Lisa Baker

Liverpool Women's NHS Foundation Trust, Liverpool, England, United Kingdom

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Publications (11)10.95 Total impact

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    ABSTRACT: to explore the experiences of White British and South East Asian women with type 1 and type 2 diabetes, and the perceived impact of diabetes on their reproductive health. a hermeneutic phenomenological approach was used to explore the perceptions of women with diabetes from two different cultural backgrounds with varied reproductive health experiences. Focus groups and one-to-one interviews were used to elicit women's experiences. An interpretive analytical approach was conducted by two researchers. obstetric and diabetes clinics in three hospital sites in the North West of England. a purposive sample of 22 women with type 1 or type 2 diabetes of different parity and ethnicity. the main themes were relinquishing personal control, pregnancy overshadowed by diabetes and haphazard preconception care. strategies should be developed to ensure that whilst safety is maintained, the pregnancy focus is not lost. Women should be supported to optimise their experience as well as clinical outcomes. The convergence of professional roles needs consideration; individual members of multidisciplinary diabetes teams should provide a unique and complementary contribution to care. Preconception care needs to be accessible and responsive to women; this should include recognition of socio-cultural differences.
    Midwifery 03/2009; 26(6):589-95. DOI:10.1016/j.midw.2009.01.003 · 1.57 Impact Factor
  • Tina Lavender · Ediri Tsekiri · Lisa Baker
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    ABSTRACT: There is little consensus regarding the use of partograms and labour charts in the western world. As a consequence there are variations in practices within and between units. Prior to implementation of the National Institute for Clinical Excellence (NICE) Intrapartum Care Guidelines we conducted a survey of all Heads of Midwifery exploring the current status of labour documentation across England. This enabled a baseline of current practice to be established and offers insight into disparities. The results indicated general support for the partogram, although some units chose not to use it for certain women. There was some consistency in recorded quantifiable details, although most charts lacked any psychological data. A minority of units had pre-printed alert or action lines although often the associated guidelines were similar. Few units provided evidence to support their particular guidelines. Awareness of national variations in partogram use highlighted useful variations in partogram designs which may assist midwives in their own practice. Units should re-evaluate their own charts in line with the recommendations of the National Intrapartum Care Guidelines.
    British Journal of Midwifery 06/2008; 16(6):359-362. DOI:10.12968/bjom.2008.16.6.29593
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    ABSTRACT: Background. Despite initiatives supporting the concept of choice of birth place for women, the majority of women in the UK continue to give birth in a hospital environment. Attn. To explore women's views and identify influences upon women's decisions regarding birth place. Method. A qualitative study of women's, their partners' and professionals' views on birth place. Questionnaires, non-participant observation and in-depth interviews were utilised. A total of 50 women and their partners, residing in an urban area in the northwest of England were recruited at 12 weeks' gestation and followed up at 34 weeks and postnatally. A total of 12 midwives, 15 GPs and nine obstetricians practising in the surrounding area were interviewed. This paper reports the main qualitative findings. Results. Three main themes emerged from the data: protection, maintaining the status quo and fatalism. Conclusions. Choice in birth place was viewed as important by women and professionals. Despite this, women and professionals assumed birth would take place in the hospital environment. Women and professionals felt more at ease when birth occurred in the hospital setting and perceived it to be a safer environment. There was a fatalistic attitude towards the birth process and an acceptance of the use of intervention around the time of birth that strongly influenced women's decisions to give birth in a hospital setting. Recommendation. Accurate information must be provided and current misconceptions addressed if women are truly to engage in birth place discussions. Professionals should be encouraged to reflect on current evidence and be more aware of how their own biases influence the provision of real choice in birth place to women.
    Evidence Based Midwifery 06/2008; 6(2):59-64.
  • Carol Kingdon · Lisa Baker · Tina Lavender
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    ABSTRACT: The suggestion that planned cesarean birth is gaining acceptance among women has led some physicians to advocate the need for a trial of primary planned cesarean section versus planned vaginal birth in healthy women with singleton cephalic pregnancies at term. This paper reviews published studies of nulliparous women's views of mode of birth collected in the antenatal period, examining why women may express a preference for cesarean birth and exploring implications for the debate about the need for a trial. A systematic literature review was undertaken of Cochrane, CINAHL, EMBASE, MEDLINE, and PsycINFO using the MeSH heading "cesarean section" and four free text spellings of "cesarean," or "birth" or "delivery," near truncated synonyms of 17 words meaning expressed preference. Studies of nulliparous women with a medical indication for cesarean birth, studies where a woman's preference for mode of birth was reported in the postpartum period, surveys of midwives or obstetricians, and opinion and non-English language papers were all excluded. Nine papers were included in the review, which reported rates of women expressing a preference for cesarean birth that ranged from 0 to 100 percent at recruitment. However, the papers raised specific methodological, conceptual, and cultural issues that may have influenced women's preferences for mode of birth in the populations studied. These issues included the timing and frequency of data collection, complexity of factors determining individual women's decision making, and influence of societal norms. Little evidence is available that an increasing cultural acceptance of cesarean delivery will bring about support for a trial among pregnant nulliparous women. Further qualitative research investigating the influence of both obstetric and psychosocial factors on women's views of vaginal and cesarean birth is required.
    Birth 10/2006; 33(3):229-37. DOI:10.1111/j.1523-536X.2006.00108.x · 1.26 Impact Factor
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    ABSTRACT: The problems faced by breastfeeding mothers are well documented. However, the influence of social networks has mainly received attention solely through the eyes of the women. Therefore, we explored the views of the family as a whole. This exploratory study utilizes semi-structured interviews, diaries and questionnaires. A purposive sample of 24 women and their families, from a hospital in the north-west of England were invited to participate. Questionnaire data were analysed descriptively. Diaries and interviews were analysed using an open coding mechanism to identify emergent themes. Twenty-three women and 27 of their family members participated. Questionnaire data showed that the majority of women (n = 17) expected to breastfeed for more than 3 months; 12 actually did this. Women anticipated that family members would provide the main source of breastfeeding support. Three main themes emerged from the interviews and diaries: "moving with the times", "marketable commodity" and "disparate communications". The authors conclude that multi-layered approach to breastfeeding promotion and support should be considered. Society needs to proactively encourage a positive breastfeeding culture, family members need direction on how to support a woman to breastfeed and women need to be able to articulate their individual requirements. Midwives could be instrumental in supporting such needs and facilitating change.
    Maternal and Child Nutrition 08/2006; 2(3):145-55. DOI:10.1111/j.1740-8709.2006.00049.x · 3.06 Impact Factor
  • Yana Richens · Tina Lavender · Lisa Baker
    British Journal of Midwifery 08/2006; 14(8):465-466. DOI:10.12968/bjom.2006.14.8.21639
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    ABSTRACT: To evaluate the affect of an antenatal educational breastfeeding intervention on women's breastfeeding duration. Cluster randomised controlled trial. Unit of randomisation: electoral ward. The primary outcome was the proportion that fulfilled their antenatal breastfeeding expectation. Secondary outcomes were the number of women breastfeeding on discharge and at four months. Data were collected using a series of questionnaires and diaries. Teaching hospital in North West of England. Women who expressed a desire to breast-feed at the start of their pregnancy. Women were allocated to either routine antenatal education or an additional single educational group session supervised by a lactation specialist and attended by midwives from their locality. The proportion of women who fulfilled their expectation of breastfeeding. One thousand three hundred and twelve women were randomised, with 1249 (95%) women available for analysis. There was no difference between the groups in the proportion of women who attained their expected duration of breastfeeding (OR 1.2; 95% CI 0.89-1.6; chi(2)= 1.4, df= 1, P= 0.2; mean cluster size 156, design effect 1.6). There were no differences between the groups in the uptake of breastfeeding on discharge (OR = 1.2; 95% CI 0.8-1.7; chi(2)= 1.1, df= 1, P= 0.3; mean cluster size 163, design effect = 2.0) or exclusively at four months (OR = 1.1; 95% CI 0.6-1.8; chi(2)= 0.07, df= 1, P= 0.8; mean cluster size 156, design effect 1.6). The provision of a single educational group session supervised by a lactation specialist, and attended by midwives and women, failed to promote the uptake of breastfeeding. Public health interventions, which encourage positive attitudes to breastfeeding within the family and wider community, should be developed and evaluated.
    BJOG An International Journal of Obstetrics & Gynaecology 09/2005; 112(8):1047-53. DOI:10.1111/j.1471-0528.2005.00644.x · 3.45 Impact Factor
  • Lisa Baker · Tina Lavender · Douglas Tincello
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    ABSTRACT: Women are increasingly being asked to consider participating in medical research. We sought to investigate views of women who participated in and declined to participate in a study that was part of a program of maternity care research. An exploratory study using focus group interviews and semistructured interviews was conducted. A purposive sample of 17 postnatal women who had participated in research, from a hospital in the North West of England, were interviewed. An open coding mechanism to identify emergent themes was used for the analysis of data. Of women who had not declined to participate in any research, the following themes were identified: altruism versus self-protection, enhanced versus inferior care, professional guidance versus self-direction, and welcome versus unacceptable methodology. Of women who had participated in some research but declined to participate in other research, the following themes were identified: feeling disempowered by the process, inability to believe equipoise existed, and practical inconvenience. These findings suggest that although health care researchers adopt an individualistic approach to care, they may fail to adopt a similar approach within research. What is important and acceptable to women needs to be ascertained to develop appropriate research strategies. This plan will ensure that research is carried out to the highest ethical standard, which may increase recruitment rates.
    Birth 04/2005; 32(1):60-6. DOI:10.1111/j.0730-7659.2005.00346.x · 1.26 Impact Factor
  • Tina Lavender · Lesley Briscoe · Lisa Baker
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    ABSTRACT: This article will describe the developments in midwifery research over the last 10 years. A discussion of midwifery attitudes, educational and academic changes and contributions to practice will be presented. Factors currently driving the midwifery research agenda will be highlighted. The article will then explore the future direction of midwifery research and outline the possibilities for the next 10 years.
    British Journal of Midwifery 10/2003; 11(10 Suppl):S18-S22. DOI:10.12968/bjom.2003.11.10Sup.11761
  • Tina Lavender · Lisa Baker
    Hospital medicine (London, England: 1998) 04/2003; 64(3):134-5. DOI:10.12968/hosp.2003.64.3.1794 · 0.33 Impact Factor
  • Tina Lavender · Lisa Baker
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    ABSTRACT: Set against a background of recent UK governmental investments into maternity care, the opportunity to seek and share innovative and effective maternity care practices was announced in a competition held by the BJM and Cow & Gate in the October 2002 edition of the journal. The competition required midwives to state how many baby girls were born in the Netherlands in 2001. The correct answer was 98 797. There were five winners, Jackie Hatch (Hull Maternity Hospital), Natalie Bennett (Aintree Centre for Women's Health, Liverpool), Veronica Holland (Wexham Park Hospital, Slough), Julia Ramsey (Coventry Hospital) and Teresa Manders (St Helier Hospital), each of which were accompanied by a midwifery colleague of their choice. The competition prize was a 2–day trip to Amsterdam, combining work and leisure on the 2–3 December 2002. The first day was planned to allow the guests the opportunity to enjoy Amsterdam and for the group to network with each other. The second day comprised a full programme which sought to provide an overview of midwifery training, independent midwifery and facilities, hospital practices and inter-professional relationships.
    British Journal of Midwifery 03/2003; 11(3):150-151. DOI:10.12968/bjom.2003.11.3.12091