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Found 554 results
  1. News Article
    The charity Birthright have launched an inquiry into why women from ethnic minority backgrounds are experiencing higher maternity risks. Evidence in the inquiry will be gathered from parents, anti-racist campaigners, midwives and obstetricians. The NHS has said it is working on a new strategy to address inequalities, maternity and neonatal care. Read full story. Source: BBC News, 23 June 2021
  2. Content Article
    The national Perinatal Mortality Review Tool (PMRT) was developed with clinicians and bereaved parents in 2017 and launched in England, Wales and Scotland in early 2018; it was subsequently adopted in Northern Ireland in autumn 2019. The aim of the PMRT programme is introduce the PMRT to support standardised perinatal mortality reviews across NHS maternity and neonatal units Unlike other review or investigation processes, the PMRT makes it possible to review every baby death, after 22 weeks’ gestation, and not just a subset of deaths. This report presents data from the 3,693 reviews which were completed between March 2019 and February 2020.
  3. News Article
    England's Chief Nurse has announced every pregnant woman will be able to access their maternity records from their smart phone. The move has been made so that pregnant women will be able to have more control over their pregnancy and will be able to see all the decisions and information made via a smart phone. GPs and health professionals will also be able to access this information, it is hoped that by doing so, it will mean pregnant women will no longer have to repeat information to different clinicians they see whilst pregnant, which may also help improve safety. Read full story Source: NHS England, 17 June 2021
  4. News Article
    Two more NHS maternity units have been downgraded by the care watchdog amid safety concerns. The services at Colchester Hospital and Ipswich Hospital were downgraded from good, to 'requires improvement', finding staff shortages at both hospitals. Moreover, it was also found handovers were not sufficient meaning staff were not sharing the proper information about the women and babies. Among the concerns and issues raised, there were problems with team-working, properly recording patient information, and inefficient information systems. Read full story Source: The Independent, 16 June 2021
  5. Content Article
    Group B Streptococcus (Group B Strep, Strep B, Beta Strep, or GBS) is a type of bacteria which lives in the intestines, rectum and vagina of around 2-4 in every 10 women in the UK (20-40%). Most women carrying GBS will have no symptoms and although it is not harmful to pregnant women, it can affect babies around the time of birth. Read Poppy's story.
  6. Content Article
    In this article, Sodium Valproate: The Fetal Valproate Syndrome Tragedy, Sharon Hartles, member of the Open University’s Harm and Evidence Research Collaborative, reflects upon the use of Sodium Valporate, marketed as Epilim, to treat patients at risk of epilepsy and the subsequent harms in fetal development and birth defects that arose from its use. 
  7. Content Article
    In addition to older individuals and those with underlying chronic health conditions, maternal and newborn populations have been identified as being at greater risk from COVID-19. It became critical for hospitals and clinicians to maintain the safety of individuals in the facility and minimise the transmission of COVID-19 while continuing to strive for optimised outcomes by providing family-centered care. Rapid change during the pandemic made it appropriate to use the plan–do–study–act (PDSA) cycle to continually evaluate proposed and standard practices. Patrick and Johnson describe how their team established an obstetric COVID-19 unit for women and newborns, developed guidelines for visitation and for the use of personal protective equipment, initiated universal COVID-19 testing, and provided health education to emphasize shared decision making.
  8. Content Article
    Authors of this study conclude that among infants with a birth weight between 1.0 and 1.799 kg, those who received immediate kangaroo mother care (continuous skin-to-skin contact) had lower mortality at 28 days than those who received conventional care with kangaroo mother care initiated after stabilisation. Follow the link below to access the paper in full via The New England Journal of Medicine.
  9. Content Article
    Neonatal herpes is a rare, and potentially fatal, disease which usually occurs in the first four weeks of a baby's life. Early recognition and treatment have been shown to significantly improve babies' chances of making a full recovery. In the second blog of this series, Sarah de Malplaquet, Chief Executive and Founder of the Kit Tarka Foundation, shares Kit’s story, who died at just 13 days old. Sarah reflects on a number of ‘missed signs’, highlighting the urgent need for increased awareness among staff.  
  10. Content Article
    The aim of this study from Gurol-Urganci et al. was to determine the association between COVID-19 infection at the time of birth and maternal and perinatal outcomes. Covid infection at the time of birth is associated with higher rates of fetal death, preterm birth, preeclampsia and emergency Caesarean delivery. There were no additional adverse neonatal outcomes, other than those related to preterm delivery. Pregnant women should be counseled regarding risks of covid infection and should be considered a priority for vaccination.
  11. News Article
    A large UK study suggests having coronavirus around the time of birth may increase the chance of stillbirths and premature births - although the overall risks remain low. Scientists say while most pregnancies are not affected, their findings should encourage pregnant women to have jabs as soon as they are eligible. The majority are offered vaccines when they are rolled out to their age group. The study appears in the American Journal of Obstetrics and Gynecology. The research, led by the National Maternity and Perinatal Audit, looked at data involving more than 340,000 women who gave birth in England between the end of May 2020 and January 2021. Researchers say a higher risk of stillbirth and prematurity, as well as a greater chance of having a Caesarean section, remained even once factors such as the mother's age, ethnicity, socio-economic background and common health conditions were taken into account. Babies born to women who tested positive were more likely to need special neonatal intensive care because they were born early and needed more support - rather than being infected with coronavirus itself. Professor Asma Khalil, co-author of the paper, said it was important for women and healthcare workers to be aware of the potential risks. Read full story Source: BBC News, 21 May 2021
  12. News Article
    Beth and Dan Wankiewicz want answers about why their baby son Clay died last year, shortly after his birth at Doncaster Royal Infirmary. Despite a low-risk pregnancy, the family say Clay died from multiple skull fractures. Doncaster and Bassetlaw NHS Foundation Trust said "the provision and delivery of high-quality" care is a priority. The BBC has found a 2016 review flagging concerns about the hospital's maternity care was never published. The report - one of scores of unpublished reports discovered by a Freedom of Information request by BBC's Panorama programme - highlighted significant patient safety concerns. Beth Wankiewicz was admitted to hospital last July, but after a day of labour her baby had still not been born. With no consultant doctor on site, a junior doctor made two attempts to deliver the baby with forceps, after getting advice on the phone. Father, Dan, remembers the second attempt with forceps being much more vigorous "which was a bit of a shock". The family say there was a further delay before they had a Caesarean section. Their baby had to be pushed back up the birth canal into the womb for the C-section to be performed. "I think after about 10 minutes, we both looked at the clock, and we said it's not looking good," said Dan. Around 20 minutes after their son was born, despite attempts to resuscitate him, they were told he had died. The following day they say a midwife told them she was being pressurised by other staff to say Clay had been stillborn, but she was sure he had been born alive, and she had heard a heartbeat. The family now believe this was to avoid scrutiny and the need for a coroner's inquest, which doesn't happen with still births. Read full story Source: BBC News, 19 May 2021
  13. Content Article
    This report, published by the National Child Mortality Database, is based on data for children who died between April 2019 and March 2020 in England, and finds a clear association between the risk of child death and the level of deprivation (for all categories of death except cancer). More specifically, Child Mortality and Social Deprivation states that over a fifth of all child deaths might be avoided if children living in the most deprived areas had the same mortality risk as those living in the least deprived – which translates to over 700 fewer children dying per year in England. The report’s authors are now calling on policy makers and those involved in planning and commissioning public health services as well as health and social care professionals to use the data in this report to develop, implement and monitor the impact of strategies and initiatives to reduce social deprivation and inequalities.
  14. Content Article
    Solace is a London-based charity working to end violence against women and girls. In this blog, Chief Executive, Fiona Dwyer highlights the increased risk of abuse during pregnancy and how healthcare staff can help identify and reduce significant harm.  
  15. Content Article
    This leaflet has been developed by Tommy’s and NHS England to help pregnant people understand more about their baby's movements, why it is important and when to seek advice. The leaflet contains clear messaging on reduced fetal movements consistent with national guidelines.
  16. News Article
    The chief medical officers of the four UK nations are set to warn about a surge in admissions of severely ill, very young children later this year, due to the resurgence of a respiratory virus which has been suppressed by anti-covid measures, HSJ can reveal. Public Health England modelling shows a possible sharp rise in cases of respiratory syncytial virus (RSV), which can cause bronchiolitis, this autumn and winter, several senior sources said. The modelling shows between 20 and 50% more cases needing hospitalisation than normal, HSJ understands. Official projections conclude that such a surge would require, at least, a doubling of paediatric intenstive care beds and a significant increase in other critlcal care resources for sick children. Most of those expected to be affected by the rise in RSV are forecast to be three years old or younger. The UK’s four chief medical officers are considering the issue and planning to write to ministers to highlight it, the sources said, while NHS England is working on a response plan, and is expected to alert local NHS leaders. Read full story (paywalled) Source: HSJ, 14 May 2021
  17. News Article
    The parents of a baby who died after medical errors are to push for a new inquest into his death, after they say a "cruel" inquest denied them justice. Hayden Nguyen died in 2016 after medics failed to treat an infection properly. However, despite the NHS trust admitting mistakes, coroner Shirley Radcliffe concluded the infant died of natural causes, after raising concerns about the hospital's initial investigation. Hayden was six days old when his parents took him to the Chelsea and Westminster hospital in west London in August 2016. He initially had a fever but rapidly deteriorated; he had a cardiac arrest and died within 12 hours of arriving there. An internal NHS investigation concluded eight errors were made in Hayden's care, and the root causes of his death were failure to identify the signs of shock and failure to act on abnormal test results. "When they had completed the investigation, they sat us down and took us through it line by line," says Alex Nguyen, Hayden's mother. "Although the content was incredibly disturbing, it was in a way healing and it helped a little bit with the grieving process." An inquest at Westminster Coroner's Court, conducted by Dr Radcliffe, followed. However, the coroner was not happy with the hospital's investigation. The hospital to issue a second report into Hayden's care, which halved the number of errors, and said the root cause of his death was the infection "which is known to have a high mortality". Armed with this second report, the coroner concluded that Hayden had died of natural causes. "What the coroner did was kill Hayden a second time," Hayden's father, Tum, told the BBC. Read full story Source: BBC News, 14 May 2021
  18. News Article
    A nurse accused of murdering eight babies in an alleged year-long killing spree at an NHS hospital has appeared in court. Lucy Letby, aged 31, appeared at Manchester Crown Court via videolink from HMP Peterborough on Monday morning. She has been charged the murder of five boys and three girls at the neonatal unit at the Countess of Chester Hospital. The babies all died between June 2015 and June 2016. Read full story Source: The Independent, 10 May 2021
  19. Content Article
    This short article describes how maternity and neonatal teams across Herefordshire and Worcestershire Local Maternity and Neonatal System (LMNS) have been using video conferencing technology to drive safety improvements for mothers and babies, thanks to the launch of their new daily digital safety huddles.
  20. News Article
    Infant mortality is not "openly discussed" among some communities, a charity worker in Birmingham said, as the city attempts to tackle a long-standing problem. For the last decade, Birmingham has had one of the highest rates of infant mortality in England. The city council has set up a taskforce in a bid to halve the number of deaths. It heard rates were highest in deprived areas and among Black, Pakistani, and Bangladeshi heritage families. Shabana Qureshi is the women wellbeing manager for the Ashiana Community Project, a charity which works to improve quality of life for those living in Sparkbrook. Figures from the 2011 census show 87% of its population identified as being from an ethnic group other than White British, with the largest ethnic group being Pakistani. Many of women she works with, she said "don't know how to ask the right questions" and so are "not informed" about issues. Many people in the communities they work with, she said, have low education levels and are more likely to suffer with maternity health issues, but find it difficult to access services. "[Infant mortality] is not something that is discussed openly," she said. "A lot of women live within extended families and are sometimes not aware of the risks, they live with these conditions and health inequalities." She said any services which hope to tackle these problems need to involve communities, and be designed to be relatable, culturally sensitive and maintain trust. Read full story Source: BBC News, 22 April 2021
  21. News Article
    An NHS trust has admitted failing to provide safe care and treatment for a mother and her baby boy, who died seven days after an emergency delivery. Mother Sarah Richford said it brought "some level of justice" for baby Harry's death in 2017. Lawyers for the East Kent Hospitals Trust pleaded guilty to the charge at Folkestone Magistrates Court. The trust said it had made "significant changes" and would "do everything we can to learn from this tragedy". Mrs Richford said: "Although Harry's life was short, hopefully it's made a difference and that other babies won't die". She added: "If somebody had done this before Harry was born he may be alive today." The prosecution by the Care Quality Commission followed an inquest in 2020, which found Harry's death was wholly avoidable and contributed to by neglect at Margate's Queen Elizabeth the Queen Mother Hospital. The inquest found more than a dozen areas of concern in the care of Harry and his mother, including failings in the way an "inexperienced" doctor carried out the delivery, followed by delays in resuscitation. Coroner Christopher Sutton-Mattocks criticised the trust for initially saying the death was "expected", adding that an inquest was only ordered due to the family's persistence. Read full story Source: BBC News, 19 April 2021
  22. Content Article
    This is the Herts and West Essex Local Maternity and Neonatal system multilingual maternity resource padlet. It includes resources in multiple languages including Sign Language an in audio form. The initial concept and content was developed by Charlotte Easton, Better Births Project Midwife at West Hertfordshire Hospitals NHS Trust.
  23. Content Article
    Neonatal herpes is a rare, and potentially fatal, disease which usually occurs in the first four weeks of a baby's life. It is caused by the same virus that causes cold sores and genital infections – the herpes simplex virus (HSV). Early recognition and treatment has been shown to significantly improve babies' chances of making a full recovery. In the first of a series of blogs, Sarah de Malplaquet, Chief Executive and Founder of the Kit Tarka Foundation, explains why they are joint-funding new research into neonatal herpes, and how the findings could help save many lives. 
  24. Content Article
    This video introduces England's 15 Patient Safety Collaboratives (hosted by Academic Health Science Networks) and how they support the NHS Patient Safety Strategy in areas such as COVID-19, managing deteriorating patients, maternal and neonatal safety, medicines safety, mental health and more. Download the slides here
  25. Content Article
    S. Dorothy Smith instinctively knew that something was wrong with her daughter Katiana, but was dismissed as a hysterical first-time mum who just couldn't cope with normal newborn crying. She wrote a guest post for the Hysterical Women website, which can be accessed via the link below.
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