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To explore how knowledge generated through the Actions has stimulated debate and change Summary Introduction. Questions asked Research Country participation in COST Actions In-place impact Specific cases Portugal


  1. To explore how knowledge generated through the Actions has stimulated debate and change

  2. Summary  Introduction.  Questions asked – Research  Country participation in COST Actions – In-place impact  Specific cases Portugal  Bulgaria  Switzerland  Spain   EU Parliament presentation  Specific mention to Kristeller maneuver  Political agenda- research into practice. The case of Catalonia, Spain

  3. Introduction  Integration of views, priorities and experiences of multiple  framing the kinds of questions asked, and how they are translated into practice.  Formal 3 day meetings twice a year in different European countries  alongside seminars held with key stakeholders.  Identification of variation in practice within and between countries.  B3 survey data used to inform specific governments about what works, and what needs to change.

  4. Questions asked-Research Maternity care practice variations Assessment of Impact on health policy maternity care performance

  5. Questions asked-Research Microbiome Prenatal Psychology Mode of delivery and microbiome MAMI Study. Hospital births & • homebirths

  6. Questions asked-Research Perineal trauma prevention Salutogenesis in midwifery Women’s information

  7. Questions asked-Research Respectful care

  8. Participating countries and partner countries

  9. Country participation in COST BIRTH National impact  Portugal COST Action 907 & 1405  Two seminars and next COST 1405 Final Event in 2018 Book with contributions

  10. Country participation in COST BIRTH National impact  Connected Portuguese childbirth researchers, building networks and strengthening research in this topic;  Activated and made visible the field of childbirth research in the social sciences in Portugal (events organised by Joanna White and Mario Santos)  Made way for Portuguese childbirth activists to be part of international associations and networks, such as Human Rights in Childbirth and InterOVO (Network of Obstetric Violence Observatories);  Stimulates local change and improvement, by the constant comparison between countries that happens in our meetings;  Made some social problems more visible, such as obstetric violence, with the publication of a joint paper and my participation on a TV show where I could talk about it.

  11. Country participation in COST Actions  Bulgaria  “Physiological Birth “ & meeting COST Action 1405. Sophia  Media coverage. Newspaper, radio interviews and Sofia TV interviews

  12. Country participation in COST Actions  COST Action 1405 has had a monumental presence in Bulgaria - not in numbers but in impact. It has connected Bulgarian midwives with British expert midwives who were able to observe maternity services and to evaluate the lack of autonomous midwifery.  COST Action 1405 organized the first evidence-based conference in Bulgaria on the science behind physiological birth with eminent lecturers from across the EU, members of COST.  The transnational project for research on normality has enabled local voices to speak louder on the necessity of implementing evidence-based guidelines in childbirth and helped articulate arguments that were never given a platform to speak from

  13. Country participation in COST Actions  Switzerland . The Action has shown added value for Swiss participation in terms of:  Building a sustainable interdisciplinary network that will continue after the end of the Action  Facilitating Early Stage Researchers to work with experienced researchers on large projects.  Opening opportunities to collaborate with a variety of disciplines within Switzerland as well as between Switzerland and other countries  Supporting the development of (new) topic areas and research skills in maternity care  Engagement and development of female researchers and ESR scientists over the life of the Action  Facilitating a growing national interest in the value of consumer’s views and opinions for assessing and improving the quality of maternity care

  14. Country participation in COST Actions  Spain  Meeting in Barcelona & Seminar  Launched the Midconbirth Study  Research network  Multicentre cross-sectional study Book with contributions

  15. Country participation in COST Actions EU parliament presentation  Political influence:  Members of COST Action were invited to present their work to policy makers and stakeholders in the EU Parliament: ” Promoting Normal Birth Through Europe”.

  16. Country participation in COST Actions Special mention to Kristeller maneuver  Highlighting the issue of  Highlighting the issue of Kristeller maneuver and Kristeller maneuver in harmful birth practices in Spain . UCSF (California) the Czechc Republic as collaboration with well as in Slovakia University of Alcalá and University Pompeu Fabra

  17. Political agenda- research into practice The case of Catalonia, Spain  Catalonia Health Plan 2016-2020. Health policy agenda  Normal birth care model  First Birth Centre announced in May by the Ministry of Health. Massive press coverage. [Local, National]

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