Hypertension in pregnancy video transcript
I developed preeclampsia at 28 weeks gustation, it was an accidental finding in that I’m a registered nurse and I was at work on the day. I’d been feeling unwell and one of the registrars, one of the junior doctors I was working with actually said to me ‘what’s your blood pressure?’. I thought I don’t actually know. I checked it two weeks earlier at the GP and it had been fine. SO I went to the tea room and did my own blood pressure and thought ‘ok that’s quite high ‘and went straight to the labour delivery ward at ST George Hospital which is where I was working. They explained that I was obviously pregnant, this is my blood pressure, I don’t think this is normal, what would you suggest? And I didn’t end up going home again until I ended up having Edith my daughter.
There’s very little data in the literature around women’s health after they’ve had hypertension in pregnancy and as far as I know this is the only study being conducted looking at women’s health both physical and mental after they’ve had hypertension in their pregnancy. It’s really important information we’re gathering here and it’s going to fill a much needed gap in knowledge
There’s just so much that we don’t know and given that had my experience happened to my mother 30 something years ago, she quit probably would’ve died.
Hypertension in pregnancy affects about 10 percent of pregnant women preeclampsia affects about three to four per cent. Because we are providing these women with a much more continuous and collaborative approach to their care, that they are not as concerned and therefore are least likely top end up with longer term physiological issues as a result of their complicated pregnancy.
Lynne’s study has the potential to make a real difference to women around the world. For the first time we will have evidence about the mental health impacts for women after they’ve had this condition, blood pressure in pregnancy. So we will now be able to ensure that women are cared for during their pregnancy and get the best possible follow-up after they’ve had their baby. And that they can go into their next pregnancy in the healthiest possibly way.
Perhaps if this knowledge was known when I had my baby, my time may not have been as traumatic as it was for me, and for me to be part of a study that is going to have such an impact on women’s health makes me feel really special.
As a postgraduate research student at the Centre for Midwifery Child and Family Health, you will be joining a vibrant and active research community that is committed to developing your skills via a comprehensive programme of research student training and supportive supervision.
Do we lose them? Existing research suggests that new graduate midwives are well prepared, keen, and successful working in continuity models of midwifery care. However they are often prevented in doing so by personal and organisational barriers. Using both qualitative and quantitative methodologies, My Master of Midwifery research focuses on the experiences and career trajectory new graduates who aspire to work in continuity models of midwifery care, but who are prevented in doing so directly on graduation. Retrospectively examining the experience of graduates from the last 5 years, combined with a cohort study of 2020 and 2021 graduates, my research hopes to find out how many achieve their goal and move into these models within 2-5 years of graduation. Conversely, how many do we lose to fragmented models of care, or midwifery altogether? What barriers and facilitators do they experience when moving into continuity models of care, and how does this inform the recruitment process, support and management of recent midwifery practitioners?
I am completing my Honours in Midwifery at UTS. I will be conducting a small qualitative study exploring women’s experiences in midwifery continuity models of care following a previous traumatic birth experience. My aim is to explore the moderating factors that influenced women to choose a midwifery continuity model of care after experiencing birth trauma and gain insight into how women perceived their care in this model.
I am a Bachelor of Midwifery Honours student researching the male partner’s experience of being a primary labour and birth support. My research seeks to discover how men understand their role in the birth room, how informational support is received and where healthcare providers can facilitate active participation. Ultimately, my research aims to create a better birth experience for women and strengthen the family bond at birth.
My thesis is titled “The relationship between the formal and social support women receive in the perinatal period and levels of depression and anxiety: a mixed methods study”.
My thesis is titled "Optimising freedom of movement and choice of positioning for women in labour who are using continuous fetal monitoring technologies: Midwives’ views and experiences.”
I aim to explore how midwives facilitate freedom of movement and choice of positioning during labour for women who are using continuous fetal monitoring. I will be exploring midwives acceptability of the different wired and wireless continuous fetal monitoring devices available in Australia. In turn I aim to identify midwives’ perspectives on the factors that facilitate and/or inhibit the use of wireless continuous fetal monitoring and contribute to the continued use of restrictive wired continuous fetal monitoring technologies within Australian facilities.
I am passionate about supporting women seeking asylum. I hope my research will inform policy to improve maternity care experiences and outcomes for women seeking asylum in Australia. I am a full-time PhD candidate at UTS in Sydney in the Faculty of Health. My qualitative research is the experience of women seeking asylum, in the perinatal period in Australia. There is very few studies specifically on women seeking asylum in pregnancy and their outcomes are poorer than women who are pregnant in their high-income country of origin.
I studied a Masters in Public Health at Latrobe University, Melbourne and Graduate Diploma in Midwifery at Victoria University in Melbourne. I have worked as a midwife for over 20 years in Melbourne, and more recently specialised in working with vulnerable pregnant women in the community. This inspired me to commence my PhD studies.
Hypertension (high blood pressure) diseases of pregnancy affect about 30,000 pregnant women in Australia per year, which is about 10% of all women giving birth. As well as immediate complications for mother and baby, such as preterm birth, long term health issues for women after these blood pressure complications in pregnancy include increased heart attacks and stroke, two of the three leading causes of death in Australian women.
Women who have had pregnancy hypertension are at double to triple the risk of heart attacks and stroke compared to other women, as soon as 10 years after pregnancy. It is unknown whether Australian women and health care providers know about these risks or what to do about them. My study is assessing, then addressing, the knowledge gaps both of women who have experienced high blood pressure in pregnancy and of their healthcare providers, regarding long-term health.
I am currently enrolled in a Doctor of Philosophy (Medicine) and was successful in obtaining the inaugural Ho Man Kong and Ho Cheng Fung Ying Memorial Scholarship as well as a scholarship through the Stillbirth CRE. My thesis "Evaluation of mobile phone applications for promoting behaviour change in women of reproductive age and pregnancy: generating evidence to inform best practice", aims to generate evidence to inform future development and utilisation of pregnancy planning and pregnancy specific mobile phone applications through six key objectives with a particular interest in applying this to stillbirth awareness and prevention.
I work as a Clinical Nurse Consultant whilst undertaking a PhD. The focus of my research is exploring babies physiological and behavioural responses during caregiving in the neonatal unit.
My research is "Maternal Health Literacy Amongst Women Receiving Group Antenatal Care in Ethiopia: A mixed-method study."
In 2016 Shanghai declaration for health promotion, the WHO has identified health literacy as one of the focus areas to achieve sustainable development goals (9th Global Conference on Health Promotion Shanghai 2016: Health literacy and the SDGs). My study aims to assess the health literacy of pregnant women attending Group Antenatal Care in Ethiopia and its association with birth preparedness and complication readiness. In addition, the experience of pregnant women in group antenatal care will be explored in terms of how group antenatal care does improve their health literacy.
The Centre for Midwifery Child and Family Health students undertaking Honours, Masters and Doctoral research studies have fortnightly meetings where they discuss their research with peers. The meetings are facilitated by the research members including leading professors of midwifery and public health. The meetings are always well attended either in person or by video conferencing, demonstrating a thriving research student community.