Andrew Symon

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OBJECTIVE To compare clinical outcomes between women employing an independent midwife and comparable pregnant women using NHS services. DESIGN Anonymised matched cohort analysis. Cases from the database of the Independent Midwives' Association (IMA) matched up to 1:5 with Scottish National Health Service (NHS) records for age, parity, year of birth, and(More)
BACKGROUND Contemporary broad descriptions of health and well-being are reflected in an increasing appreciation of quality of life issues; in turn this has led to a growing number of tools to measure this. METHODS This paper reviews articles cited in MEDLINE, CINAHL and BIDS which have addressed the concept of quality of life in pregnancy and the period(More)
OBJECTIVE To derive prediction models for both initiation and cessation of breastfeeding using demographic, psychological and obstetric variables. DESIGN A prospective cohort study. SETTING Women delivering at Ninewells Hospital, Dundee, UK. DATA SOURCES Demographic data and psychological measures were obtained during pregnancy by questionnaire. Birth(More)
BACKGROUND The mother-generated index (MGI) is one of only a few existing specific questionnaires for assessing the postnatal quality of life (QoL). MGI is a single-form questionnaire that asks postnatal mothers to specify up to eight areas of their lives which have been affected by giving birth to a baby. Using this tool, it is possible to score and rank(More)
BACKGROUND Implementing effective antenatal care models is a key global policy goal. However, the mechanisms of action of these multi-faceted models that would allow widespread implementation are seldom examined and poorly understood. In existing care model analyses there is little distinction between what is done, how it is done, and who does it. A new(More)
BACKGROUND Using patient-reported outcome measures (PROMs) to assess Quality of Life (QoL) is well established, but commonly-used PROM item-sets do not necessarily capture what all respondents consider important. Measuring complex constructs is particularly difficult in randomised controlled trials (RCTs). The Mother-Generated Index (MGI) is a validated(More)
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