birthing units in Queensland(2020-02) Tennett, Debra; Kearney, Lauren; Kynn, Mary; University of Aberdeen.Other Applied Health Sciences; University of Aberdeen.Medical StatisticsItem Midwives' competence : is it affected by working in a rural location?(Australian Rural Health Education Network Ltd (ARHEN), 2007-08-10) Hundley, Vanora; Tucker, Janet S.; van Teijlingen, Edwin R.; Kiger, Alice; Ireland, Jillian C.M.; Harris, Fiona; Farmer, Jane; Caldow, Jan L.; Bryers, HelenIntroduction: Rising health care costs and the need to consolidate expertise in tertiary services have led to the centralisation of services. In the UK, the result has been that many rural maternity units have become midwife-led. A key consideration is that midwives have the skills to competently and confidently provide maternity services in rural areas, which may be geographically isolated and where the midwife may only see a small number of pregnant women each year. Our objective was to compare the views of midwives in rural and urban settings, regarding their competence and confidence with respect to ‘competencies’ identified as being those which all professionals should have in order to provide effective and safe care for low-risk women. Method: This was a comparative questionnaire survey involving a stratified sample of remote and rural maternity units and an ad hoc comparison group of three urban maternity units in Scotland. Questionnaires were sent to 82 midwives working in remote and rural areas and 107 midwives working in urban hospitals with midwife-led units. Results: The response rate from midwives in rural settings was considerably higher (85%) than from midwives in the urban areas (60%). Although the proportion of midwives who reported that they were competent was broadly similar in the two groups, there were some significant differences regarding specific competencies. Midwives in the rural group were more likely to report competence for breech delivery (p = 0.001), while more urban midwives reported competence in skills such as intravenous fluid replacement (p <0.001) and initial and discharge examination of the newborn (p <0.001). Both groups reported facing barriers to continuing professional development; however, more of the rural group had attended an educational event within the last month (p <0.001). Lack of time was a greater barrier for urban midwives (p = 0.02), whereas distance to training was greater for rural midwives (p = 0.009). Lack of motivation or interest was significantly higher in urban units (p = 0.006). Conclusion: It is often assumed that midwives in rural areas where there are fewer deliveries, will be less competent and confident in their practice. Our exploratory study suggests that the issue of competence is far more complex and deserves further attention.