• The consequences of pregnancy and birth for the pelvic floor

      Steen, Mary; Roberts, Taniya; University of Chester (Mark Allen, 2011-11-02)
      This article discusses the anatomy and physiology of the pelvic floor and the important role it plays during childbirth. It will also consider damage that can be caused to the pelvic floor and in the genital/rectal region. Urinary and faecal incontinence, perineal injury (naturally occurring or surgically induced) and haemorrhoids can cause a lot of distress and pain for many women following childbirth. Alleviating the distress and pain associated with these problems is vitally important and will be explored.
    • The handbook of midwifery research

      Steen, Mary; Roberts, Taniya; University of Chester (Wiley-Blackwell, 2011-03-04)
      Part 1 - starts with a chapter on Introduction to Midwifery Research which sets the scene and covers an understanding of the general principles of research, the importance of the research question, the approaches that can be undertaken, the differences between these and the importance of applying evidence to midwifery practice. Chapter 2 - Finding the Evidence, explains in detail how to undertake a literature review, the sources of evidence available, how to use a search strategy and gives useful examples. In addition, midwifery related structured and systematic reviews are described and discussed in an attempt to promote a better understanding of how to undertake these aspects of research. Chapter 3 — Making Sense of the Evidence, covers the critiquing aspects of research evidence, gives an insight into how evidence is graded and clearly differentiates the differences between qualitative and quantitative approaches. Part 2 —focuses on how to undertake research and includes four chapters. Data collection techniques cover both qualitative and quantitative methods and are the focus of chapter 4. This chapter gives specific details on how to undertake a research interview and how to design a questionnaire as these will be the most likely data collection tools a midwife or student will make use of. Chapter 5 - ethics and research governance introduces the role of ethics when undertaking research and discusses the importance of research governance. Ethical issues relating to midwifery research are considered and specific details on how to obtain ethical approval is addressed to help midwives and students achieve this successfully. Data analysis is the focus of chapter 6. An introduction to data analysis which is followed by specific sections of both qualitative and quantitative analysis methods is covered and a basic understanding of statistics is also included to help midwives and students link the type of data collected with the appropriate statistical test required to analyse a specific type of data (fit for purpose). Finally, dissemination and the research dissertation/thesis are the focus of chapter 7. Writing skills and how to structure your dissertation/thesis is described and discussed. Guidelines and advice on how to get your work published and presenting a conference paper are given. A specific section on useful resources and becoming a researcher brings the book to a close.
    • Realities from practice: What it means to midwives and student midwives to care for women with BMIs ≥30kg/m2 during the childbirth continuum

      Steen, Mary; Thomas, Mike; Roberts, Taniya (University of Chester, 2016-12)
      Women with raised BMIs ≥30kg/m2 have now become the ‘norm’ in maternity practice due to the recent obesity epidemic. To date only very limited research evidence exists highlighting midwives’ experiences of caring for this group of women. This thesis aims to provide original research on what it means to midwives and student midwives on the point of qualification to care for this client group throughout the childbirth continuum.