This is the fourth MBRRACE-UK perinatal mortality surveillance report and provides information on extended perinatal deaths in the UK and Crown Dependencies arising from births during 2016. The report was carried out by Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK (MBRRACE-UK), a collaboration led from the National Perinatal Epidemiology Unit at the University of Oxford. The analysis focused on rates of stillbirth and neonatal death across the UK for all babies born at 24 weeks of gestation or more. In 2016, there were 780,043 births, 3,065 stillbirths and 1,337 neonatal deaths. According to the report, although the stillbirth and neonatal deaths rates overall are reducing over time, the reduction in these rates between 2013 and 2016 is only around 6.5%.
MBRRACE-UK webpage here Download the report and infographic etc here
Read the RCOG statement in response to MBRRACE-UK report on stillbirths and neonatal deaths here
Delays to clamping the umbilical cord of about a minute can reduce hospital mortality for preterm infants by around 32%. Delayed clamping also reduced the proportion of infants needing a blood transfusion by 10%.
This review adds more precise data on survival from new trials including a large Australian trial (over 1,600 babies) to a previous Cochrane 2012 review of trails including 738 infants and provides new more precise data on the survival benefit.
These findings are consistent with current guidelines which recommend delayed clamping in preterm infants.
“Cheap, quick and effective interventions in medicine are rare, but delayed clamping of the umbilical cord at birth appears to be just that.
A systematic review of 18 trials including almost 3,000 preterm babies confirms that delaying cord clamping by 60 seconds reduces mortality before hospital discharge. It also makes it less likely that babies will need blood transfusions, and there is no apparent increase in morbidity for mother or baby.
On a worldwide scale, given the large number of babies born before 37 weeks of gestation, the potential benefits of waiting patiently for just one minute are huge.”
Dr Elaine Boyle, Associate Professor in Neonatal Medicine, University of Leicester; Honorary Consultant Neonatologist, University Hospitals of Leicester NHS Trust
HQIP has commissioned MBRRACE-UK to develop and establish a standardised National Perinatal Mortality Review Tool (PMRT) on behalf of the Department of Health (England), and the Welsh and Scottish Governments. The tool, which is being designed with the involvement of bereaved parents, will be free for use by NHS maternity and neonatal units in England, Wales and Scotland. It is being piloted this summer and is scheduled to launch by the end of 2017
The main purpose of the tool is to enable high quality reviews of the circumstances and care leading up to cases of stillbirth and neonatal death