Susan Bewley | King's College London (original) (raw)

Papers by Susan Bewley

Research paper thumbnail of Perinatal Peer Mentoring, Sexual and Reproductive Health and Rights, and HIV

This chapter describes the 4M Programme, a perinatal peer mentoring programme led by, with and fo... more This chapter describes the 4M Programme, a perinatal peer mentoring programme led by, with and for women living with HIV in the UK. It considers HIV and pregnancy both within a UK and global context, describing the epidemiology as well as policy and practice. We then outline the background development and principles of the 4M programme, before highlighting successes and challenges of the programme and discussing future development.

Research paper thumbnail of Could cord pH measurement itself influence poor outcome

Research paper thumbnail of Regret after Gender-affirmation Surgery: A Systematic Review and Meta-analysis of Prevalence

Plastic and Reconstructive Surgery - Global Open, 2021

Background: There is an unknown percentage of transgender and gender non-confirming individuals w... more Background: There is an unknown percentage of transgender and gender non-confirming individuals who undergo gender-affirmation surgeries (GAS) that experiences regret. Regret could lead to physical and mental morbidity and questions the appropriateness of these procedures in selected patients. The aim of this study was to evaluate the prevalence of regret in transgender individuals who underwent GAS and evaluate associated factors. Methods: A systematic review of several databases was conducted. Random-effects meta-analysis, meta-regression, and subgroup and sensitivity analyses were performed. Results: A total of 27 studies, pooling 7928 transgender patients who underwent any type of GAS, were included. The pooled prevalence of regret after GAS was 1% (95% CI <1%–2%). Overall, 33% underwent transmasculine procedures and 67% transfemenine procedures. The prevalence of regret among patients undergoing transmasculine and transfemenine surgeries was <1% (IC <1%–<1%) and 1% ...

Research paper thumbnail of Prostate cancer screening: well intentioned initiatives may use up resources but not improve health outcomes

Research paper thumbnail of Female genital mutilation

Research paper thumbnail of An Ethical Debate: Should older women be offered in vitro fertilisation? The interests of the potential child

BMJ, 1995

TABLE iII-Advice on portions for consumers on "eatingfive portions of fruit and vegetables a day.... more TABLE iII-Advice on portions for consumers on "eatingfive portions of fruit and vegetables a day. " (The term "serving spoonfiIl" has been used to emphasise that the amounts offfruit and vegetables are as served on to the plate, rather than raw ingredients) Food type Practical description of portion (approx 80 g) Examples

Research paper thumbnail of Care of Transgender Patients: A General Practice Quality Improvement Approach

SSRN Electronic Journal, 2021

Research paper thumbnail of Effect of population-based screening on breast cancer mortality

The Lancet, 2012

Submissions should be made via our electronic submission system at http://ees.elsevier.com/ thela... more Submissions should be made via our electronic submission system at http://ees.elsevier.com/ thelancet/ We declare that we have no confl icts of interest.

Research paper thumbnail of Dependence and oestrogen replacement

The Lancet, 1992

1. Lancet. 1992 Mar 28;339(8796):814-5. Dependence and oestrogen replacement. Bewley S, Bewley T.... more 1. Lancet. 1992 Mar 28;339(8796):814-5. Dependence and oestrogen replacement. Bewley S, Bewley T. Comment on Lancet. 1992 Feb 22;339(8791):505. Lancet. 1992 Feb 22;339(8791): 505. Lancet. 1992 Feb 22;339(8791):505. Lancet. 1992 Feb 22;339(8791):505-6. ...

Research paper thumbnail of Prevalence of intimate partner violence among women seeking termination of pregnancy grouped by country's gross national income per capita (in intervals of Int$10,000)

Research paper thumbnail of Might measuring cord pH in itself affect outcome?

BMJ, 2010

Malin and colleagues confirmed the expected association between low arterial cord pH and poor out... more Malin and colleagues confirmed the expected association between low arterial cord pH and poor outcome.1 However, caution should be applied before encouraging routine blood gas measurement—usually performed after premature cord clamping, <30 s after birth. There was no indication of cord clamping and neonatal resuscitation practices used in the studies which might plausibly adversely affect, or …

Research paper thumbnail of Gender incongruence in children, adolescents, and adults

British Journal of General Practice, 2019

Research paper thumbnail of Lesbian and bisexual women's likelihood of becoming pregnant: a systematic review and meta‐analysis

BJOG: An International Journal of Obstetrics & Gynaecology, 2016

Background Few data exist regarding pregnancy in lesbian and bisexual (LB) women. Objectives To d... more Background Few data exist regarding pregnancy in lesbian and bisexual (LB) women. Objectives To determine the likelihood of LB women becoming pregnant, naturally or assisted, in comparison with heterosexual women Search strategy Systematic review of papers published 1 January 2000 to 23 June 2015. Selection criteria Studies contained details of pregnancy rates among LB women compared with heterosexual women. No restriction on study design. Data collection and analysis Inclusion decisions, data extraction and quality assessment were conducted in duplicate. Meta-analyses were carried out, with subgroups as appropriate. Main results Of 6859 papers identified, 104 full-text articles were requested, 30 papers (28 studies) were included. The odds ratio (OR) of ever being pregnant was 0.19 (95% CI 0.18-0.21) in lesbian women and 1.22 (95% CI 1.15-1.29) in bisexual women compared with heterosexual women. In the general population, the odds ratio for pregnancy was nine-fold lower among lesbian women and over twofold lower among bisexual women (0.12 [95% CI 0.12-0.13] and 0.50 [95% CI 0.45-0.55], respectively). Odds ratios for pregnancy were higher for both LB adolescents (1.37 [95% CI 1.18-1.59] and 1.98 [95% CI 1.85, 2.13], respectively). There were inconsistent results regarding abortion rates. Lower rates of previous pregnancies were found in lesbian women undergoing artificial insemination (OR 0.17 [95% CI 0.11-0.26]) but there were higher assisted reproduction success rates compared with heterosexual women (OR 1.56 [95% CI 1.24-1.96]). Conclusions Heterosexuality must not be assumed in adolescents, as LB adolescents are at greater risk of unwanted pregnancies and terminations. Clinicians should provide appropriate information to all women, without assumptions about LB patients' desire for, or rejection of, fertility and childbearing.

Research paper thumbnail of The Obstetric Hematology Manual: Management of obstetric hemorrhage: anesthetic management

Research paper thumbnail of Mandatory submission of patient identifiable information to third parties: FGM now, what next?

BMJ, 2015

professor of complex obstetrics 1 , Brenda Kelly consultant obstetrician and clinical lead for th... more professor of complex obstetrics 1 , Brenda Kelly consultant obstetrician and clinical lead for the Oxford Rose Clinic 2 , Katrina Darke general practitioner and clinical lead for the Bristol Community Rose Clinic 3 , Katrina Erskine consultant obstetrician and gynaecologist and associate medical director 4 , Clare Gerada general practitioner 5 , Patricia Lohr medical director 6 , Paquita de Zulueta honorary senior clinical lecturer 7

Research paper thumbnail of Forewarned is forearmed in massive obstetric haemorrhage

Cases with Expert Commentary, 2015

Research paper thumbnail of The harmful consequences of prelabour caesarean section on the baby

Obstetrics, Gynaecology & Reproductive Medicine, 2012

Interest in rising caesarean section (CS) rates, especially 'non-medical' planned prelabour CS (P... more Interest in rising caesarean section (CS) rates, especially 'non-medical' planned prelabour CS (PLCS), has not usually focused on the potential detrimental effects on babies, especially as long-term health is harder to study. Shortening pregnancy and avoiding labour may affect fetal maturity. Babies who do not experience labour have significantly increased respiratory and other morbidities which may have profound effects on development, determining immediate and potentially lifelong disease. As labour is usually beneficial, this must be factored into individual decisions. Consideration should be given to awaiting or inducing labour even in women with a high chance of CS or who are requesting this operation. Mothers must be fully informed of all the evidence before they can give valid consent and make decisions on their baby's behalf. Although all modes of delivery carry potential risk of neonatal morbidity or mortality, avoiding labour may cause more long-term harm than good for children overall.

Research paper thumbnail of Reconstructive Surgery After Female Genital Mutilation

Obstetrical & Gynecological Survey, 2013

such as its use here in the bladder. What is the impact of injection on bladder neuron pathways a... more such as its use here in the bladder. What is the impact of injection on bladder neuron pathways and what types of reinnervation occur? Are there long-term effects into neurotransmitters in the bladder wall? Are there changes in sensory perception after injection? What is the effect of multiple injections? All of these are important issues to address with additional clinical and preclinical investigation now that this exciting new therapy is becoming a viable option in the control of this debilitating conditionVACW.

Research paper thumbnail of Improved prediction of preeclampsia by two-stage screening of uterine arteries using the early diastolic notch and color Doppler imaging

International Journal of Gynecology & Obstetrics, 1994

Research paper thumbnail of Findings of meta-analysis cannot be relied on

BMJ, 2010

... births. Findings of meta-analysis cannot be relied on. Gill Gyte, research associate1,; Miran... more ... births. Findings of meta-analysis cannot be relied on. Gill Gyte, research associate1,; Miranda Dodwell, editor, BirthChoiceUK2,; Mary Newburn, head, research and information3,; Jane Sandall, professor of women&amp;amp;amp;#x27;s health4,; Alison ...

Research paper thumbnail of Perinatal Peer Mentoring, Sexual and Reproductive Health and Rights, and HIV

This chapter describes the 4M Programme, a perinatal peer mentoring programme led by, with and fo... more This chapter describes the 4M Programme, a perinatal peer mentoring programme led by, with and for women living with HIV in the UK. It considers HIV and pregnancy both within a UK and global context, describing the epidemiology as well as policy and practice. We then outline the background development and principles of the 4M programme, before highlighting successes and challenges of the programme and discussing future development.

Research paper thumbnail of Could cord pH measurement itself influence poor outcome

Research paper thumbnail of Regret after Gender-affirmation Surgery: A Systematic Review and Meta-analysis of Prevalence

Plastic and Reconstructive Surgery - Global Open, 2021

Background: There is an unknown percentage of transgender and gender non-confirming individuals w... more Background: There is an unknown percentage of transgender and gender non-confirming individuals who undergo gender-affirmation surgeries (GAS) that experiences regret. Regret could lead to physical and mental morbidity and questions the appropriateness of these procedures in selected patients. The aim of this study was to evaluate the prevalence of regret in transgender individuals who underwent GAS and evaluate associated factors. Methods: A systematic review of several databases was conducted. Random-effects meta-analysis, meta-regression, and subgroup and sensitivity analyses were performed. Results: A total of 27 studies, pooling 7928 transgender patients who underwent any type of GAS, were included. The pooled prevalence of regret after GAS was 1% (95% CI <1%–2%). Overall, 33% underwent transmasculine procedures and 67% transfemenine procedures. The prevalence of regret among patients undergoing transmasculine and transfemenine surgeries was <1% (IC <1%–<1%) and 1% ...

Research paper thumbnail of Prostate cancer screening: well intentioned initiatives may use up resources but not improve health outcomes

Research paper thumbnail of Female genital mutilation

Research paper thumbnail of An Ethical Debate: Should older women be offered in vitro fertilisation? The interests of the potential child

BMJ, 1995

TABLE iII-Advice on portions for consumers on "eatingfive portions of fruit and vegetables a day.... more TABLE iII-Advice on portions for consumers on "eatingfive portions of fruit and vegetables a day. " (The term "serving spoonfiIl" has been used to emphasise that the amounts offfruit and vegetables are as served on to the plate, rather than raw ingredients) Food type Practical description of portion (approx 80 g) Examples

Research paper thumbnail of Care of Transgender Patients: A General Practice Quality Improvement Approach

SSRN Electronic Journal, 2021

Research paper thumbnail of Effect of population-based screening on breast cancer mortality

The Lancet, 2012

Submissions should be made via our electronic submission system at http://ees.elsevier.com/ thela... more Submissions should be made via our electronic submission system at http://ees.elsevier.com/ thelancet/ We declare that we have no confl icts of interest.

Research paper thumbnail of Dependence and oestrogen replacement

The Lancet, 1992

1. Lancet. 1992 Mar 28;339(8796):814-5. Dependence and oestrogen replacement. Bewley S, Bewley T.... more 1. Lancet. 1992 Mar 28;339(8796):814-5. Dependence and oestrogen replacement. Bewley S, Bewley T. Comment on Lancet. 1992 Feb 22;339(8791):505. Lancet. 1992 Feb 22;339(8791): 505. Lancet. 1992 Feb 22;339(8791):505. Lancet. 1992 Feb 22;339(8791):505-6. ...

Research paper thumbnail of Prevalence of intimate partner violence among women seeking termination of pregnancy grouped by country's gross national income per capita (in intervals of Int$10,000)

Research paper thumbnail of Might measuring cord pH in itself affect outcome?

BMJ, 2010

Malin and colleagues confirmed the expected association between low arterial cord pH and poor out... more Malin and colleagues confirmed the expected association between low arterial cord pH and poor outcome.1 However, caution should be applied before encouraging routine blood gas measurement—usually performed after premature cord clamping, <30 s after birth. There was no indication of cord clamping and neonatal resuscitation practices used in the studies which might plausibly adversely affect, or …

Research paper thumbnail of Gender incongruence in children, adolescents, and adults

British Journal of General Practice, 2019

Research paper thumbnail of Lesbian and bisexual women's likelihood of becoming pregnant: a systematic review and meta‐analysis

BJOG: An International Journal of Obstetrics & Gynaecology, 2016

Background Few data exist regarding pregnancy in lesbian and bisexual (LB) women. Objectives To d... more Background Few data exist regarding pregnancy in lesbian and bisexual (LB) women. Objectives To determine the likelihood of LB women becoming pregnant, naturally or assisted, in comparison with heterosexual women Search strategy Systematic review of papers published 1 January 2000 to 23 June 2015. Selection criteria Studies contained details of pregnancy rates among LB women compared with heterosexual women. No restriction on study design. Data collection and analysis Inclusion decisions, data extraction and quality assessment were conducted in duplicate. Meta-analyses were carried out, with subgroups as appropriate. Main results Of 6859 papers identified, 104 full-text articles were requested, 30 papers (28 studies) were included. The odds ratio (OR) of ever being pregnant was 0.19 (95% CI 0.18-0.21) in lesbian women and 1.22 (95% CI 1.15-1.29) in bisexual women compared with heterosexual women. In the general population, the odds ratio for pregnancy was nine-fold lower among lesbian women and over twofold lower among bisexual women (0.12 [95% CI 0.12-0.13] and 0.50 [95% CI 0.45-0.55], respectively). Odds ratios for pregnancy were higher for both LB adolescents (1.37 [95% CI 1.18-1.59] and 1.98 [95% CI 1.85, 2.13], respectively). There were inconsistent results regarding abortion rates. Lower rates of previous pregnancies were found in lesbian women undergoing artificial insemination (OR 0.17 [95% CI 0.11-0.26]) but there were higher assisted reproduction success rates compared with heterosexual women (OR 1.56 [95% CI 1.24-1.96]). Conclusions Heterosexuality must not be assumed in adolescents, as LB adolescents are at greater risk of unwanted pregnancies and terminations. Clinicians should provide appropriate information to all women, without assumptions about LB patients' desire for, or rejection of, fertility and childbearing.

Research paper thumbnail of The Obstetric Hematology Manual: Management of obstetric hemorrhage: anesthetic management

Research paper thumbnail of Mandatory submission of patient identifiable information to third parties: FGM now, what next?

BMJ, 2015

professor of complex obstetrics 1 , Brenda Kelly consultant obstetrician and clinical lead for th... more professor of complex obstetrics 1 , Brenda Kelly consultant obstetrician and clinical lead for the Oxford Rose Clinic 2 , Katrina Darke general practitioner and clinical lead for the Bristol Community Rose Clinic 3 , Katrina Erskine consultant obstetrician and gynaecologist and associate medical director 4 , Clare Gerada general practitioner 5 , Patricia Lohr medical director 6 , Paquita de Zulueta honorary senior clinical lecturer 7

Research paper thumbnail of Forewarned is forearmed in massive obstetric haemorrhage

Cases with Expert Commentary, 2015

Research paper thumbnail of The harmful consequences of prelabour caesarean section on the baby

Obstetrics, Gynaecology & Reproductive Medicine, 2012

Interest in rising caesarean section (CS) rates, especially 'non-medical' planned prelabour CS (P... more Interest in rising caesarean section (CS) rates, especially 'non-medical' planned prelabour CS (PLCS), has not usually focused on the potential detrimental effects on babies, especially as long-term health is harder to study. Shortening pregnancy and avoiding labour may affect fetal maturity. Babies who do not experience labour have significantly increased respiratory and other morbidities which may have profound effects on development, determining immediate and potentially lifelong disease. As labour is usually beneficial, this must be factored into individual decisions. Consideration should be given to awaiting or inducing labour even in women with a high chance of CS or who are requesting this operation. Mothers must be fully informed of all the evidence before they can give valid consent and make decisions on their baby's behalf. Although all modes of delivery carry potential risk of neonatal morbidity or mortality, avoiding labour may cause more long-term harm than good for children overall.

Research paper thumbnail of Reconstructive Surgery After Female Genital Mutilation

Obstetrical & Gynecological Survey, 2013

such as its use here in the bladder. What is the impact of injection on bladder neuron pathways a... more such as its use here in the bladder. What is the impact of injection on bladder neuron pathways and what types of reinnervation occur? Are there long-term effects into neurotransmitters in the bladder wall? Are there changes in sensory perception after injection? What is the effect of multiple injections? All of these are important issues to address with additional clinical and preclinical investigation now that this exciting new therapy is becoming a viable option in the control of this debilitating conditionVACW.

Research paper thumbnail of Improved prediction of preeclampsia by two-stage screening of uterine arteries using the early diastolic notch and color Doppler imaging

International Journal of Gynecology & Obstetrics, 1994

Research paper thumbnail of Findings of meta-analysis cannot be relied on

BMJ, 2010

... births. Findings of meta-analysis cannot be relied on. Gill Gyte, research associate1,; Miran... more ... births. Findings of meta-analysis cannot be relied on. Gill Gyte, research associate1,; Miranda Dodwell, editor, BirthChoiceUK2,; Mary Newburn, head, research and information3,; Jane Sandall, professor of women&amp;amp;amp;#x27;s health4,; Alison ...