Publications - McMaster Midwifery Research Centre

Midwifery E-book Resources

From the E-Book Foundry

In 2013, the professors of McMaster University’s Midwifery Education Program turned the lack of reasonably priced quality educational resources for their students into an opportunity to produce better, cheaper educational materials.

Four years later, the authors, illustrators and editors who populate McMaster’s e-Book Foundry have already created three e-books enhanced with multiple integrated features including interactive quizzes, didactic videos, and customized content.

We partner with professors to author our chapters, design the enhanced content in-house, and collaborate with students to evaluate the results. This enables us to produce high-quality, cost-effective, and engaging educational resources for midwifery students and professionals everywhere.

Purchase Your Copies Here

Textbooks include:

Physical Assessment of the Well Women and Child

The skills of physical assessment of the well woman and newborn are a core competency of the midwife. The first unit of this e-book focuses on the principles and techniques needed for physical assessment of the pregnancy client during a head-to-toe examination. The second unit focuses on the basic knowledge and skills needed to assess the newborn. Both units include quizzes, case studies, and videos demonstrating examination techniques.

Purchase your copy of PHYSICAL ASSESSMENT OF THE WELL WOMAN AND NEWBORN.

Pharmacology Revealed

Administering and monitoring drugs is a core competency of the midwife. This e-book provides a basic overview of pharmacodynamics and pharmacokinetics and then builds on this knowledge to discuss drug administration in a Canadian midwifery context. Specific chapters focus on topics such as antibiotics, vaccines, analgesics and anaesthetics, and toxicology. All eight units include quizzes, case studies, animations, and videos.

Purchase your copy of PHARMACOLOGY REVEALED – An Interactive eBook.

Comprehensive Midwifery - Volume 1: Professional Roles

In ‘Professional Roles’ we detail midwifery’s influence on health policy and health system operation to improve quality of care, and midwifery’s role in health education, whether of future midwives or recipients of care. We also focus on the role of midwife scholars as prominent researchers who build the evidence for and deepen the understanding of the impact of midwives and midwifery care. These philosophic and ethical underpinnings of midwifery care are as essential as learning about physiologic processes. Additional features include quizzes, case studies, educational activity guides, and a glossary.

Purchase your copy of COMPREHENSIVE MIDWIFERY VOLUME 1 – An Interactive Approach to the Theory & Evidence of Practice: Professional Roles

Comprehensive Midwifery - Volume 2: Normal Pregnancy, Birth, Postpartum & Newborn Care

This e-book outlines the best practices for care of low-risk clients and their newborns, from the first prenatal assessment to six-weeks postpartum. All content is based on the belief that pregnancy is a normal physiologic process, and each chapter provides evidence-based information to guide midwifery practice and clinical skills. Fundamental topics include: Anatomy and physiology, diagnosis and management, and decision-making. All four units include quizzes, case studies, clinical summaries, and clinical skills videos.

Purchase your copy of COMPREHENSIVE MIDWIFERY VOLUME 2 – An Interactive Approach to the Theory & Evidence of Practice.

Comprehensive Midwifery - Volume 3: Management of Complications

The final book in this three-part series, details evidence-based best practices for midwifery clinical management when variations of normal and complications arise. The book addresses management of complications throughout the childbearing cycle including pregnancy, birth, postpartum and newborn care. Fundamental topics include the role of the midwife and principles of collaborative care. Case studies, quizzes, clinical summaries and skills videos are also included.

Purchase your copy of COMPREHENSIVE MIDWIFERY VOLUME 3 – An Interactive Approach to the Theory & Evidence of Practice: Management of Complications

FALL 2020: BACK TO SCHOOL E-BOOK SPECIAL

For a limited time, the McMaster E-book Foundry is offering a sale on “bundles” of Canada’s first midwifery textbook series. Get 10% off full price and free delivery or pick up!

DEAL 1: Pharm. Revealed & Physical Assessment Learn More

DEAL 2: Comprehensive Midwifery Vol: 1-3 Learn More

DEAL 3: Pharm. Revealed, Physical Assessment, & Comp. Midwifery Vol.2 Learn More

MMRC Research Rounds Presentations & Publications

Research Rounds Presentations

One key way we disseminate our research is through conferences, seminars and rounds. In this section, you will find a series of recorded presentations highlighting some of our MMRC research projects and leading midwifery research from across Canada.

All recordings have received permission from presenter. If you have any questions, please email us at mmrc@mcmaster.ca

Psychological Birth Trauma: Unveiling the Impact of Prenatal and Perinatal Education by Primary Healthcare Providers - Insights from a Grounded Theory Study

Watch MMRC Research Rounds / Speaker Series “Psychological Birth Trauma: Unveiling the Impact of Prenatal and Perinatal Education by Primary Healthcare Providers – Insights from a Grounded Theory Study” on our MMRC YouTube channel at: Watch on YouTube: https://youtu.be/tPw8gx0D7Yw	Psychological Birth Trauma: Unveiling the Impact of Prenatal and Perinatal Education by Primary Healthcare Providers – Insights from a Grounded Theory Study Sarah is a Registered Midwife and Practice Partner with Midwives of Middlesex & Area and an active member of the Midwifery Department at London Health Sciences Centre. Sarah is also the Head Midwife at Strathroy Middlesex General Hospital. Sarah is a Peer and Practice assessor with the College of Midwives of Ontario. She is an active NRP and ESW instructor, provides guest instruction at Fanshawe College and Western University, and is an Adjunct Clinical Professor in the Department of Family Medicine at the Schulich School of Medicine & Dentistry, as well as McMaster University. Sarah recently completed her Masters of Advanced Midwifery Practice through Anglia Ruskin University, England. Her areas of research interest include trauma informed care, clinical excellence, and client-led care.. She presented her research on Wednesday, March 27, 2024.

Findings From A Multi-Year Research Program on Interprofessional Birthing Unit Teams: Speaking Up, Self-Serving Biases, and Self-Concept

Watch MMRC Research Rounds / Speaker Series “Findings From A Multi-Year Research Program on Interprofessional Birthing Unit Teams: Speaking Up, Self-Serving Biases, and Self-Concept” on our MMRC YouTube channel at: https://youtu.be/3e-vSzQ0_b8	Findings From A Multi-Year Research Program on Interprofessional Birthing Unit Teams: Speaking Up, Self-Serving Biases, and Self-Concept Lauren Columbus, RM, Schulich School of Medicine & Dentistry, London, Ontario is the Academic Practice Lead with the Department of Midwifery and a Registered Midwife with the T.I.M.E. Program Expanded Midwifery Care Model at London Health Sciences Centre. She is also an Adjunct Clinical Professor in the Department of Family Medicine at the Schulich School of Medicine & Dentistry, as well as McMaster University. She presented her research on Wednesday, January 31, 2024. Lauren is currently completing her thesis for her Masters of Health Professions Education at Maastricht University. Her areas of research and academic interest include quality assurance and quality improvement, simulation, team dynamics in birthing units, and psychological safety in interprofessional teams.

The Transition to Practice of Newly Qualified Midwives in the Netherlands

Watch MMRC Research Rounds / Speaker Series “The Transition to Practice of Newly Qualified Midwives in the Netherlands” on our MMRC YouTube channel at: https://youtu.be/aPtARcZb3nk	The Transition to Practice of Newly Qualified Midwives in the Netherlands Dr. Esther Feijen-De Jong, Assistant Professor, Midwifery, University Medical Centre Groningen, and Liesbeth Kool, PhD candidate, lecturer, Vrije Universiteit, Midwifery Science, Amsterdam presented this research workshop on October 25, 2023. Esther Feijen-de Jong RM PhD is an Assistant Professor of Midwifery at the University Medical Centre Groningen, the Netherlands. In addition to being a lecturer in the bachelor’s and master’s programs in midwifery, she is a researcher and focuses on improving the organisation of midwifery care in the Netherlands, while specialising in research on improving care for vulnerable women and research on improving the sustainability of the midwifery workforce in the Netherlands. Liesbeth Kool is a final year PhD student and lecturer at the bachelor’s and master’s programme in midwifery. In her research, she focuses on the wellbeing of (newly qualified) midwives (NQMs) and its’ determinants and how NQMs can be supported in practice.

Advanced REDCap: Research Electronic Data Capture - Research Workshop

Watch MMRC Research Workshop “Advanced REDCap: Research Electronic Data Capture” on our MMRC YouTube channel at: https://youtu.be/K9WJg9Tdxxk	Advanced REDCap: Research Electronic Data Capture – Research Workshop Kyle McGowan, Research Coordinator, Department of Obstetrics & Gynecology, McMaster University presented this research workshop on October 18, 2023. RedCap is an online tool available for free to members of the MMRC and Dept. ObGyn to create online questionnaires and databases, and to check, manage, and export data. Kyle will lead this research training workshop via Zoom and answer any questions in this interactive presentation with the following learning objectives: 1. Custom Reports 2. Data Access Groups (DAGs) 3. Randomization 4. Multi-Language Management 5. Longitudinal Data Collection 6. Field Comments / Data Queries 7. Importing Data.

Community Engagement and Anti-Racist Approaches to Pregnancy Health Knowledge Exchange with Racialized Newcomers in Canada and Denmark

Watch MMRC Research Rounds “Community Engagement and Anti-Racist Approaches to Pregnancy Health Knowledge Exchange with Racialized Newcomers in Canada and Denmark” on our MMRC YouTube channel at: https://youtu.be/8SEngjGCHG8.	Community Engagement and Anti-Racist Approaches to Pregnancy Health Knowledge Exchange with Racialized Newcomers in Canada and Denmark Dr. Luseadra Joy McKerracher, PhD, Junior Fellow, Aarhus Institute for Advanced Studies, Assistant Professor, Department for Public Health, and Member, Platform for Inequality REsearch (PIREAU) at Aarhus University, Denmark presented rounds on May 31, 2023. Luseadra McKerracher is a Junior Fellow at the Aarhus Institute for Advanced Studies, an Assistant Professor at the Department for Public Health, and a member of the Platform for Inequality REsearch Aarhus University (PIREAU), all at Aarhus University in Aarhus, Denmark. She does community-engaged research and health promotion work focused on identifying and reducing nutritional, housing, and other environmental inequities that affect adolescent (i.e., preconception) and pregnancy/peri-natal health. This work is framed using a Developmental Origins of Health and Disease (DOHaD) perspective, with a view towards supporting health and preventing disease throughout the life courses of parents and their children.

Burnout In Midwifery

Watch MMRC Research Rounds “Burnout In Midwifery” on our MMRC YouTube channel at: https://youtu.be/y-mStPaPVsc.	Burnout In Midwifery Dr. Andrea Lawlor, PhD, Western University and Meagan Furnivall, BHSc, MSc, RM, London Health Sciences Centre presented at MMRC Research Rounds on Wednesday, March 1, 2023, 1230-130pm EST Dr. Andrea Lawlor is an Associate Professor in the Department of Political Science at King’s University College, Western University. Her research focuses on Canadian law and public policy with a specific focus on administrative law and health and social policy. Meagan Furnivall, MSc, is a Registered Midwife practicing in London, Ontario. Meagan is focusing on building Midwifery Research Capacity as the Clinical Research Lead at London Health Sciences Centre. Meagan’s research interests include how midwifery students and obstetrical residents learn and understand shared decision making, the safety and implementation of skin-to-skin contact in cesarean section, interprofessional collaboration, and sustainable midwifery. Other articles of related interest suggested by presenters: Reducing midwife burnout at organisational level- Midwives need time, space and a positive work-place culture. https://www.sciencedirect.com/science/article/abs/pii/S1871519222000282 Prevalence and Predictors of Burnout in Midwives: A Systematic Review and Meta-Analysis [Prevalence and Predictors of Burnout in Midwives: A Systematic Review and Meta-Analysis – PMC] A survey of burnout and intentions to leave the profession among Western Canadian Midwives. Stoll & Gallagher. https://www.sciencedirect.com/science/article/abs/pii/S1871519218303196 Prevalence and factors associated with burnout in midwifery: A scoping review Sidhu et al 2020 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7839164/ Giving of the self and Midwife Burnout- an exploration of the consequences of being ‘with woman’ and how individual midwives can reduce or prevent burnout. Doherty and O’Brien, 2022. https://www.sciencedirect.com/science/article/abs/pii/S1871519222003626 Who is at risk of burnout? A Cross-sectional survey of midwives in a tertiary maternity hospital in Melbourne, Australia. Matthews, Hyde et al 2021. https://www.sciencedirect.com/science/article/abs/pii/S1871519222000361 Midwifery student’s perceptions of the modifiable organisational factors that foster bullying behaviours whilst on clinical placement. A qualitative descriptive study. Capper, Muurlink, Williamson 2020. https://pubmed.ncbi.nlm.nih.gov/33358356/ When Midwives Burn Out: Differences in the Experiences of Midwives in British Columbia and Alberta. Butska and Stoll 2020. https://www.cjmrp.com/articles/volume-19-2020/when-midwives-burn-out-differences-in-the-experiences-of-midwives-in-british-columbia-and-alberta

Collaborative Research Partnerships To Advance Midwifery

Watch MMRC Research Rounds “Collaborative Research Partnerships To Advance Midwifery” on our MMRC YouTube channel at: https://youtu.be/DDNrppFu3Kk	Collaborative Research Partnerships To Advance Midwifery Dr. Cristina Mattison, PhD and Dr. Kirsty Bourret, RM, PhD at MMRC Research Rounds on Wednesday, February 1, 2023, 1230-130pm EST Dr. Cristina A. Mattison is an Assistant Professor (Part-time) in the Department of Health Research Methods, Evidence, and Impact. Cristina obtained her PhD in Health Policy and MSc in Global Health from McMaster University. She is a health systems and policy researcher that applies this lens to sexual and reproductive health and rights. Specifically, her work focuses on understanding the roles of midwives in health systems, which includes midwifery association strengthening. Dr. Kirsty Bourret (elle/she/her) is a trained midwife, Adjunct Scientist at the McMaster Midwifery Research Centre (MMRC), Fellow at Karolinska Institute, and was a Francophone faculty member with the Midwifery Education Program at Laurentian University. Kirsty was awarded the prestigious FORTE international postdoctoral fellowship funded through the Swedish Research Council to continue her research on midwife-led person-centered comprehensive abortion care in the Democratic Republic of Congo (DRC). She also received a Mitacs Accelerate fellowship to co-conduct a multi-country, multiple case study to further study midwifery association strengthening.

Are Larger Babies In Midwifery Care Because Of Undiagnosed Gestational Diabetes? GDM Screening And Perinatal Outcomes Among Midwifery Clients In British Columbia

Watch MMRC Research Rounds “Are Larger Babies In Midwifery Care Because Of Undiagnosed Gestational Diabetes? GDM Screening And Perinatal Outcomes Among Midwifery Clients In British Columbia” on our MMRC YouTube channel at: https://youtu.be/6IyQbMRdLL0	Are Larger Babies In Midwifery Care Because Of Undiagnosed Gestational Diabetes? GDM Screening And Perinatal Outcomes Among Midwifery Clients In British Columbia Dr. Elizabeth Nethery, RM, MSc, MSM, PhD presented at MMRC Research Rounds on Wednesday, January 11, 2023, 1230-130pm EST (930-1030am PST). Elizabeth Nethery is a PhD candidate in the School of Population and Public Health at the University of British Columbia and a Registered Midwife in British Columbia. She is a perinatal and reproductive epidemiologist with a broad interest in the impacts of research evidence on clinical practice. Her research uses quantitative analytic tools to explore midwifery outcomes from community births, reproductive health care and, most recently, changes in antenatal screening practices and diagnosis. Her dissertation study focussed on gestational diabetes with Dr. Patti Janssen at the University of British Columbia. She was supported by a Vanier Canada Graduate Scholarship.

Perinatal Health Of People With Disabilities In Ontario

Watch MMRC Research Rounds “Perinatal Health Of People With Disabilities In Ontario” on our MMRC YouTube channel at: https://youtu.be/7MB_gUu3vVk	Perinatal Health Of People With Disabilities In Ontario Dr. Lesley Tarasoff, PhD presented work with Dr. Hilary Brown, PhD at MMRC Research Rounds on Wednesday, November 30, 2022, 1230-130pm. Lesley Tarasoff is a Canadian Institutes of Health Research-funded Postdoctoral Research Fellow at the University of Toronto Scarborough and the Centre for Addiction & Mental Health. Primarily drawing on qualitative methodologies, Dr. Tarasoff’s program of research aims to understand and address disparities and inequities in reproductive and perinatal health and health care experiences among often-stigmatized and marginalized populations, chiefly women with disabilities and sexual minority women. Hilary Brown is an Assistant Professor at the University of Toronto, in the Department of Health & Society (Scarborough Campus) and the Dalla Lana School of Public Health (St. George Campus). She is cross-appointed to the Temerty Faculty of Medicine’s Department of Psychiatry and is an Adjunct Scientist at Women’s College Hospital and ICES. Dr. Brown holds a Tier 2 Canada Research Chair in Disability & Reproductive Health. Her research program uses epidemiologic methods to examine maternal and child health and mental health across the life course, with a particular focus on populations with disabilities and chronic disease, health equity, and the social determinants of health.

Fall 2022 Research Workshop - How to RedCap

Watch MMRC Fall 2022 Research Workshop “How to RedCap” on our MMRC YouTube channel at: https://youtu.be/Qr6bQtjZm2Y	Fall 2022 Research Workshop – How to RedCap With Kyle McGowan, Research Coordinator, Department of Obstetrics & Gynecology, McMaster University RedCap is an online tool available for free to members of the MMRC and Dept. ObGyn to create online questionnaires and databases, and to check, manage, and export data. Kyle leads this research training workshop via Zoom and answers questions in this interactive presentation with the following introductory learning objectives: 1. What is RedCap? 2. How to access 3. Starting a project 4. Ethics approval 5. Building and piloting a questionnaire 6. Sharing a survey or database link 7. Entering and checking data 8. Downloading your database

Midwives' Integration of Manual Vacuum Aspiration For Post-Abortion Care In The Democratic Republic of Congo

MW & Post-Abortion Care in the DRC – MMRC Research Rounds

Midwives’ Integration of Manual Vacuum Aspiration For Post-Abortion Care In The Democratic Republic of Congo

Despite a recognized need for midwives to provide post abortion care, there exist barriers preventing them from integrating lifesaving skills such as manual vacuum aspiration (MVA) into practice. This collaborative research with the Professional Association of Congolese Midwives (SCOSAF) sought to understand how certain midwives in the Democratic Republic of Congo (DRC) have overcome barriers to successfully integrate MVA for post abortion care. Incorporation of equitable research processes in the DRC in collaboration with Canadian agencies is also be discussed. Dr. Kirsty Bourret is a MMRC Adjunct Scientist and faculty member with the Midwifery Education Program at Laurentian University who uses mixed methods research with a positive deviance approach, specifically in the field of midwifery and international reproductive health. Related study publication can be found here (PDF). Watch Dr. Bourret’s February 12, 2021 MMRC Research Rounds here.

Gender and Sexuality Inclusivity in Research

Gender and Sexuality are increasingly being considered in the design and implementation of health research studies, however, institutional and individual misconceptions still permeate these designs in ways that do not reflect people’s lived experiences.

Participants in this workshop will learn more about gender and sexuality in general, how to make data collection instruments more inclusive, and the importance of using inclusive language and frameworks in all aspects of the research process.

For more information, please contact: mmrc@mcmaster.ca.

Midwifery Students and Obstetrical Residents Learning, Understanding, and Application of Shared Decision Making

MW Students and OB Residents Learning, Understanding, & Application of Shared Decision Making – MMRC Research Rounds

Midwifery Students and Obstetrical Residents Learning, Understanding, and Application of Shared Decision Making

Shared Decision Making (SDM) is considered a favourable method of decision making with patients for both obstetricians and midwives alike. There is minimal understanding in the literature as to how exactly students and residents understand and learn this process.

Watch Meagan Furnivall’s presentation on results from her project’s grounded theory study on students’ perceptions of the decision making process, how students understand SDM, and factors impacting their learning from the July 15, 2020 MMRC Research Rounds.

Statistical Approaches to Describing and Analysing Likert Scale Data

Statistical Approaches to Describing and Analysing Likert Scale Data – MMRC Research Rounds

Statistical Approaches to Describing and Analysing Likert Scale Data

We often use survey questions with Likert scale responses, such as: Strongly Disagree / Disagree / Neutral / Agree / Strongly Agree…but how do you best describe the ‘average’ response of a group of people, or compare it over time, or with another group? Everything you wanted to know about Likert, but were afraid to ask.

Watch MMRC Fellow Jimmy Hu, PhD candidate in statistics, discuss approaches to describing and analysing Likert scale data from the May 26, 2020 MMRC Research Rounds.

Development of a Point of Care Ultrasound (POCUS) Course for Midwives

Development and Evaluation of Point of Care Ultrasound Course for Midwives – MSH Rounds

Development and Evaluation of a Point of Care Ultrasound (POCUS) Course for Midwives

On January 1st, 2018, the College of Midwives of Ontario expanded the scope of practice for registered midwives to now perform ultrasounds for clients to enhance maternal care during pregnancy and postpartum. It is essential that midwives are properly educated to perform ultrasounds as well as to be able to competently analyze the data presented from the sonographic images.

Watch Dr. Beth Murray-Davis, Carol Bernacci, and Bronte Johnston’s presentation on May 5, 2020 at the Markham Stouffville Hospital Alongside Midwifery Rounds.

Principles for Public and Patient Engagement

Dr. Julia Abelson – Principles for Public and Patient Engagement

Principles for Public and Patient Engagement

Dr. Julia Abelson’s research program has been guided by a long-standing interest in how the public interacts with health systems as patients, community members, voters, and taxpayers. These interests have provided the foundation for numerous research studies focused on the design and evaluation of processes for engaging the public and patients in health system decision-making. Through her research, she has developed productive and long-standing partnerships with a wide range of policymakers and health system managers at the provincial and regional governance levels across the country. She is regularly invited to advise policy decision makers and health system managers on the design, implementation, and evaluation of public engagement processes.

Dr. Abelson, Professor in the Department of Health Research Methods, Evidence & Impact and with the Centre for Health Economics & Policy Analysis, Director, Health Policy PhD Program, and Lead, Public & Patient Engagement Collaborative, leads this MMRC workshop to provide an overview of public and patient engagement concepts and tools and to interactively explore their application to the midwifery research context with key MMRC members.

Watch Dr. Abelson’s presentation at the MMRC Research Workshop held on Tuesday, March 30, 2021.

Recent Publications

2023 Publications

Health Services, Population Health & Access to Care

Murray-Davis B, Grenier LN, Plett RA, Mattison CA, Ahmed M, Malott AM, Cameron C, Hutton EK, Darling EK. Making Space for Midwifery in a Hospital: Exploring the Built Birth Environment of Canada’s First Alongside Midwifery Unit. HERD: Health Environments Research & Design Journal. 2023; 16(2): 189-207.
Ruby E, McDonald SD, Berger H, Melamed N, Li J, Darling EK, Barrett J, Ray J, Geary M, Murray-Davis B. Exploring patients’ perspectives of gestational diabetes mellitus screening and counselling in Ontario: A grounded theory study. Health Expectations. 2023; 26(2): 827-835.
Darling EK, Grenier LN, MacKenzie RK, Ramlogan-Salanga C, Cates EC, Graybrook R, Wilson-Mitchell K. A mixed-method study exploring barriers and facilitators to midwives’ mental health in Ontario. BMC Women’s Health. 2023; 23(1): 44942.
McKerracher L, Moffat T, Barker ME, Murray-Davis B, Kennedy KM, Bellissimo CJ, Yeo E, Høtoft D, Zalot L, Parlette V. Probiotics in pregnancy: Inequities in knowledge exchange, attitudes, and use of probiotics in a socio-demographically diverse, cross-sectional survey sample of pregnant Canadians. PharmaNutrition. 2023; 24: 100344.
Vanstone M, Correia RH, Howard M, Darling EK, Bayrampour H, Carruthers A, Davis A, Hadid D, Hetherington E, Jones A. How do perceptions of Covid-19 risk impact pregnancy-related health decisions? A convergent parallel mixed-methods study protocol. Plos One. 2023; 18(8): e0288952.
Murray-Davis B, Grenier LN, Mattison C, Malott AM, Cameron C, Li J, Darling EK, Hutton EK. Mediating expectations and experiences that influence birth experiences in Canada’s first Alongside Midwifery Unit. Birth. 2023; 50(4): 968-977.
Popoola A, Panday J, Taneja S, Greyson D, McDonald SD, Patel T, Darling EK, Vanstone M. Pregnant and lactating people’s strategies to mitigate the risk of cannabis consumption. Women’s Health. 2023; 19: 17455057231202406.
Darling EK, Lemay SB, Ejiwunmi ‘R, Miller KJ, Sprague AE, D’Souza R. The impact of funding models on the integration of Ontario midwives: a qualitative study. BMC Health Services Research. 2023; 23(1): 1087.

Health Outcomes

Robinson C, Schlorff M, Chanchlani R, Gayowsky A, Darling E, Mondal T, Seow H, Batthish M. Cardiovascular Outcomes During Index Hospitalization in Children with Kawasaki Disease in Ontario, Canada. Pediatric Cardiology. 2023; 44(3): 681-688.
Robinson C, Chanchlani R, Gayowsky A, Brar S, Darling E, Demers C, Mondal T, Parekh R Seow H, Batthish M. Cardiovascular outcomes in children with Kawasaki disease: a population-based cohort study. Pediatric Research. 2023; 93(5): 1267-1275.
Ricci C, Otterman V, Bennett TL, Metcalfe S, Darling E, Semenic S, Dzakpasu S. Canadian Perinatal Surveillance System. Rates of and factors associated with exclusive and any breastfeeding at six months in Canada: an analysis of population-based cross-sectional data. BMC Pregnancy and Childbirth. 2023; 23(1): 56.
Hutton EK, Simioni JC, Thabane L. Baby & Mi Research Team, Morrison KM. Associations of intrapartum antibiotics and growth, atopy, gastrointestinal and sleep outcomes at one year of age. Pediatric Research. 2023; 94(3): 1026-1034.
Hiersch L, Berger H, McDonald SD, Murray-Davis B, Abdulaziz KE, Geary M, Barrett J, Melamed N. Maternal age and pregnancy outcomes in twin compared with singleton gestations. International Journal of Gynecology & Obstetrics. 2023; 162(2):684-692.
Melamed N, Okun N, Huang T, Mei-Dan E, Aviram A, Allen M, Abdulaziz KE, McDonald SD, Murray-Davis B, Ray JG. Maternal First-Trimester Alpha-Fetoprotein and Placenta-Mediated Pregnancy Complications. Hypertension. 2023; 80(11): 2415-2424.
Berezowsky A, Melamed N, Murray-Davis B, Ray J, McDonald SD, Barrett J, Geary M, Colussi-Pelaez E, Berger H. The impact of antenatal care modifications during the COVID-19 pandemic on gestational diabetes mellitus outcomes. Canadian Journal of Diabetes. 2023; Dec 10:S1499-2671(23)00721-9

Midwifery Education

Johnston BK, Gum L, Hilsenteger E, Murray-Davis B. Connecting Canadian and Australian Midwifery Students Through a Global Peer-to-Peer Program. CJMRP. 2023; 22(2): 1-9.
Johnston BK, Darling EK, Malott A, Thomas L, Murray-Davis B. Results from a Piloted Point of Care Ultrasound Course for Ontario Primary Maternity Care Providers. CJMRP. 2023; 22(2): 10-17.
Bourret K, Mattison C, Hebert E, Kabeya A, Simba S, Crangle M, Darling E, Robinson J. Evidence-informed framework for gender transformative continuing education interventions for midwives and midwifery associations. BMJ Global Health. 2023; 8(1): e011242.
Spelten E, Gitsels J, Verhoeven C, Hutton EK, Martin L. The DELIVER study; the impact of research capacity building on research, education, and practice in Dutch midwifery. Plos One. 2023; 18(10): e0287834.

2022 Publications

Health Services, Population Health & Access to Care

D’Souza R, Seymour RJ, Knight M, Dzakpasu S, Joseph KS, Thorne S, Ospina MB, Barrett J, Cook J, Fell DB, Scott H, Metcalfe A, van den Akker T, Lapinsky S, Skeith L, Murray-Davis B, Shah P, Forte M, Ashraf R, Chundamala J, Hutchinson SA, Chen KK, Malhamé I. Feasibility of establishing a Canadian Obstetric Survey System (CanOSS) for severe maternal morbidity: a study protocol. BMJ Open. 2022 Mar 23;12(3):e061093. doi: 10.1136/bmjopen-2022-061093.
Murray-Davis B, Berger H, Melamed N, Darling EK, Syed M, Guarna G, Li J, Barrett J, Ray JG, Geary M, Mawjee K, Baghaeri N, McDonald SD. A framework for understanding how midwives perceive and provide care for pregnancies complicated by gestational diabetes or hypertensive disorders of pregnancy. Midwifery. 2022 Dec;115:103498. doi: 10.1016/j.midw.2022.103498.
Murray-Davis B, Darling EK, Berger H, Melamed N, Li J, Guarna G, Syed M, Barrett J, Geary M, Mawjee K, McDonald SD; for DOH-NET (Diabetes, Obesity and Hypertension in Pregnancy Research Network). Midwives perceptions of managing pregnancies complicated by obesity: A mixed methods study. Midwifery. 2022 Feb;105:103225. doi: 10.1016/j.midw.2021.103225.
Murray-Davis B, Grenier L, Mattison C, Malott A, Cameron C, Hutton EK, Darling EK. Promoting safety and role clarity among health professionals on Canada’s First Alongside Midwifery Unit (AMU): A mixed methods evaluation. Midwifery. 2022; https://doi.org/10.1016/j.midw.2022.103366
Murray-Davis B, Grenier LN, Atkinson SA, Mottola MF, Wahoush O, Thabane L, Xie F, Vickers-Manzin J, Moore C, Hutton EK. How Do Health Schemas Inform Healthy Behaviours During Pregnancy? Qualitative Findings from the Be Healthy in Pregnancy (BHIP) Study. Matern Child Health J. 2022 Feb 25. doi: 10.1007/s10995-022-03385-7.
Murray-Davis B, Grenier LN, Mattison CA, Malott A, Cameron C, Hutton EK, Darling EK. Promoting safety and role clarity among health professionals on Canada’s First Alongside Midwifery Unit (AMU): A mixed-methods evaluation. Midwifery. 2022 Aug;111:103366. doi: 10.1016/j.midw.2022.103366. Epub 2022 May 11.10.1016/j.midw.2022.103366
Renner RM, Ennis M, Contandriopoulos D, Guilbert E, Dunn S, Kaczorowski J, Darling EK, Albert A, Styffe C, Norman WV. Abortion services and providers in Canada in 2019: results of a national survey. CMAJ Open. 2022; 10(3):E856-E864; DOI: https://doi.org/10.9778/cmajo.20210232.
Robinson C, Chanchlani R, Gayowsky A, Darling EK, Seow H, Batthish M. Healthcare utilization and costs following Kawasaki disease. Pediatrics & Child Health. 2022; https://doi.org/10.1093/pch/pxab092
Schummers L, Darling EK, Dunn S, McGrail K, Gaywosky A, Law MR, Laba T-L, Norman WV. Abortion safety and use with normally prescribed mifepristone in Canada. NEJM 2022; 386:57-67. DOI: 10.1056/NEJMsa2109779.
Schummers L, McGrail K, Darling EK, Dunn S, Gayowsky A, Kaczorowski J, Norman W. A more accurate approach to define abortion cohorts using linked administrative data: an application to Ontario, Canada. International Journal of Population Data Science. 2022; https://doi.org/10.23889/ijpds.v7i1.1700
Vanstone M, Panday J, Popoola A, Taneja S, Greyson D, McDonald S, Pack R, Black M, Murray-Davis B, Darling E. Pregnant people’s perspectives on cannabis use in pregnancy: A systematic review and integrative mixed-methods research synthesis. Journal of Midwifery and Women’s Health. 2022; 67(3): 354-372. http://doi.org/10.1111/jmwh.13363

Health Outcomes

Atkinson SA, Maran A, Dempsey K, Perreault M, Vanniyasingam T, Phillips SM, Hutton EK, Mottola MF, Wahoush O, Xie F, Thabane L. Be Healthy in Pregnancy (BHIP): A Randomized Controlled Trial of Nutrition and Exercise Intervention from Early Pregnancy to Achieve Recommended Gestational Weight Gain. Nutrients. 2022 Feb 15;14(4):810. doi: 10.3390/nu14040810.10.3390/nu14040810
Ganor Paz Y, Barzilay E, Saied Idriss S, Murray-Davis B, Melamed N, Ray J, Geary M, McDonald S, Barrett J, Mawjee K, Bagheri N, Berger H. Association of the Cerebro-Placental Ratio With Adverse Outcomes in Pregnancies Affected by Gestational Diabetes Mellitus. J Ultrasound Med. 2022 Nov;41(11):2767-2774. doi: 10.1002/jum.15961. Epub 2022 Feb 17. PMID: 35174894.
Guitor AK, Yousuf EI, Raphenya AR, Hutton EK, Morrison KM, McArthur AG, Wright GD, Stearns JC. Capturing the antibiotic resistome of preterm infants reveals new benefits of probiotic supplementation. Microbiome. 2022 Aug 26;10(1):136. doi: 10.1186/s40168-022-01327-7.10.1186/s40168-022-01327-7
Hiersch L, Sha B, Berger H, Geary M, McDonald S, Murray Davis B, Guan J, Halperin I, Retnakaran R, Barrett J, Melamed N. Screening accuracy of the 50t glucose challenge test in twin compared with singleton pregnancies. Journal of Clinical Endocrinology and Metabolism. 2022 Aug https://doi.org/10.1210/clinem/dgac472.
Hiersch L, Sha B, Berger H, Geary M, McDonald S, Murray Davis B, Guan J, Halperin I, Retnakaran R, Barrett J, Melamed N. The prognostic value of the oral glucose tolerance test for future type-2 diabetes in nulliparous pregnant women testing negative for gestational diabetes. Diabetes & Metabolism, Volume 48, Issue 5, 2022, https://doi.org/10.1016/j.diabet.2022.101364.
Leavey K, Mackenzie RK, Faber S, Lloyd VK, Mao C, Wills MKB, Boucoiran I, Cates EC, Omar A, Marquez O, Darling EK. Lyme Borreliosis in Pregnancy and Associations with Parent and Offspring Health Outcomes: An International Cross-Sectional Survey. Frontiers in Medicine 2022; doi.org/10.3389/fmed.2022.1022766.
MacDonald T, Gentles A, Liu R, Stevens-Uninsky M, Anni NS, Darling EK, Green S, Moll S, Mbuagbaw L. Community level youth-led interventions to improve maternal-neonatal outcomes in low-and-middle income countries: protocol for a systematic review. International Journal of Reproductive Medicine. 2022; https://doi.org/10.1155/2022/9580986
Robinson C, Chanchlani R, Gayowsky A, Brar S, Darling EK, Demers C, Mondal T, Parekh R, Seow H, Batthish M. Cardiovascular outcomes in children with Kawasaki disease: A population-based cohort study. Pediatrics Research 2022; https://doi.org/10.1038/s41390-022-02391-3.
Yousuf EI, Rochow N, Li J, Simioni J, Gunn E, Hutton EK, Morrison KM. Growth and body composition trajectories in infants meeting the WHO growth standards study requirements. Pediatr Res. 2022 Dec;92(6):1640-1647. doi: 10.1038/s41390-022-02005-y. Epub 2022 Mar 16.10.1038/s41390-022-02005-y

Midwifery Education

Johnston B., Darling E, Malott A, Kras S, Bernacci ,, Thomas L, Murray-Davis B. Insights into an Innovative Point of Care Ultrasound Curriculum for Ontario Primary Maternity Care Providers. MedEdPublish, 2022. DOI:10.12688/mep.19361.1.

2021 Publications

Health Services, Population Health & Access to Care

Murray-Davis B, Darling EK, Berger H, Melamed N, Li J, Guarna G, Syed M, Barrett J, Geary M, Mawjee K, McDonald SD. Midwives perceptions of managing pregnancies complicated by obesity: A mixed methods study. 2021. 105:103225.
Schummers L, Darling EK, Dunn S, McGrail K, Gayowsky A, Law MR, Laba TL, Kaczorowski J, Norman WV. Abortion Safety and Use with Normally Prescribed Mifepristone in Canada.N Engl J Med. 2021.
Panday J, Taneja S, Popoola A, Pack R, Greyson D, McDonald S, Black M, Murray- Davis B, Darling E, Vanstone M. Clinician responses to cannabis use during pregnancy and lactation: A systematic review and integrative mixed-methods research synthesis. Family Practice. Accepted for publication Oct. 18, 2021.
Darling EK, Easterbrook R, Grenier LN, Malott A, Murray-Davis B, Mattison CA. Lessons learned from the implementation of Canada’s first alongside midwifery unit: A qualitative explanatory study. 2021 Dec;103:103146. doi: 10.1016/j.midw.2021.103146. Epub 2021 Sep 14.
Brunton G, Wahab S, Sheikh H, Murray-Davis B. Global stakeholder perspectives of home birth: a systematic scoping review.Syst Rev. 2021 Nov 2;10(1):291. doi: 10.1186/s13643-021-01837-9.
MacDonald T, Dorcely O, Ewusie JE, Darling EK, Moll S, Mbuagbaw L. The effect of a new maternity unit on maternal outcomes in rural Haiti: an interrupted time series study.BMC Pregnancy Childbirth. 2021 Sep 4;21(1):601. doi: 10.1186/s12884-021-04062-3. PMID: 34481461; PMCID: PMC8418005.
Moffat T, McKerracher L, Oresnik S, Atkinson SA, Barker M, McDonald SD, Murray- Davis B, Sloboda DM. Investigating the normalization and normative views of gestational weight gain: Balancing recommendations with the promotion and support of healthy pregnancy diets. Am J Hum Biol. 2021 Sep;33(5):e23604. doi: 10.1002/ajhb.23604. Epub 2021 May 6. PMID: 33956376.
Hiersch L, Shah BR, Berger H, Geary M, McDonald SD, Murray-Davis B, Guan J, Halperin I, Retnakaran R, Barrett J, Melamed N; for DOH-NET (Diabetes, Obesity, Hypertension in Pregnancy Research Network), SOON (Southern Ontario Obstetrical Network) InvestigatorsTM. Developing twin-specific 75-g oral glucose tolerance test diagnostic thresholds for gestational diabetes based on the risk of future maternal diabetes: a population-based cohort study. 2021 Nov;128(12):1975-1985. doi: 10.1111/1471-0528.16773. Epub 2021 Jun 22. PMID: 34032350.
Ahmed RJ, Gafni A, Hutton EK, Hu ZJ, Sanchez JJ, Murphy HR, Feig DS; CONCEPTT Collaborative Group. The cost implications of continuous glucose monitoring in pregnant women with type 1 diabetes in 3 Canadian provinces: a posthoc cost analysis of the CONCEPTT trial. CMAJ Open. 2021 Jun 4;9(2):E627-E634. doi: 10.9778/cmajo.20200128. Print 2021 Apr-Jun.
Mattison C, Bourret K, Hebert E, Leshabari S, Kabeya A, Achiga P, Robinson J, Darling E. Health systems factors impacting the integration of midwifery: an evidence- informed framework on strengthening midwifery associations.BMJ Glob Health. 2021 Jun;6(6):e004850. doi: 10.1136/bmjgh-2020-004850.
Landry S, Arseneau E, Darling EK. “It’s a Little Bit Tricky”: Results from the POLYamorous Childbearing and Birth Experiences Study (POLYBABES).Arch Sex Behav. 2021 May;50(4):1479-1490. doi: 10.1007/s10508-021-02025-5. Epub 2021 Jun 1. PMID: 34075505; PMCID: PMC8213580.10.1007/s10508-021-02025-5. Epub 2021 Jun 1.
Reszel J, Weiss D, Darling EK, Sidney D, Van Wagner V, Soderstrom B, Rogers J, Holmberg V, Peterson WE, Khan BM, Walker MC, Sprague AE. Client Experience with the Ontario Birth Center Demonstration Project. J Midwifery Womens Health. 2021 Mar;66(2):174-184. doi: 10.1111/jmwh.13164. Epub 2020 Dec 18.
Schummers L, Darling EK, Gayowsky A, Dunn S, McGrail K, Law MR, Laba TL, Norman WV. Abortion utilization and safety when mifepristone is available without regulations restricting practice? A population-based study using linked health administrative data from Ontario. Journal of Obstetrics and Gynaecology Canada. 2021. 43(5):671-672.
Vanstone M, Panday P, Popoola A, Taneja S, Greyson D, McDonald S, Pack R, Black M, Murray-Davis B, Darling E. Pregnant people’s perspectives on cannabis use during pregnancy: A systematic review and integrative mixed-methods research synthesis. 2021. Pre-print.
Grenier LN, Atkinson SA, Mottola MF, Wahoush O, Thabane L, Xie F, Vickers-Manzin J, Moore C, Hutton EK, Murray-Davis B. Be Healthy in Pregnancy: Exploring factors that impact pregnant women’s nutrition and exercise behaviours.Matern Child Nutr. 2021 Jan;17(1):e13068. doi: 10.1111/mcn.13068. Epub 2020 Jul 23.
Darling EK, Kjell C, Tubman-Broeren M, Marquez O. The Effect of Prenatal Care Delivery Models Targeting Populations with Low Rates of PNC Attendance: A Systematic Review.J Health Care Poor Underserved. 2021;32(1):119-136. doi: 10.1353/hpu.2021.0012.
Bone JN, Magee LA, Singer J, Nathan H, Qureshi RN, Sacoor C, Sevene E, Shennan A, Bellad MB, Goudar SS, Hutton EK. Blood pressure thresholds in pregnancy for identifying maternal and infant risk: a secondary analysis of Community-Level Interventions for Pre-eclampsia (CLIP) trial data. The Lancet Global Health. 2021. 9(8):e1119-e1128.
Shoemaker E , Saiyin T, Smith S, Loutfy M, Darling E, Walker M, Hawken S, Begum J, Bibeau C, Bertozzi, B, Fraleigh A, Kwaramba G, Johnson K, Cousineau A, Kendall C. Patterns of maternity care utilization of women living with HIV in Ontario: a cross- sectional, population level study. 2021;48(3):357-365. DOI: 10.1111/birt.12545

Health Outcomes

Hiersch L, Ray JG, Barrett J, Berger H, Geary M, McDonald SD, Diong C, Gandhi S, Guan J, Murray-Davis B, Melamed N; DOH-NET (Diabetes, Obesity and Hypertension in Pregnancy Research Network). Maternal cardiovascular disease after twin pregnancies complicated by hypertensive disorders of pregnancy: a population-based cohort study. 2021 Sep 20;193(37):E1448-E1458. doi: 10.1503/cmaj.202837. PMID: 34544783; PMCID: PMC8476218.
Hiersch L, Shah BR, Berger H, Geary M, McDonald SD, Murray-Davis B, Halperin I, Retnakaran R, Barrett J, Melamed N; for DOH-NET (Diabetes, Obesity and Hypertension in Pregnancy Research Network) and SOON (Southern Ontario Obstetrical Network) Investigators. Oral Glucose Tolerance Test Results in Pregnancy Can Be Used to Individualize the Risk of Future Maternal Type 2 Diabetes Mellitus in Women With Gestational Diabetes Mellitus. Diabetes Care.2021 Aug;44(8):1860-1867. doi: 10.2337/dc21-0659. Epub 2021 Jun 15. PMID: 34131049.
Lipworth H, Melamed N, Berger H, Geary M, McDonald SD, Murray-Davis B, Murphy KE, Redelmeier DA, Yoon EW, Barrett JFR, Ram M; Diabetes, Obesity, and Hypertension In Pregnancy Research Network Investigators. Maternal weight gain and pregnancy outcomes in twin gestations. Am J Obstet Gynecol. 2021 Nov;225(5):532.e1- 532.e12. doi: 10.1016/j.ajog.2021.04.260. Epub 2021 May 10. PMID: 33984302.
Shinar S, Melamed N, Abdulaziz KE, Ray JG, Riddell C, Barrett J, Murray-Davis B, Mawjee K, McDonald SD, Geary M, Berger H; for DOH-NET (Diabetes, Obesity, Hypertension in Pregnancy Research Network), SOON (Southern Ontario Obstetrical Network) InvestigatorsTM. Changes in rate of preterm birth and adverse pregnancy outcomes attributed to preeclampsia after introduction of a refined definition of preeclampsia: A population-based study.Acta Obstet Gynecol Scand. 2021 Sep;100(9):1627-1635. doi: 10.1111/aogs.14199. Epub 2021 Jul 9. PMID: 34043808
Robinson C, Chanchlani R, Gayowsky A, Brar S, Darling E, Demers C, Klowak J, Knight B, Kuenzig E, Mondal T, Parekh R, Seow H, Jimenez-Rivera C, Webster R, Fung S, Benchimol EI, Batthish M. Incidence and short-term outcomes of Kawasaki disease. Pediatr Res.2021 Sep;90(3):670-677. doi: 10.1038/s41390-021-01496-5. Epub 2021 Mar 30. PMID: 33785879.
Robinson C, Lao F, Chanchlani R, Gayowsky A, Darling E, Batthish M.Long-term hearing and neurodevelopmental outcomes following Kawasaki disease: A population- based cohort study. Brain Dev. 2021 Aug;43(7):735-744. doi: 10.1016/j.braindev.2021.03.001. Epub 2021 Apr 3. PMID: 33824025.
Joseph KS, Lee L, Arbour L, Auger N, Darling EK, Evans J, Little J, McDonald SD, Moore A, Murphy PA, Ray JG, Scott H, Shah P, VanDenHof M, Kramer MS. Stillbirth in Canada: anachronistic definition and registration processes impede public health surveillance and clinical care.Can J Public Health. 2021 Aug;112(4):766-772. doi: 10.17269/s41997-021-00483-x. Epub 2021 Mar 19.
Homann CM, Rossel CAJ, Dizzell S, Bervoets L, Simioni J, Li J, Gunn E, Surette MG, de Souza RJ, Mommers M, Hutton EK, Morrison KM, Penders J, van Best N, Stearns JC. Infants’ First Solid Foods: Impact on Gut Microbiota Development in Two Intercontinental Cohorts. 2021 Jul 30;13(8):2639. doi: 10.3390/nu13082639.
Homann C, Dizzell S, Azab SM, Hutton EK, Morrison KM, Stearns JC; GI-MDH Consortium. Investigation of the impact of stool collection methods on the metabolomics analysis/profiles of infant fecal samples. 2021. Pre-print.
Dizzell S, Stearns JC, Li J, van Best N, Bervoets L, Mommers M, Penders J, Morrison KM, Hutton EK; GI-MDH Consortium Partners. Investigating colonization patterns of the infant gut microbiome during the introduction of solid food and weaning from breastmilk: A cohort study protocol. PLoS One. 2021 Apr 2;16(4):e0248924. doi: 10.1371/journal.pone.0248924. eCollection 2021.
Magee LA, Singer J, Lee T, Rey E, Asztalos E, Hutton E, Helewa M, Logan AG, Ganzevoort W, Welch R, Thornton JG, Woo Kinshella ML, Green M, Tsigas E, von Dadelszen P; CHIPS Study Group. The impact of pre-eclampsia definitions on the identification of adverse outcome risk in hypertensive pregnancy – analyses from the CHIPS trial (Control of Hypertension in Pregnancy Study). 2021 Jul;128(8):1373- 1382. doi: 10.1111/1471-0528.16602. Epub 2021 Feb 25. PMID: 33230924.
MacDonald T, Dorcely O, Ewusie J, Darling E, Greene S, Moll S, Mbuagbaw L. Maternal-newborn outcomes in rural Haiti: an interrupted time series study. Journal of Obstetrics and Gynaecology Canada. 2021. 43(5):662-663.
Aviram A, Berger H, Abdulaziz KE, Barrett JFR, Murray-Davis B, McDonald SD, Geary M, Melamed N. Outcomes Associated With Hypertensive Disorders of Pregnancy in Twin Compared With Singleton Gestations. Obstetrics & Gynecology. 2021. 138(3):449- 458.

Interprofessional Education

Corbin A, Darling EK, Pearce-Kelly T, Wise K. The Application of Health Leadership Competencies Around the World to the Canadian Midwifery Profession: A Scoping Review . CJMRP. 2021; 20(1): 18-30.
Shamki T, Ramlogan-Salanga C, Darling EK. Racialized student midwives’ exploration of resilience in the Ontario Midwifery Education Program: A qualitative descriptive study. Canadian Journal of Midwifery Research and Practice. 2021. Accepted for publication fall 2021.
Shamki T, Ramlogan-Salanga C, Darling EK. Racialized student midwives’ exploration of resilience in the Ontario Midwifery Education Program: A qualitative descriptive study. Canadian Journal of Midwifery Research and Practice. 2021. Accepted for publication fall 2021.

2020 Publications

Health Services, Population Health, & Access to Care

Reszel J, Weiss D, Darling EK, Sidney D, Van Wagner V, Soderstrom B, Rogers J, Holmberg V, Peterson WE, Khan BM, Walker MC. Client Experience with the Ontario Birth Center Demonstration Project. Journal of Midwifery & Women’s Health. 2020 Dec 18.
McKerracher L, Oresnik S, Moffat T, Murray-Davis B, Vickers-Manzin J, Zalot L, Williams D, Sloboda DM, Barker ME. Addressing embodied inequities in health: how do we enable improvement in women’s diet in pregnancy? (PDF). Public Health Nutrition. 2020 Nov 1;23(16):2994-3004.
Darling EK, Murray-Davis B, Ahmed RJ, Vanstone M. Access to Ontario Midwifery Care by Neighbourhood- Level Material Deprivation Quintile, 2006–2017: A Retrospective Cohort Study. Canadian Journal of Midwifery Research and Practice. 2020;19(2):8-23.
Nussey L, MacDonald T, Murray-Davis B, Vanstone M, Darling EK. Community as client – the work of midwives to increase access to midwifery care: A qualitative descriptive study. Canadian Journal of Midwifery Research and Practice. 2020;19(2):24-39.
Darling EK, MacDonald T, Nussey L, Murray-Davis B, Vanstone M. Making midwifery services accessible to people of low SES: A qualitative descriptive study of the barriers faced by midwives in Ontario. Canadian Journal of Midwifery Research and Practice. 2020;19(2):40-52.
McKerracher L, Oresnik S, Moffat T, Murray-Davis B, Vickers-Manzin J, Zalot L, Williams D, Sloboda DM, ME Barker. Addressing embodied inequities in health: how do we enable improvement in women’s diet in pregnancy? Public Health Nutrition. 2020; online July 6, 2020.
McKerracher L, Moffat T, Barker M, McConnell M, Atkinson SA, Murray?Davis B, McDonald SD, Sloboda DM. Knowledge about the Developmental Origins of Health and Disease is independently associated with variation in diet quality during pregnancy. Maternal & child nutrition. 2020 Apr;16(2):e12891.
Grenier LN, Atkinson SA, Mottola MF, Wahoush O, Thabane L, Xie F, Vickers?Manzin J, Moore C, Hutton EK, Murray?Davis B. Be Healthy in Pregnancy: Exploring factors that impact pregnant women’s nutrition and exercise behaviours. Maternal & Child Nutrition. 2020; e-published July 2020.
Nussey L, Hunter A, Krueger S, Malhi R, Giglia L, Seigel S, Simpson S, Wasser R, Patel T, Small D, Darling EK. Sociodemographic Characteristics and Clinical Outcomes of People Receiving Inadequate Prenatal Care: A Retrospective Cohort Study. Journal of Obstetrics and Gynaecology Canada. 2020;42(5):591-600.
Darling EK, Babe G, Sorbara C, Perez R. Trends in very early discharge from hospital for Ontario midwifery clients from 2003-2017: a cohort study. CMAJ-Open. 2020;8(2): E462-E468.
Mattison CA, Wilson MG, Wang RH, Waddell K. Enhancing equitable access to assistive technologies in Canada: Insights from citizens and stakeholders Canadian Journal on Aging/La Revue canadienne du vieillissement. 2020;39(1):69-88.
Mattison CA, Lavis JN, Hutton EK, Dion ML, Wilson MG. Understanding the conditions that influence the roles of midwives in Ontario, Canada’s health system: an embedded single-case study. BMC health services research. 2020 Dec;20(1):1-5.
Mattison CA, Lavis JN, Wilson MG, Hutton EK, Dion ML. A critical interpretive synthesis of the roles of midwives in health systems. (PDF) Health Research Policy and Systems. (2020) 18:77.

Health Outcomes & Clinical Epidemiology

Magee LA, Singer J, Lee T, Rey E, Asztalos E, Hutton E, Helewa M, Logan AG, Ganzevoort W, Welch R, Thornton JG. The impact of pre?eclampsia definitions on the identification of adverse outcome risk in hypertensive pregnancy?analyses from the CHIPS trial (Control of Hypertension in Pregnancy Study). BJOG: An International Journal of Obstetrics & Gynaecology. 2020 Nov 23.
Currie B, Marquez O, Darling EK. The safety and feasibility of contraception care by midwives and other nonphysician providers: a scoping review of randomized control trials. Canadian Journal of Midwifery Research and Practice. 2020;19(1):6-19.
Feig DS, Donovan LE, Zinman B, Sanchez JJ, Asztalos E, Ryan EA, Fantus IG, Hutton E, Armson AB, Lipscombe LL, Simmons D. Metformin in women with type 2 diabetes in pregnancy (MiTy): a multicentre, international, randomised, placebo-controlled trial. The Lancet Diabetes & Endocrinology. 2020 Oct 1;8(10):834-44.
Schummers L, Darling EK, Law MR, Laba TL, McGrail K, Dunn S, Norman WV. O2 Do medication abortion complications increase when restrictive risk evaluation and mitigation strategy regulations are removed? A population-based study using single-payer linked health administrative data. Contraception. 2020 Oct 1;102(4):273.
Yousuf EI, Carvalho M, Dizzell SE, Kim S, Gunn E, Twiss J, Giglia L, Stuart C, Hutton EK, Morrison KM, Stearns JC. Persistence of Suspected Probiotic Organisms in Preterm Infant Gut Microbiota Weeks After Probiotic Supplementation in the NICU. Frontiers in microbiology. 2020 Sep 25;11:2305.
Grenier LN, Atkinson SA, Mottola MF, Wahoush O, Thabane L, Xie F, Vickers?Manzin J, Moore C, Hutton EK, Murray?Davis B. Be Healthy in Pregnancy: Exploring factors that impact pregnant women’s nutrition and exercise behaviours. Maternal & child nutrition. 2020 Jul 23:e13068.
Dzakpasu S, Deb?Rinker P, Arbour L, Darling EK, Kramer MS, Liu S, Luo W, Murphy PA, Nelson C, Ray JG, Scott H. Severe maternal morbidity surveillance: Monitoring pregnant women at high risk for prolonged hospitalisation and death. Paediatric and perinatal epidemiology. 2020 Jul;34(4):427-39.
Nussey L, Hunter A,Krueger S, Malhi R, Giglia L, Seigel S, Simpson S, Wasser R, Patel T, Small D, Darling EK. Sociodemographic Characteristics and Clinical Outcomes of People Receiving Inadequate Prenatal Care: A Retrospective Cohort Study. Journal of Obstetrics and Gynaecology Canada. 2020 May 1;42(5):591-600.
Ouellette AC, Darling EK, Sivapathasundaram B, Babe G, Perez R, Chan AK, Chanchlani R. Incidence, Risk factors, and Outcomes of Neonatal Renal Vein Thrombosis in Ontario: Population-based cohort study. Kidney360. 2020 Jan 1:10-34067.
Feig DS, Donovan LE, Zinman B, Sanchez JJ, Asztalos E, Ryan EA, Fantus IG,Hutton EK, Armson AB, Lipscombe LL, Simmons D, Barrett JF, Karanicolas PJ, Tobin S, McIntyre HD, Tian SY, Tomlinson G, Murphy KE. Metformin in women with type 2 diabetes in pregnancy (MiTy): a multicentre, international, randomised, placebo-controlled trial. Lancet Diabetes Endocrinol. 2020;8:834–44.
Priya T, Alexander PE, Ahmed U, Elderhorst E, El-Khechen H, Mammen MJ, Borg VD, Torres ZA, Aryal K, Brocard E, Sagastuy B, Alhazzani W. Vertical transmission risk of SARS-CoV-2 infection in the third trimester: a systematic scoping review. Journal of Maternal-Fetal & Neonatal Medicine. July 2020.
Reitsma A, Simioni J, Brunton G, Kaufman K, Hutton EK. Maternal outcomes and birth interventions among women who begin labour intending to give birth at home compared to women of low obstetrical risk who intend to give birth in hospital: A systematic review and meta-analyses. EClinicalMedicine. 2020 Apr 1;21:100319.
Berger H, Melamed N, Murray-Davis B, Hasan H, Mawjee K, Barrett J, McDonald SD, Geary M, Ray JG. Impact of diabetes, obesity and hypertension on preterm birth: Population-based study.PloS one. 2020 Mar 25;15(3):e0228743.
Ram M, Berger H, Lipworth H, Geary M, McDonald SD, Murray-Davis B, Riddell C, Hasan H, Barrett J, Melamed N. The relationship between maternal body mass index and pregnancy outcomes in twin compared with singleton pregnancies. International Journal of Obesity. 2020 Jan;44(1):33-44.
Murray-Davis B, Berger H, Melamed N, Mawjee K, Syed M, Barrett J, Ray JG, Geary M, McDonald SD. Gestational weight gain counselling practices among different antenatal health care providers: a qualitative grounded theory study. BMC pregnancy and childbirth. 2020 Jan 1;20(1):102.
Galazzo G, van Best N, Bervoets L, Dapaah IO, Savelkoul PH, Hornef MW, Hutton EK, Morrison K, Holloway AC, McDonald H, Ratcliffe EM. Development of the microbiota and associations with birth mode, diet, and atopic disorders in a longitudinal analysis of stool samples, collected from infancy through early childhood Gastroenterology. 2020 Jan 18.
Ashwal E, Saied S, Melamed N, Barrett J, Mawjee K, Murray-Davis B, McDonald SD, Ray GJ, Geary M, Berger H. Failed lifestyle modification in GDM – The effect of fasting versus postprandial abnormalities on fetal growth. American Journal of Obstetrics & Gynecology. 2020; 222(1):S257.
Ashwal, E, Saied, S, Melamed, N, Barrett, J, Mawjee, K., Murray-Davis, B, McDonald, S. D, Ray, GJ, Geary, M, Berger, H. Fetal growth trajectories in Gestational Diabetes Mellitus Pregnancies and Large for Gestational Age at Birth. American Journal of Obstetrics & Gynecology. 2020; 222(1):S102.
Ashwal, E, Saied, S., Melamed, N, Barrett, J., Mawjee, K, Murray-Davis, B, McDonald, S. D, Ray, GJ, Geary, M, Berger, H. Beth Murray-Davis Characteristics of abnormal oral glucose tolerance test in GDM pregnancies and pregnancy outcome. American Journal of Obstetrics & Gynecology.2020; 222(1): S101.

Midwifery & Interprofessional Education:

Friedman CL, Ahmed RJ, Hutton EK, Darling EK. Resident Attitudes Towards Caesarean Delivery in Canadian Obstetrics and Gynaecology Residency Programs. Journal of Obstetrics and Gynaecology Canada. 2020 Jan 1;42(1):16-24.
Van Wagner V, Darling EK. 5 Disputing Evidence: Canadian Health Professionals’ Responses to Evidence about Midwifery. Health Matters: Evidence, Critical Social Science, and Health Care in Canada. 2020 May 12:92.
Murray-Davis B, Hutton EK, Carty E, Kaufman K. Comprehensive Midwifery – The role of the midwife in health care practice, education, and research: An Interactive Guide to the Theory and Evidence of Practice. The e-Book Foundry at McMaster University. 2020.

2019 Publications

Health Services, Population Health, & Access to Care

Murray-Davis B, Grenier L, Atkinson SA, Mottola MF, Wahoush O, Thabane L, Xie F, Vickers-Manzin J, Moore C, Hutton EK. Experiences regarding nutrition and exercise among women during early postpartum: a qualitative grounded theory study. BMC Pregnancy Childbirth. 2019 Oct 21;19(1):368.
McKerracher L, Moffat T, Barker M, McConnell M, Atkinson SA, Murray-Davis B, McDonald SD, Sloboda DM. Knowledge about the Developmental Origins of Health and Disease is independently associated with variation in diet quality during pregnancy. Matern Child Nutr. 2019 Dec 12:e12891.
Darling EK, Grenier L, Nussey L, Murray-Davis B, Hutton EK, Vanstone M. Access to midwifery care for people of low socio-economic status: a qualitative descriptive study. BMC Pregnancy Childbirth. 2019 Nov 12;19(1):416.
Gerster K,Murray-Davis B, Dason ES, Costescu D. A Qualitative Exploration of Past Family Planning Counselling of Adolescent and Young Mothers. Canadian Journal of Midwifery Research and Practice. 2019; 18(2): 40-7.
Dzakpasu S, Deb-Rinker P, Arbour L, Darling EK, Kramer MS, Liu S, Luo W, Murphy PA, Nelson C, Ray JG, Scott H, VandenHof M, Joseph KS; Canadian Perinatal Surveillance System (Public Health Agency of Canada). Severe Maternal Morbidity in Canada: Temporal Trends and Regional Variations, 2003-2016.. J Obstet Gynaecol Can. 2019 Nov;41(11):1589-1598.e16.
Darling EK, Bennett N, Burton N, Marquez O. Outcomes of uninsured midwifery clients in Ontario, Canada: A retrospective cohort study. Midwifery. 2019 Oct;77:24-31.
Arseneau E, Landry S, Darling EK. The Polyamorous Childbearing and Birth Experiences Study (POLYBABES): a qualitative study of the health care experiences of polyamorous families during pregnancy and birth. CMAJ. 2019 Oct 15;191(41):E1120-E1127.
Dzakpasu S, Deb-Rinker P, Arbour L, Darling EK, Kramer MS, Liu S, Luo W, Murphy PA, Nelson C, Ray JG, Scott H, VandenHof M, Joseph KS. Severe maternal morbidity surveillance: Monitoring pregnant women at high risk for prolonged hospitalisation and death. Paediatr Perinat Epidemiol. 2019 Aug 12.
Reszel J, Dunn SI, Sprague AE, Graham ID, Grimshaw JM, Peterson WE, Ockenden H, Wilding J, Quosdorf A, Darling EK, Fell DB, Harrold J, Lanes A, Smith GN, Taljaard M, Weiss D, Walker MC. Use of a maternal newborn audit and feedback system in Ontario: a collective case study. BMJ Qual Saf. 2019 Aug;28(8):635-644.
Viveiros CJ, Darling EK. Perceptions of barriers to accessing perinatal mental health care in midwifery: A scoping review. Midwifery. 2019 Mar;70:106-118.
Darling EK, Lawford KMO, Wilson K, Kryzanauskas M, Bourgeault IL. Distance from Home Birth to Emergency Obstetric Services and Neonatal Outcomes: A Cohort Study. J Midwifery Womens Health. 2019 Mar;64(2):170- 178.
Dufour S, Bernard S, Murray-Davis B, Graham N. Establishing expert-based recommendations for the conservative management of pregnancy-related diastasis rectus abdominis: results of a Delphi consensus study. Journal of Women’s Health Physical Therapy. 2019; 43(2): 73-81.

Health Outcomes & Clinical Epidemiology

Dunn S, Lanes A, Sprague AE, Fell DB, Weiss D, Reszel J, Taljaard M, Darling EK, Graham ID, Grimshaw JM, Harrold J, Smith GN, Peterson W, Walker M. Data accuracy in the Ontario birth Registry: a chart re-abstraction study. BMC Health Serv Res. 2019 Dec 27;19(1):1001.
Berger H, Melamed N, Murray-Davis B, Hasan H, Mawjee K, Barrett J, McDonald SD, Geary M, Ray JG; Diabetes, Obesity and Hypertension in Pregnancy Research Network (DOH-NET) and the Southern Ontario Obstetrical Network (SOON) Investigators. Prevalence of Pre-Pregnancy Diabetes, Obesity, and Hypertension in Canada. J Obstet Gynaecol Can. 2019 Nov;41(11):1579-1588.e2.
Magee LA, Rey E, Asztalos E, Hutton EK, Singer J, Helewa M, Lee T, Logan AG, Ganzevoort W, Welch R, Thornton JG, von Dadelszen P. Management of non-severe pregnancy hypertension – A summary of the CHIPS Trial (Control of Hypertension in Pregnancy Study) research publications. Pregnancy Hypertens. 2019 Oct 14;18:156-162.
Li J, Dizzell SE, Jones SL, Kanji S, Lau JT, Mousseau A, Yousuf EI, Holloway AC, Ratcliffe EM, Stearns JC, Morrison KM, Hutton EK. Early life exposures and the development of the infant gut microbiome: a review. Canadian Journal of Midwifery Research and Practice. 2019; 18 (2):8-24.
Hutton EK, Hannah ME, Willan A, Ross S, Armson A, Gafni A, Joseph KS, Mangoff K, Ohlsson A, Sanchez J, Asztalos E, Barrett J; Twin Birth Study Collaborative Group. Authors’ reply re: Urinary stress incontinence and other maternal outcomes 2 years after caesarean or vaginal birth for twin pregnancy: a multicentre randomised trial. BJOG. 2019 Mar;126(4):547.
Campbell K, Carson G, Azzam H, Hutton E. No. 372-Statement on Planned Homebirth. (PDF) J Obstet Gynaecol Can. 2019 Feb;41(2):223-227.
Hutton EK, Reitsma A, Simioni J, Brunton G, Kaufman K. Perinatal or neonatal mortality among women who intend at the onset of labour to give birth at home compared to women of low obstetrical risk who intend to give birth in hospital: a systematic review and meta-analyses. EClinicalMedicine. 2019 Jul 25;14:59-70.
Murray-Davis B, Berger H, Melamed N, Hasan H, Mawjee K,Syed M, Ray JG, Geary M, Barrett J, McDonald SD; Diabetes, Obesity and Hypertension in Pregnancy Research Network and Southern Ontario Obstetrical Network investigators. Weight gain during pregnancy: Does the antenatal care provider make a difference? A retrospective cohort study. CMAJ Open. 2019 Apr 23;7(2):E283-E293. Print 2019 Apr-Jun.
Ram M, Berger H, Lipworth H, Geary M, McDonald SD, Murray-Davis B, Riddell C, Hasan H, Barrett J, Melamed N; DOH-Net (Diabetes, Obesity and Hypertension in Pregnancy Research Network) and SOON (Southern Ontario Obstetrical Network) Investigators. The relationship between maternal body mass index and pregnancy outcomes in twin compared with singleton pregnancies. Int J Obes (Lond). 2019 Apr 16.
Elderhorst E, Ahmed RJ, Hutton EK, Darling EK. Birth Outcomes for Midwifery Clients Who Begin Postdates Induction of Labour Under Midwifery Care Compared With Those Who Are Transferred to Obstetrical Care. J Obstet Gynaecol Can. 2019 Oct;41(10):1444-1452.

Midwifery & Interprofessional Education:

Mueller V, Ellis S, Murray-Davis B, Sonnadara R, Grierson LEM. A multiple-trainee, multiple-level, multiple-com- petency (multi-TLC) simulation-based approach to training obstetrical emergencies. Perspect Med Educ. 2019 Oct;8(5):309-313.

2018 Publications

Health Services, Population Health, & Access to Care

Viveiros CJ, Darling EK. Barriers and facilitators of accessing perinatal mental health services: The perspectives of women receiving continuity of care midwifery. Midwifery. 2018 Oct;65:8-15.
Mattison CA, Dion ML, Lavis JN, Hutton EK, Wilson MG. Midwifery and obstetrics: Factors influencing mothers’ satisfaction with the birth experience. Birth. 2018 Sep;45(3):322-327.
Comeau A, Hutton EK, SimioniJ, Anvari E, Bowen M, Kruegar S, Darling EK. Home birth integration into the health care systems of eleven international jurisdictions. Birth. 2018 Sep;45(3):311-321.
Reszel J, Sidney D, Peterson WE, Darling EK, Van Wagner V, Soderstrom B, Rogers J, Graves E, Khan B, Sprague AE. The Integration of Ontario Birth Centers into Existing Maternal-Newborn Services: Health Care Provider Experiences. (PDF) J Midwifery Womens Health. 2018 Aug 8.
Darling EK, Lawford KM, Wilson K, Kryzanauskas M, Bourgeault I. Distance from home birth to emergency obstetrical services and neonatal outcomes: A cohort study. Journal of Midwifery & Women’s Health 2018.
Reszel J, Sidney D, Peterson W,Darling EK, Van Wagner V, Soderstrom B, Rogers J, Graves E, Khan B, Sprague A. The integration of Ontario birth centres into existing maternal newborn services – care provider experiences. Journal of Midwifery and Women’s Health 2018.

Health Outcomes & Clinical Epidemiology

Perreault M, Atkinson SA, Mottola MF, Phillips SM, Bracken K, Hutton EK, Xie F, Meyre D, Morassut RE, Prapavessis H, Thabane L; BHIP Study team. Structured diet and exercise guidance in pregnancy to improve health in women and their offspring: study protocol for the Be Healthy in Pregnancy (BHIP) randomised controlled trial. Trials. 2018 Dec 19;19(1):691.
Magee LA, Synnes AR, von Dadelszen P, Hutfield AM, Chanoine JP, Co?te? AM, Devlin AM, Dorling J, Gafni A, Ganzevoort W, Helewa ME, Hutton EK, Koren G, Lee SK, Mcarthur D, Rey E, Robinson WP, Roseboom TJ, Singer J, Wilson S, Moutquin JM; CHIPS-Child Study Group. CHIPS-Child: Testing the developmental programming hypothesis in the offspring of the CHIPS trial. Pregnancy Hypertens. 2018 Oct;14:15-22.
Ma?rtensson LB, Hutton EK, Lee N, Kildea S, Gao Y, Bergh I. Sterile water injections for childbirth pain: An evidenced based guide to practice. Women Birth. 2018 Oct;31(5):380-385
Sprague AE, Sidney D, Darling EK, Van Wagner V, Soderstrom B, Rogers J, Graves E, Coyle D, Sumner A, Holmberg V, Khan B, Walker MC. Outcomes for the First Year of Ontario’s Birth Center Demonstration Project. J Midwifery Womens Health. 2018 Sep 10.
Ram M, Berger H, Geary M, McDonald SD, Murray-Davis B, Riddell C, Hasan H, Barrett J, Melamed N; Diabetes, Obesity and Hypertension in Pregnancy Research Network (DOH-NET) and the Southern Ontario Obstetrical Network (SOON) Investigators. Timing of Delivery in Women With Chronic Hypertension. Obstet Gynecol. 2018 Sep;132(3):669-677.
Hutton EK, Hannah ME, Willan AR, Ross S, Allen AC, Armson BA, Gafni A, Joseph KS, Mangoff K, Ohlsson A, Sanchez JJ, Asztalos EV, Barrett J; Twin Birth Study Collaborative Group. Urinary stress incontinence and other maternal outcomes 2 years after caesarean or vaginal birth for twin pregnancy: a multicentre randomised trial. BJOG. 2018 Dec;125(13):1682-1690.
Nelson C, Lawford KM, Otterman V, Darling EK. Mental health indicators among pregnant Aboriginal women in Canada: Results from the Maternity Experiences Survey. (PDF) Health Promotion and Chronic Disease Prevention in Canada 2018. 38(7/8):269-76.

State of the World’s Midwifery 2021

International Day of the Midwife (IDM) occurs annually on May 5th. For this year’s IDM, we celebrated under the theme “Follow the Data: Invest in Midwives“.

Highlighting the important role that midwives play in improving sexual, reproductive, maternal, newborn, child and adolescent health (SRMNAH), the United Nations Population Fund (UNPFA), World Health Organization (WHO), and the International Confederation of Midwives (ICM) co-led a report that shows the progress and analysis of the impact of midwives on maternal and newborn health in 194 countries.

Globally, there is a shortage of 900,000 midwives. In Canada, it is estimated that approximately 9,000 midwives by 2030 will be needed to meet the sexual, reproductive, maternal, newborn, child and adolescent health needs. Read the report on Canada’s profile (PDF) and how it can be used to inform policy discussions.

Read the 2021 State of the World’s Midwifery report.

Textbooks include:

FALL 2020: BACK TO SCHOOL E-BOOK SPECIAL

Expandable List

Psychological Birth Trauma: Unveiling the Impact of Prenatal and Perinatal Education by Primary Healthcare Providers – Insights from a Grounded Theory Study

Expandable List

Community Engagement and Anti-Racist Approaches to Pregnancy Health Knowledge Exchange with Racialized Newcomers in Canada and Denmark

Transforming The Ontario Midwifery Education Program (OMEP) Through Social Justice Curriculum: A Modified Delphi Study

Burnout In Midwifery

Collaborative Research Partnerships To Advance Midwifery

Are Larger Babies In Midwifery Care Because Of Undiagnosed Gestational Diabetes? GDM Screening And Perinatal Outcomes Among Midwifery Clients In British Columbia

Perinatal Health Of People With Disabilities In Ontario

Fall 2022 Research Workshop – How to RedCap

Midwives’ Integration of Manual Vacuum Aspiration For Post-Abortion Care In The Democratic Republic of Congo

Midwifery Students and Obstetrical Residents Learning, Understanding, and Application of Shared Decision Making

Statistical Approaches to Describing and Analysing Likert Scale Data

Development and Evaluation of a Point of Care Ultrasound (POCUS) Course for Midwives

Principles for Public and Patient Engagement

Recent Publications

Psychological Birth Trauma: Unveiling the Impact of Prenatal and Perinatal Education by Primary Healthcare Providers – Insights
from a Grounded Theory Study