This is a report on NHS-funded maternity services in England for May 2017, using data submitted to the Maternity Services Data Set (MSDS). The MSDS has been developed to help achieve better outcomes of care for mothers, babies and children.
The MSDS is a patient-level ‘secondary uses’ data set that re-uses clinical and operational data for purposes other than direct patient care, such as commissioning and clinical audit. It captures key information at each stage of the maternity service care pathway in NHS-funded maternity services, such as those provided by GP practices and hospitals. The data collected include mother’s demographics, booking appointments, admissions and re-admissions, screening tests, labour and delivery along with baby’s demographics, diagnoses and screening tests.
Of the births that had a recorded delivery method, 57 per cent were spontaneous vaginal births, 11 per cent had instrumental assistance, 13 per cent were elective caesarean sections and 15 per cent were emergency caesarean sections. The proportion of births by emergency caesarean was highest in the London Commissioning Region (17 per cent) and lowest in the Midlands and East of England Commissioning Region (14 per cent).
This short resource summarises the work of NHS Improvement, frontline clinical experts, parents and baby charities to lever system-wide change and improvement by understanding preventable factors leading to full-term babies being admitted to neonatal units.
Admission to a neonatal unit can lead to unnecessary separation of mother and baby. There is overwhelming evidence that separating mother and baby at or soon after birth can affect the positive development of the mother-child attachment process and adversely affect maternal perinatal mental health.
Preventing separation except for compelling medical indications is essential in providing safe maternity services. NHS providers of maternal and neonatal care can use the resources to:
improve the safety of care
keep mothers and babies together whenever it’s safe to do so
identify local improvement priorities
develop an action plan to ensure any relevant resources are introduced into clinical practice
NHS England has announced the winners for the latest round of the Maternity Challenge Fund. Three projects are each being awarded £50,000 to explore innovative ways to use women’s and their partners’ feedback to improve maternity services. The winning trusts are Gloucester Hospitals, Southport and Ormskirk Hospital, and Northumbria Healthcare.
This report published by the Foundation of Nursing Studies describes a project that aimed to set up weekly antenatal information and support group in a Children’s Centre to increase potential for secure attachments between mother and infant, increase confidence, encourage peer support and inform and empower mothers.
This Cochrane Special Collection of systematic reviews on Breastfeeding has been developed to bring the best available evidence on effective care to the attention of decision makers, health professionals, advocacy groups, and women and families, and to support the implementation of evidence-informed policy and practice. The collection focuses on reviews on support and care for breastfeeding women, including treatment of breastfeeding associated problems; health promotion and an enabling environment; and breastfeeding babies with additional needs.
Public Health England has updated and rebranded its leaflets on screening tests and pregnancy scans. Screening tests for you and your baby: gives information on the screening tests offered during pregnancy and after the baby is born, and is available in a variety of languages.
This guideline summarises the evidence regarding the routine use of external cephalic version (ECV) for breech presentation, and is the second edition of this guideline, first published in 2006 under the title External Cephalic Version (ECV) and Reducing the Incidence of Breech Presentation.
It presents the best evidence concerning methods to prevent noncephalic presentation at delivery and therefore caesarean section and its sequalae. The mode and technique of delivering a breech presentation is summarised in the Royal College of Obstetricians and Gynaecologists Green-top Guideline No. 20b Management of Breech Presentation.