Accessing research documents for free

I’ve read quite a bit of research while writing articles for this site. But accessing research documents for free can be an issue. I understand that the publications and authors deserve remuneration for their work, of course I do, but the simple fact is if you’re trying to research your birth and maternity care options, most individuals don’t have the budget to pay for journal access. Even if we did, every article that might be worth reading seems to be in a different journal!

A friendly librarian pointed me in the direction of an article she’d written with tips and tricks to access this information for free, so here is the benefit of her wisdom:

Get The Research.org

Get The Research owl logo

gettheresearch.org is a search engine that makes academic information both discoverable and easier to digest. You can use it instead of Google.

Get The Research flags each article with its “level of evidence” when they know it. Is the article just a report about a single incident (a “case study”) or a more trustworthy analysis combining the results of many studies (a “meta-analysis”)? Click on the tags above the article titles to learn more. They rank articles with higher levels of evidence higher in the search results to make them easier to find.

Advantages:

  • user friendly interface
  • evidence based quick overviews

Disadvantages:

  • new so there’s likely some bugs to iron out
  • it’s not clear what information is updated automatically

Open Knowledge Maps.org

Open Knowledge Maps logo

Open Knowledge Maps describes itself as “a charitable non-profit organisation dedicated to improving the visibility of scientific knowledge for science and society.”

It provides a visualisation tool, demonstrating topics and the relationships between them. Use it to get an overview of the most relevant areas of a topic and papers related to those concepts.

Advantages:

  • generates visualisations for your search terms
  • it has an option to visualise results of searches just from PubMed

Disadvantages:

  • still in development
  • it only analyses the first 100 papers based on relevance ranking

Open Access Button.org

Open Access Button logo - - accessing research documents for free

openaccessbutton.org allows you to search for an Open Access version of a paper using it’s URL (web address), DOI (permanent Digital Object Identifier) or title. It’s helpful with accessing research documents for free as you can use it when you’ve found a journal article you want to read, but the publisher tries to charge you to access it.

Advantages:

  • easy to use
  • no installing or configuring, unlike Unpaywall

Disadvantages:

  • it relies on academics submitting a copy of the article

Core.ac.uk

Core Logo

Core.ac.uk is a not-for-profit service delivered by The Open University and Jisc. Institutions store publications created by their academics and CORE allows these to be simultaneously searchable through a single interface. It can be used when you have a keyword search and want a more in-depth, systematic overview of a topic or problem.

Advantages:

  • search a lot of credible information, fast
  • there’s an API for text mining

Disadvantages:

  • you aren’t searching ALL the repositories that exist in the world. It’s possible you will miss a source

Directory of Open Access Journals

Directory of Open Access Journals logo

DOAJ is a community-curated online directory that indexes and provides access to high quality, open access, peer-reviewed journals. DOAJ is independent, and all DOAJ services are free of charge including being indexed in DOAJ. All data is freely available. It’s searchable by title or article. Can be used to follow a specific journal that consistently produces articles about a topic of interest.

Advantages:

  • all of the journals included are Open Access — no paywalls

Disadvantages:

  • there is a small chance of encountering a predatory (scam) journal – however, each journal does undergo over 40 checks before it is listed.

Directory of Open Access Books

Directory of Open Access Books Logo

All books listed in DOAB are freely accessible and therefore free to read, but this does not mean readers are free to do anything they like with these books. The usage rights of the books in DOAB are determined by the license. Please check the license if you want to re-use the contents of a book. Generally speaking, all books listed in DOAB are free to read and share for non-commercial use.

Advantages:

  • avoid annoying previews, this is the whole textbook, for free!

Disadvantages:

  • the idea of Open Access textbooks is still a fairly new movement, so there’s a limited selection.
  • you will have to buy the book if you want to own a complete physical copy of the material. Printing could infringe UK copyright law.

I’m sure this won’t always work to get you access to the article you want to read, but hopefully it will bring more research info easily within reach than before!

x Big Birtha

with thanks to Sheldon Korpet who wrote the article “How to access academic papers online, for free!” on which this post is based. Licensed under CC BY-NC 3.0.

Research on Provision of Long Acting Contraceptives

Long-acting reversible contraception or ‘LARC’ describes contraceptive methods that you don’t need to use every day. This includes the copper intrauterine device (also known as the ‘coil’), progestogen-only intrauterine system (also known as the ‘hormonal coil’), progestogen-only injectable contraceptives (‘depo’) and subdermal implants (‘implant’). I recently mentioned another group conducting research on provision of long acting contraceptives. Looks like it’s a hot topic this year!

LARC is popular as it’s a highly effective method of preventing pregnancy. For some people it can be a positive option, but there are concerns that some may experience pressure to use LARC, or may find it difficult to get removed. Researchers from Lancaster University, working with the British Pregnancy Advice Service (BPAS), are studying LARC in the UK.

If you’ve been encouraged to use LARC, are over 13 and living in the UK, the researchers would love to talk to you!

Recruitment advertisement giving the details of the participant criteria - 13 yrs+, using contraception or have a need to use it, living in the UK.

For more information, please read the attached documents:

For further information, or to take part, please contact Taylor Burgess by email: taylor.burgess@bpas.org, or complete the form below with your details.

Lancaster University Faculty of Health & Medicine logo
British Pregnancy Advisory Service logo

Permission to Contact Form

Please read the project information sheet, then select yes or no to answer each question.

Pictures of 4 different Long Acting Reversible Contraceptives


Our PSG Research at the Medical Sociology Conference 2019

The best thing about ParentingScienceGang was discovering all the other articulate people passionate about the issues of high BMI pregnancy. One such woman is Dr Mari Greenfield, who presented our research at the Medical Sociology Conference in York in September. Mari has written a guest post about the experience:

Dr Mari Greenfield, who presented our PSG research at the Medical Sociology Conference 2019
Dr Mari Greenfield

Big Birthas: unpacking ‘choice’ for pregnant women with a high-BMI

I took part in the Big Birthas Parenting Science Gang as a Parent Scientist. I helped to decide the research question, design the methods we would use, and undertake some of the analysis.

When the project ended, we Parent Scientists had the data and the findings, but needed to decide what to do with them. My day job is a doula and researcher, and I’m passionate about choices in birth for all, regardless of BMI. Some of the stories women had shared with us were heartbreaking; stories of choice and power taken away, and of upset and trauma as a result.

Some of the stories were also uplifting, when women took power back; asserting their rights to make choices and decisions about themselves, their bodies, and their babies. Women had shared so much, giving time and investing themselves by telling their stories. I want to make sure we do justice to that. 

One way I can do that is to present our findings to a diverse range of audiences. In my day job, I frequently present research to conferences of academics, so I applied to the Medical Sociology Conference. Hosted by the British Sociological Association, it is a brilliant event which focuses not on what we do within health care, but how we do things, why we do things, and how we could do health care better.

our research at the Medical Sociology Conference 2019

Pecha Kucha!

My talk was accepted, in a format called Pecha Kucha. These presentations allow you to present 20 slides, and talk about each one for 20 seconds. It’s a challenging format because it makes you really focus on the key points you want to make. There is no room for waffle!

I wrote the both the initial application and the presentation collaboratively with Big Birthas and several of the other Parent Scientists, using the Facebook group to refine ideas and try things out, in the same way we had used it during the Parenting Science Gang project. It was lovely to have that very supportive and equal way of working. This is quite different from the creation of most other academic and medical presentations.

The high BMI ‘box’

I chose to focus on one of our findings, the idea of the ‘high BMI box’. Many women explained how, once in this category, BMI was the only thing anyone seemed interested in. They described having serious medical conditions ignored. One woman explained how the difference between her starting weight in her two pregnancies was objectively only 7 pounds, but in one this was ‘normal BMI’, while the other saw her put into the ‘high BMI box’. She eloquently described the differences this made to her care.

Programme excerpt about our research at the Medical Sociology Conference:

Big Birthas: unpacking ‘choice’ for pregnant women with a high-BMI

What does it mean to be labelled as having a high-BMI whilst pregnant? How does this label affect women’s experiences of navigating maternity services?

This presentation is based on a novel user-led Citizen Science collaboration between Big Birthas (peer information and support service) and Parenting Science Gang (Wellcome Trust funded user-led citizen science project).

The results described complex journeys, where interactions with healthcare professionals revolved around conversations of BMI-related risks to the exclusion of other factors, and ignored other events of the pregnancies.

Women also reported disrespectful and shaming language from healthcare professionals, and conflict if they asserted a decision that was not in line with the healthcare professional’s views.

This led some women to decline care that they actually wanted, or avoid attending appointments, to avoid conflict or denial of choice; a consequence which was particularly apparent when we examined how those women chose to approach their second pregnancies.

The presentation and our research at the Medical Sociology Conference was well received. Questions after the talk asked about both the Parenting Science Gang methodology, our methodology, and our findings. People spoke about how our research overlaps with work they are doing.

The Parenting Science Gang’s project is over, but the journey of the stories we collected is not. Next, I am hoping to work with some of the other Parent Scientists to turn our findings into a piece that can be published in a midwifery journal. Watch this space…

Dr Mari Greenfield

Academic researcher in maternity care, doula, birth activist. Special interests in traumatic birth and LGBTQ experiences.

Huge thanks to Mari for bringing our research to a wider audience, and for writing up the experience too!

Would you like to write a guest post for Big Birthas? Have you got experiences or a perspective that the Big Birthas audience might be interested in? Do you have a birth story you want to share? Please get in touch via the Contact Big Birtha page.

Christmastitis – Santa’s less welcome gift…

This guest post about Christmastitis comes courtesy of Lucy Webber, who is an International Board Certified Lactation Consultant (IBCLC).

(If you are unfamiliar with the term, an IBCLC is a breastfeeding expert. Highly experienced, trained and qualified to help mothers and babies to breastfeed, they can help with both basic and complex breastfeeding challenges. What they don’t know about boobs, breastfeeding and milk isn’t worth knowing! Find out more at the Lactation Consultants of Great Britain website.)

A pair of Christmas puddings, tastefully arranged to suggest breasts and therefore Christmastitis.

“Christmastitis – Did you know that rates of mastitis go up around holiday periods?

Why?
Well, loads of reasons to be honest. Let’s picture it shall we?

It’s your first Christmas with your baby. You’re mega excited and so is everyone else to have this gorgeous bundle in their lives. Christmas is going to be AWESOME.
Lots of travelling around in the car visiting friends and family, making the most of maternity leave to see everyone and proudly show off this little person, taking up offers to go over and be cooked for! And that is genuinely fabulous.

Breasts Not Being Regularly and Fully Emptied

But all that travelling leads to lots of time in the car seat, and for most babies the car seat sends them to sleep. And long sleeps mean long gaps between feeds, which leads to full breasts with potential for blockages…

Then the parties, the gatherings, celebrations! Lovely right?! Yes! Except everyone wants a hold of little baby Rupert and once again he has longer stretches between feeds. And when he does come back to you he’s over stimulated and over tired and only takes two minutes on the breast before he falls asleep leaving you with, you guessed it, full breasts….

Or the guests seem to think they know better than you do about baby Josie’s feeding cues and tell you she doesn’t need feeding, they can settle her for you. They talk about how ‘when they had babies you only fed every four hours and it didn’t do them any harm’. You’re then stuck between a rock and a hard place, because you would like to feed your baby, but you don’t want to upset family or the way they did things, and maybe they’re right?

Feeds are often cut short around celebrations, because you have lots of people offering to help and hold the baby so your dinner doesn’t go cold, or guests arrive, or you’re due somewhere, or you’re upstairs feeding and want to get back down to the party…the list goes on. So your breasts don’t get ’emptied’ like usual and can you guess what happens next? Yep….

Restricted Milk Flow?

Maybe you don’t feel comfortable feeding around Auntie Ethel and Uncle Bernard, so you don’t quite expose your breast as much as you might normally, and your clothes/bra are digging in a little and restricting milk flow and cause a blockage…

Maybe you’re sleeping somewhere different, the bed is different, you can’t quite get the angle of the feed right on this squishy mattress and the latch goes a bit dodgy, but you put up with it because you don’t want the baby to cry and wake everyone. Dodgy latch leads to breast not emptying efficiently…and you know the rest.

Christmas is lovely, but for a huge amount of people it’s also very stressful. Stress hormones can impact on oxytocin, which is the hormone needed to let your milk flow. So stress can temporarily inhibit milk flow leading to those full/blocked breasts again.

I might be coming across as a bit Bah, Humbug! but I’ve been around enough mothers with mastitis to know its REALLY not what you want to be dealing with at any point. It is not to be messed with, it is a serious condition and you can potentially end up very poorly.

What I’m saying is, take it EASY. Plan ahead now to make sure this holiday season is one where you can feed whenever and wherever you need to. Be led by your baby. Don’t stretch out or cut short feeds.
Listen to your body, not Auntie Denise.”

Thank you Lucy Webber IBCLC!

If you’re struggling, get help!

If you’re finding you’re struggling with breastfeeding, don’t battle on alone. People often stop breastfeeding in the first month when they experience problems such as sore nipples, inadequate milk production (real or perceived), and difficulties getting the baby feeding. These problems can almost always be overcome with the correct support – and getting help sooner rather than later is definitely the best advice.

You can call the National Breastfeeding Helpline:
0300 100 0212
9:30am – 9:30pm daily or via their online chat service which is available whenever a volunteer is available. https://www.nationalbreastfeedinghelpline.org.uk/

You can find a Baby Café near you:
https://www.thebabycafe.org/ who offer free drop-in sessions for info, support and advice (part of the National Childbirth Trust, and often run by IBCLCs)

You can employ the services (if you have the funds) of an IBCLC to come to your home:
https://www.lcgb.org/find-an-ibclc/
Usually about £60-£90 for an initial consultation, but if money is a concern, many offer instalment payment options, and while it’s not really a financial decision, when weighed against the cost of months of formula, it can be an excellent investment if it helps you to begin/maintain the breastfeeding relationship with your baby that you want.

For information on the statistics of Bigger Breastfeeding, try Bigger Breastfeeding, Behind the Statistics.

If you’re struggling to find decent maternity bras in larger sizes, try Breastfeeeding Bras for Bigger Boobs.