NICEimpact maternity


NICE has published NICEimpact maternity (pdf).  This report reviews how NICE recommendations for evidence-based and cost-effective maternity care are being implemented in the healthcare system to improve outcomes.  This report highlights some positive progress in the uptake of NICE recommendations for safe and personalised maternity care, however, in some areas there is still room for improvement.

Download the report here 

Read the RCM’s press release here


NIHR Signal – Domperidone increases breast milk production in mothers of premature babies

The drug domperidone increases the amount of breast milk women produce. This review looked at its use for up to two weeks in women with premature babies being fed with expressed milk. Women had a moderate increase in breast milk of about 88ml a day, a clinically important increase for these small babies.

Domperidone is an anti-sickness medication. It has not been widely used to increase breast milk because of unknown effectiveness and concerns that it can cause an irregular heart rhythm with longer-term use in older people.

This review found it can moderately increase milk production. Though no serious or cardiac side effects occurred in the studies, only 192 women participated in the trials, so rarer side effects may still occur.

Overall, the risk of irregular heart rhythms in mothers may be outweighed by the benefits of increased breast milk consumption in premature infants. Informed consent is necessary for this use of domperidone.

View the full signal here

Quality of care in maternity services

Fifteen steps

NHS England has published Fifteen steps for maternity: quality from the perspective of people who use maternity services.  This document is part of a suite of tool kits for ‘The Fifteen Steps Challenge’; this toolkit helps maternity services to explore the experience of service users.  It has been co-created with maternity service users, including those from seldom heard and minority groups and organisations that represent them.

 Download the document here

Perinatal mental health care pathways

Perinatal care pathways

NHS England has published The perinatal mental health care pathways.  This document sets out policy drivers and strategic context for transforming perinatal mental health care, as well as pathways to deliver transformation. It provides services with evidence on what works in perinatal mental health and case studies of positive practice.  NHS England has also issued a news release NHS England pledges specialist mental health services for new mums in every part of the country  which summarises the funding and services available.

Download the document here

Read the press release here

Nursing, midwifery and care staff learning tool

Leading change

NHS England has published Leading change, adding value: learning tool to support all nursing, midwifery and care staff.  This document provides details of the Leading Change, Adding Value (LCAV) framework and supports all nursing, midwifery and care staff to identify and address unwarranted variation in practice – recognising unequal standards of care and changing them.

Download the document from here

Female genital mutilation – care and prevention (NHS England)

NHS England’s FGM Prevention Programme has launched a website, bringing together in one place the work of NHS England on female genital mutilation (FGM). The website includes information about: commissioning services for women and girls with FGM; service standards for commissioning FGM care for patients under the age of 18; best practice guidance, pathways and templates to safeguard against FGM; and the mandatory reporting duty.

Visit the webpage here