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The other side of the SOBERING study could perhaps be the most exciting - the sobering effect it could have on midwifery research. RCTs only tell us about the experiences and outcomes for women who have minimal or no determination about their birthing (unless they think being in the study will help support their goals in an otherwise unsupportive environment) and establishes the medical model of care as the standard from which some adaptation is made (for example, upright positioning on a bed with epidural is better than lying down with an epidural). Also, if a midwifery mode of care with rooms with divans, birth pools, couches, kitchenettes etc was the 'control' or benchmark, the study group would be the abberation or adaptation, that is, room with obstetric bed and epidural. The common assumption with midwifery research often seems to be that there is some onus to 'prove' active/physiological/holistic birthing is beneficial when that onus could be placed on medicalised birth. You never know, we could start seeing conclusions like "there is no evidence to support the notion that birthing in hospital is safer than birthing at home" ... kind regards Maggie Banks Check out <http://www.birthspirit.co.nz/BirthspiritMidwiferyJournal/Issue5.php> Birthspirit Midwifery Journal <http://www.birthspirit.co.nz/Education/Intensives/Mind%20Body%20&%20Spirit% 202010.php> Birthspirit’s Mind, Body and Spirit Workshop 23-29 January 2011 <http://www.birthspirit.co.nz/Education/Intensives/MidwiferySkillsForEmergen cies2009.php> Midwifery Skills for Emergencies Intensives <http://www.birthspirit.co.nz/Education/Seminars/RearingToGoBreechWorkshop10 11.php> Rearing To Go! A Breech Birth Workshop in Napier, Palmerston North, Auckland, Cambridge, Lower Hutt and Paraparaumu 15 Te Awa Road, RD 3, Hamilton, New Zealand 3283 Ph 64 7 8564612 Fax 64 7 8563070 <http://www.birthspirit.co.nz/> www.birthspirit.co.nz <mailto:[log in to unmask]> [log in to unmask] _____ From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Soo Downe Sent: Thursday, 11 March 2010 1:16 a.m. To: [log in to unmask] Subject: Re: BUMPES or SOBERING trial I think we will have this trial when we submit it for funding. We have just had an RCT funded on the use of self-hypnosis for pain relief in labour, so the door is opening to this kind of study - who wants to work on designing ithe SOBERING study?!! By the way, Ellen Hodnett is doing some work with colleagues on the effect of taking the bed out of the room, among other environmental factors, and Hannah Dahlen and her team are just finishing a study on how midwives and women use different kinds of birth space. All the best Soo >>> "Stojanovic, Jane" <[log in to unmask]> 3/9/2010 11:52 pm >>> Good thought Maggie! ________________________________ From: A forum for discussion on midwifery and reproductive health research. [[log in to unmask]] On Behalf Of Maggie Banks [[log in to unmask]] Sent: Wednesday, 10 March 2010 12:49 p.m. To: [log in to unmask] Subject: BUMPES or SOBERING trial Oh dear - forgive me - but when, oh when, will the SOBERING trial get 39 months funding complete with a research midwife? What is SOBERING? Should Obsteric Beds and Epidurals be Removed In Normal birth-Giving. Yes, I do know some women will 'need' epidurals but ... kind regards Maggie Banks Check out Birthspirit Midwifery Journal<http://www.birthspirit.co.nz/BirthspiritMidwiferyJournal/Issue5.php> Rearing To Go! A Breech Birth Workshop<http://www.birthspirit.co.nz/Education/Seminars/RearingToGoBreechWo rkshop1011.php> in Napier, Palmerston North, Auckland, Cambridge, Lower Hutt and Paraparaumu Birthspirit’s Mind, Body and Spirit Workshop<http://www.birthspirit.co.nz/Education/Intensives/Mind <http://www.birthspirit.co.nz/Education/Intensives/Mind Body & Spirit 2010.php> Body & Spirit 2010.php> 23-29 January 2011 Midwifery Skills for Emergencies Intensives<http://www.birthspirit.co.nz/Education/Intensives/MidwiferySkills ForEmergencies2009.php> 15 Te Awa Road, RD 3, Hamilton, New Zealand 3283 Ph 64 7 8564612 Fax 64 7 8563070 www.birthspirit.co.nz<http://www.birthspirit.co.nz/> [log in to unmask]<mailto:[log in to unmask]> ________________________________ From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Sandall, Jane Sent: Wednesday, 10 March 2010 10:10 a.m. To: [log in to unmask] Subject: Senior Research Midwife – BUMPES Trial NPEU - readvertisement Re-advertisement NATIONAL PERINATAL EPIDEMIOLOGY UNIT Senior Research Midwife – BUMPES Trial Grade 8 - £36,715 to £43,840 Applications are invited for the full time post of BUMPES Senior Research Midwife. This post is funded by the National Institute for Health Research, Health Technology Assessment Programme for 39 months. There is the possibility that this post could be considered as a secondment, subject to agreement with your current employer. The BUMPES trial is a multi-centre randomised controlled trial that will involve recruiting women who are having their first baby and require an epidural to evaluate whether adopting a policy of an “upright position” throughout the second stage of labour is associated with an increase in the incidence of spontaneous vaginal delivery compared with a policy of adopting a “lying down” position. The trial will also compare the length of time labour takes and the level of satisfaction with the experience for women. We are looking for a dynamic Senior Midwife with clinical leadership experience and excellent communication skills, to take on this new role of Senior Research Midwife. You will undertake regular visits to the 5 trial sites across the UK working with site staff including a part-time BUMPES Trial research midwife at each site. Although based at the NPEU in the University of Oxford Old Road Campus, the post will involve significant regular travel around the UK. No ‘hands-on’ midwifery is involved in this role. For an informal discussion about the post (Ref: B2/10/004) please contact Ursula Bowler or Ed Juszczak - Tel: 01865 289700. Further particulars, including details of how to apply, can be downloaded from our website www.npeu.ox.ac.uk/jobs<http://www.npeu.ox.ac.uk/jobs> or are available from the Unit Receptionist, NPEU, University of Oxford, Old Road Campus, Headington, Oxford, OX3 7LF (Tel: 01865 289700). Professor Jane Sandall Professor of Social Science and Women's Health Programme Director (Innovations) NIHR King's Patient Safety and Service Quality Research Centre Department of Public Health Sciences King's College London School of Medicine, Floor 7, Capital House, 42 Weston St London SE1 3QD, UK Tel: +44 (0)20 7848 6261/6604 Mobile: +44(0)7713 743150 e-mail:[log in to unmask] http://www.kingspssq.org.uk/ http://myprofile.cos.com/sandall <http://www.kcl.ac.uk/about/campuses/guys.html> __________ Information from ESET NOD32 Antivirus, version of virus signature database 4929 (20100309) __________ The message was checked by ESET NOD32 Antivirus. http://www.eset.com <http://www.eset.com/> __________ Information from ESET NOD32 Antivirus, version of virus signature database 4930 (20100309) __________ The message was checked by ESET NOD32 Antivirus. http://www.eset.com