An estimated 600 stillbirths annually could be prevented if maternity units adopt national best practice according to an independent evaluation, which includes University of Manchester experts
Clinical improvements such as better monitoring of a baby’s growth and movement in pregnancy, as well as better monitoring in labour, means that maternity staff have helped save more than 160 babies’ lives across 19 maternity units, according to an independent evaluation due to be published today
The detailed report shows that stillbirths fell by a fifth at the maternity units where national guidance, known as the Saving Babies Lives Care Bundle, had been implemented. The best practice guidance is now being introduced across the country and has the potential if these findings were replicated, to prevent an estimated 600 stillbirths.
The Saving Babies Lives Care Bundle is part of ambitious plans by NHS England to make maternity care safer and more personal.
Dr Matthew Jolly, National Clinical Director for Maternity and Women’s Health at NHS England, said:
“These findings show significant progress in the reduction of stillbirth rates. This is thanks to the dedicated maternity staff who have developed and implemented the clinical measures we recommend as national best practice. We know more can be done to avoid the tragedy of stillbirth and as we develop the 10 year plan for the NHS, we want to build on the progress we’ve made to make maternity services in England among the safest in the world.”
Prof Alexander Heazell Professor of Obstetrics, University of Manchester, said:
“This large scale evaluation of the NHS England Saving Babies Lives Care Bundle shows that the interventions to reduce cigarette smoking, detect small for gestational age babies, inform women about reduced fetal movements and improve monitoring of babies during labour, have been increasingly implemented in the early adopter maternity units. Over the same time period stillbirths have fallen by 20%, meaning 161 fewer stillbirths in the participating units.
“This is an encouraging step towards achieving the UK government’s ambition of halving stillbirths by 2025. Importantly, this project has also highlighted areas which need further work – to reduce preterm birth and ensure that intervention is focussed on women and babies who require it. This project shows the importance of continually developing and evaluating the care we give to women and babies.”