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Researcher supports creation of database to improve maternal care in Nigeria

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A university researcher has been part of a new project to establish an electronic healthcare database to improve maternity care in low and middle-income countries.

The Maternal and Perinatal Database for Quality, Equity and Dignity (MPD-4-QED) Programme in Nigeria has been established by the World Health Organisation, in collaboration with the Nigerian Federal Ministry of Health (FMOH), and was funded by the global initiative MSD for Mothers.

Dr Abiodun Adanikin, an assistant professor of maternal and perinatal epidemiology at Coventry University’s research centre for healthcare and communities, worked with colleagues to create the database.

The database serves as a monitoring tool for maternal and early neonatal care and outcomes and is the first of its kind in low and middle-income countries (LMICs).

“The challenge of quality data often plagues LMICs, preventing performance tracking and progress monitoring in maternity care,” said Dr Adanikin.

“While this database hasn’t been easy to accomplish, now we have a system which collects quality data.

“With periodic analysis, we can monitor the quality of maternity care and outcomes for women and babies and learn about what works and what can be improved. In addition, the data can be used for research purposes.”

What’s great about this database, Adanikin said, is that it can be replicated in other low- and middle-income countries that face the similar challenges of inequalities in maternity care outcomes as Nigeria.

“Many thanks to the outstanding teams and colleagues who collaborated on this project.

“Overall, the MPD-4-QED programme demonstrates substantial potential for tracking essential maternal, newborn and child health metrics in Nigeria – and potentially in other LMICs – rather than relying solely on estimates.”

Dr Adanikin recently shared the team’s experience and lessons learned in establishing the database in a publication in the British Journal of Obstetrics and Gynaecology.

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News

When sound drives wellness: Music’s expanding role in femtech

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By Con Raso, Managing Director, Tuned Global

Music and technology leaders at Tuned Global, Endel and Bluesound Professional discuss intersection of art, tech, wellness and music.

The intersection of music and wellness is not new, but the shape of it is changing quickly.

Femtech innovation is evolving fast, and the decisions innovators make around content, technology, and licensing are creating a genuinely new kind of music business.

This space was explored during a panel at the 2025 Music Tectonics conference in Santa Monica, with other companies whose approaches to wellness music share very little in common beyond the category label.

The session, moderated by Andrew Stess, Head of Sales and Business Development for North America at music cloud platform Tuned Global, drew out a conversation between Graeme Harrison, Vice President & General Manager of Bluesound Professional, and Marina Guz, Chief Commercial Officer with Endel.

Stess opened with a deliberately broad question: what is wellness? The answers illustrated just how wide the category has become.

For context, Bluesound Professional makes networked audio hardware deployed across a range of environments, from gyms to hospitals to corporate offices.

The company works with services including Composure, which targets sleep improvement for people with dementia, and MoodSonic, which applies biophilic soundscaping to workplace environments.

“Wellness is different things to different services,” Bluesound Professional’s Harrison said.

“Fit Radio would look at wellness as being gyms and exercise and that sort of thing. Composure is about helping people with dementia, specifically sleep, go to sleep and stay asleep.

“With MoodSonic, wellness is all about the well workplace, getting well-certified and employee engagement, creating activity-based work where you can go to different areas of a workplace to achieve what you want; focus, relaxation, creativity, whatever.”

Endel’s Guz came at the question from a different angle.

The company generates AI-powered soundscapes for focus, relaxation, sleep and meditation, each personalised to the user’s biometric inputs.

“Can you sleep? Can you deal with stress? Are you grounded? What’s your general mindset towards things?” she said. “That’s what Endel is trying to really help you with.”

Art, Tech and Science

                             Marina Guz

For Endel, the music model is a little different from other music businesses.

Every soundscape is generated in real time, drawn from stems produced by Endel’s internal composers or in collaboration with external artists, and assembled dynamically based on user inputs including heart rate, time of day, weather, and movement.

“We always like to say we live at the intersection of tech, art, and science,” Guz said.

“The team has gone out and done a lot of research, we collaborate with a lot of scientists and researchers in the space to really understand what kind of sounds we need to play for you to fall asleep vs stay asleep vs when you wake up.”

The company’s founding team had musical backgrounds, including a neoclassical composer who has released on Decca, and a CEO whose deep interest in Brian Eno shaped the company’s foundational approach.

That grounding in composition distinguishes Endel’s output from what Guz sees as the broader wellness music category on streaming platforms.

The company’s first major artist collaboration was with Grimes. Since then it has worked with James Blake, Miguel, and others, building soundscapes that carry an artist’s sonic identity while adhering to scientific guidelines for the intended use case.

Endel was also, according to Guz, the first AI music company to sign deals with Universal Music Group and Warner Music Group.

The personalisation goes further than most listeners would expect.

Two people pressing play on the same Endel soundscape at the same time will hear different outputs, because the system continuously adapts to each user’s biometric state.

“If you and I, we’re in different locations, different age, different sex. Maybe you’re sitting down and walking around at different heart rates. Your soundscape will sound different than my soundscape because it will get personalised to the inputs that you give it,” Guz said.

“No track, no soundscape is ever the same in the app. It always gets generated on the fly for you in the moment based on the inputs.”

Hardware, Artists, and the AI Problem

Stess, whose work at Tuned Global is built around helping fitness, wellness and other companies navigate the complex music streaming and licensing space, steered the conversation toward implementation. The theory was covered.

                              Andrew Stess

What does the infrastructure look like in practice, and where do artists fit in it?

Harrison brought up the delivery layer, something the panel hadn’t dwelled on yet.

Bluesound Professional makes networked audio hardware that sits at the endpoint of everything the other two companies build, and there’s more going on there than the word “hardware” suggests.

Their devices are individually addressable network speakers, which means a service like MoodSonic can pull in real-time occupancy levels, temperature, and time of day to shift a workplace soundscape on the fly.

Their work with Composure goes further, using pillow sensors to measure sleep quality in dementia patients and adapting the audio output accordingly.

Harrison also raised something that landed quietly in the room: Model Context Protocol.

Developed initially by Anthropic and later adopted by OpenAI, Microsoft, and Google, it’s a standard that lets agentic AI communicate directly with connected devices.

When he asked who in the audience knew what it was, only a handful of hands went up.

“It completely subverts the controller interface,” he said.

“That means that we can control all of our devices via our AI agent of choice.”

On the question of where artists fit, Stess put it directly: how do you build something sustainable in wellness? Guz’s answer was blunt.

Much of the wellness streaming world runs on ghost producers and fake artist profiles built to generate playlist placements rather than careers.

“It’s all kind of ghost producers, fake artists that populate these playlists,” she said.

“On that side of the world, there can still be a lot done to promote more artists who want to actually move into the space.”

Endel is now launching Sources, a label dedicated to artist-centric wellness music, signing neoclassical and ambient artists who make the music but lack the platform.

                   Graeme Harrison

“We are signing just small artists, because there are a lot of amazing neoclassical artists who make music in the space, but they don’t really have a platform,” Guz said.

“We’re launching something that is really just humans making music for the space, no science, no tech, no anything, because that’s what’s really missing, at least on the streaming side of the business.”

Guz also flagged a complication specific to Endel.

The company has worked with AI since before it became a loaded term, and that history has become a liability.

The early collaborations with Grimes, James Blake, and Miguel drew real attention when generative soundscapes with named artists were still a novelty.

That novelty has since been swamped by a flood of low-effort AI-generated content filling wellness playlists across every major platform.

“AI is associated, especially in the wellness space, with slop,” she said.

“So much content, cover artwork, is being generated, and everything looks terrible and a lot of it sounds terrible, and so we are being grouped into that same thing, even though we’re really not [that] at all”

The questions the panel kept returning to, around licensing, metadata, artist engagement, and the AI content quality problem, are the sort Tuned Global works through with clients building music into health and wellness products.

The wellness music space is growing, the licensing challenges are real, and the opportunity for artists willing to engage seriously with it is there.

The infrastructure, whether hardware, soundscape technology, or a fitness platform’s back end, is further along than most of the music industry has noticed.

About Con Raso, Managing Director of Tuned Global

Con Raso is an entrepreneur passionate about innovation, new technologies, and start-ups.

Over the last few decades he has focused on creating innovative mobile and online distribution models within the B2C entertainment market, enabling brands to utilise music as a marketing tool, via unique customer engagement strategies.

Being inherently well-versed in both technology and music, Con ensures our solutions are aesthetically pleasing, engaging and disruptive.

About Tuned Global

Tuned Global is the data-driven music cloud platform that empowers businesses to integrate commercial music into their apps and launch complete streaming experiences using advanced APIs, real-time analytics, licensing solutions, rights management systems, Ai-enabled music discovery, and customisable white-label streaming apps.

Our turnkey solutions for music, audio, and video — coupled with advanced AI capabilities and a broad ecosystem of third-party music tech integrations — make us the most comprehensive platform for powering any digital music project.

We streamline complexities in licensing, rights management, and content delivery, enabling rapid innovation and bringing new ideas to life. Since 2011, we’ve supported 40+ companies in 70+ countries — across telecom, gaming, fitness, health, media, aviation, and more — to deliver innovative music experiences faster and more cost-effectively.

Learn more at tunedglobal.com

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Motherhood

Wales becomes first UK nation to unite maternity care under a single digital record

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System C has completed the national rollout of BadgerNet Maternity across all seven NHS Health Boards in Wales. This is the first time any UK nation has unified its maternity care under a single digital record and patient-facing app.

With approximately 26,000 babies born annually in Wales, BadgerNet connects maternity information across organisational boundaries in the country.

Expectant parents can access their records, maternity appointments and key updates digitally through a single app, wherever they receive care while clinicians have secure access to the right information at the point of care.

The national three-year agreement across all Heath Boards replaces a patchwork of separate local systems and eliminates the need for paper hand-held notes.

Anthony Tracey is director of digital at Hywel Dda University Health Board, the final of the Welsh Health Boards to go live with BadgerNet.

He said: “The rollout of BadgerNet across Wales is a vitally important step forward in modernising our maternity services and providing a consistent service across the country.

“By giving expectant parents direct access to their information and enabling clinicians to share data more effectively, we are strengthening safety, transparency and consistency in maternity care nationwide.”

For expectant parents, the single digital maternity record transforms how they engage with their care.

Instead of carrying paper notes and repeating information at every appointment, parents can access key details, appointments and updates digitally, supporting more informed conversations and shared decision-making.

The result is greater transparency, fewer administrative frustrations and a more joined-up experience throughout pregnancy and into the postnatal period, regardless of which health board they fall under.

For clinicians and Health Boards, the joined-up approach reduces duplication and streamlines handovers across teams and sites. Information is digitally captured once and made available securely wherever it is needed, helping to minimise errors, reduce time spent tracking down notes and support more efficient multidisciplinary working.

At a national level, linking maternity data across Wales creates a foundation for safer, more consistent care.

Aggregated, standardised information enables earlier identification of trends and variation, supports evidence-based policy decisions and enhances long-term service planning.

With a comprehensive view of maternity activity and outcomes across the country, Wales is now better positioned to raise standards for parents, babies and families.

Guy Lucchi, managing director of healthcare at System C, added: “Delivering a truly national approach across all seven Health Boards is a significant achievement for Wales.

“One shared system means information flows with the patient, not the organisation.

“That reduces duplication, supports earlier identification of risk and frees up valuable clinical time.

“Crucially, linking maternity data at a national level provides powerful insight to drive improvement. Health Boards can benchmark, plan services with greater confidence and ensure resources are targeted where they are needed most, while expectant parents benefit from clearer communication and a more connected experience of care.”

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Menopause

Perimenopause misinformation ‘putting women at risk’

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Perimenopause misinformation on social media is putting women at risk of unintended pregnancies, unnecessary medication and missed diagnoses, experts have said.

Awareness of menopause and treatments such as hormone replacement therapy, or HRT, has been raised by efforts including a prominent documentary by Davina McCall.

But as a growing number of women encounter misleading information on social media, there are concerns that some could be led to false conclusions that can obscure real underlying health difficulties.

“Everyone thinks they’re menopausal,” said Dr Paula Briggs, a consultant in sexual and reproductive health.

“So we are seeing younger and younger women asking for HRT when what they need is hormonal contraception, as they’re still fertile.

“I work in an abortion service and we’re seeing more women over 35 now who believe themselves to be menopausal and are gobsmacked when they become pregnant.”

According to the British Menopause Society, more than 80 per cent of women will be menopausal by the age of 54, meaning they have not had a period for 12 months or more, with about 5 per cent reaching menopause before the age of 45.

But menopause is not a sudden stop. Instead, women go through a transition known as perimenopause over months or years.

During this time, hormone levels fluctuate and can cause symptoms such as changes in menstrual patterns, hot flushes and difficulty sleeping.

Briggs said misinformation around perimenopause is concerning.

“I look at things like Instagram to see what they are exposed to and I am horrified,” she said, citing examples of women in their 30s being told to demand HRT if they are unable to sleep or are struggling with migraines, and to switch GPs if denied.

Or women being told they should seek testosterone treatment.

“I’m not anti any of these things in the right person, but females produce their own testosterone lifelong, even women without ovaries, so the idea that everybody has to demand testosterone is bonkers,” Briggs said.

Dr Channa Jayasena, an expert in reproductive endocrinology at Imperial College London, also raised concerns.

“It’s great that there’s better [public] awareness [about perimenopause]. And I think many doctors are completely unaware about how debilitating the symptoms of perimenopause can be,” he said.

“But the flipside of that, I think there’s a risk that some women are being mislabelled as having perimenopause when they have other things that are wrong.”

Prof Janice Rymer, chair of the British Menopause Society, agreed.

“[If you are] having regular periods naturally, then you’re not perimenopausal, end of story. You’ve got good hormone levels,” she said.

Rymer added that there is a perception that any symptom affecting women between the ages of 40 and 60 is due to perimenopause or menopause and that HRT is required.

“I think HRT is completely wonderful,” Rymer said. But, she added, “it’s not for women who don’t need it,” noting that in such situations it can cause heavy bleeding.

Briggs said a key concern arising from misinformation around perimenopause is that women are stopping contraception, thinking it is no longer needed.

Jayasena suggested that could be because of messaging around how fertility declines with age.

“I think we’ve got a real awareness about the timelines for optimum fertility and optimum response for IVF. IVF stops working well beyond the age of 42. It’s easy to translate that to an assumption that you can’t get pregnant naturally, when actually you can,” he said.

Experts have also raised concerns over a pushback against hormonal contraception, something that is particularly acute among younger women, even though demand for HRT is growing.

While they stress contraception is not a one-size-fits-all issue, Briggs noted there are many progestogen-only contraceptives, which use a synthetic version of the hormone progesterone, that can be used alongside HRT to protect against pregnancy while managing symptoms associated with perimenopause.

In addition, she said, there are modern forms of the combined pill that are safer for use in women experiencing perimenopause than traditional combined pills, as they contain a natural form of oestrogen.

Essentially, said Jayasena, “it’s a mini pill plus a bit of HRT.”

Dr Zara Haider, president of the College of Sexual and Reproductive Healthcare, said misinformation is a significant issue, particularly around fertility and hormone use.

She said: “We still see women stopping contraception too early because they assume they can’t get pregnant, when in reality contraception is needed until menopause is confirmed or until age 55.

“There’s also been a lasting impact from outdated or flawed studies around risks like breast cancer, which has understandably made some women cautious about hormones.

“At the same time, it’s positive that public conversations, including high-profile campaigns, have helped bring menopause into the mainstream.

“The challenge now is making sure women are getting accurate, evidence-based information to make informed decisions.”

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