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Found 237 results
  1. News Article
    Stillbirth rates remain "exceptionally high" for black and Asian babies in the UK, a report examining baby loss in 2019 has found. The figures come despite improving numbers overall, with some 610 fewer stillbirths in 2019 than in 2013. The MBBRACE-UK report found babies of mothers living in deprived areas are at higher risk of stillbirths and neonatal deaths than those in other places. Charities say there is an urgent need to tackle inequalities around birth. There were some 2,399 stillbirths (a death occurring before or during birth once a pregnancy has reached 24 weeks)
  2. Content Article
    New recommendations 1. Enhance current programmes in order to accelerate the reduction of stillbirths and neonatal deaths to meet national targets, with an emphasis on reducing rates of preterm birth, particularly the most extreme preterm group. ACTION: Policy Makers, UK Public Health Services. 2. Continue to develop innovative new programmes of research into reducing preterm birth. ACTION: Policy Makers, UK Public Health Services, Research Funders. 3. Use the MBRRACE-UK guidance for the assessment of signs of life in births before 24+0 weeks gestational age. ACTION: Trust and H
  3. Content Article
    The report makes several recommendations including: Provide adequate resourcing for multidisciplinary PMRT review teams, including administrative support. Ensure the involvement of independent external members in the team. Action: Trusts and Health Boards, regional/network support systems and organisations, Service Commissioners Use the PMRT parent engagement materials to support engaging parents and families in the review process, including making them aware a review is taking place and giving them flexible opportunities at different stages to discuss their views, ask questio
  4. News Article
    Senior managers at an NHS trust are facing calls to resign from local councillors after criticism of the trust’s culture and widespread bullying. The chair of Nottinghamshire County Council's health scrutiny panel has called for the chair of Nottingham University Hospitals Trust Eric Morton to step down along with Keith Girling, the trust’s medical director. Councillor Sue Saddington, chair of the council’s scrutiny committee, said she would be writing to health secretary Sajid Javid over concerns about leadership at the trust. An investigation by The Independent and Channel 4 N
  5. News Article
    An adoptive mother is calling for the NHS to improve its diagnosis for children exposed to alcohol in the womb, so their families can be helped. Amanda Boorman's two sons have Foetal Alcohol Spectrum Disorder (FASD) but they were not diagnosed correctly. She said: "This is a brain and body condition that is lifelong so really the professionals need to step up." Foetal Alcohol Spectrum Disorder (FASD) covers the various health and mental issues which can affect children. A spokesperson for the Department for Health and Social Care said: "We are committed to reducing future cases
  6. Content Article
  7. News Article
    A third of stillbirths at two south Wales hospitals could have been prevented with better care or treatment, an investigation has concluded. It emerged two years ago that more than 60 women suffered the heartbreak of a stillbirth at at the Royal Glamorgan, Llantrisant, and Prince Charles Hospital, Merthyr Tydfil, and that many of these were never reported or investigated. An independent panel set up by the Welsh Government to oversee improvements in these maternity units has now concluded that many of these babies could have been saved. It looked at whether the care provided to
  8. Content Article
  9. Content Article
    Summary of findings 63 episodes of care were clinically reviewed in this phase of the programme; the independent clinical review teams concluded that in a third of those episodes, different treatment or care may have resulted in a different outcome; there were four recurrent themes which emerged from the reviews - failure to listen to women, failure to identify and escalate risk, inadequate clinical leadership and inappropriate treatment leading to adverse outcomes; although these findings are concerning and distressing for the women and families involved, they are no
  10. News Article
    Bristol Children’s hospital tried to ‘deceive’ Ben Condon’s parents about his death, NHS ombudsman says An eight-week-old baby died after “a catalogue of failings” in his treatment at a children’s hospital, which then tried to “deceive” his parents about his death, an official inquiry has found. Doctors failed to spot that Ben Condon was suffering from a deadly bacterial infection and did not give him antibiotics until an hour before he died, the NHS ombudsman said. “We found that Ben and his family suffered serious injustice in consequence of the failings we found in his care a
  11. Content Article
    Global landscape in maternal and newborn health (Dr Anshu Banerjee - Director, Department of Maternal, Newborn, Child and Adolescent Health and Ageing at the WHO) Respectful childbirth for all women and newborns (Dr Ian Askew - Director, Department of Sexual and Reproductive Health and Research at the WHO) Towards eliminating avoidable harm in maternal and newborn care: launch of World Patient Safety Day goals 2021 (Dr Neelam Dhingra - Unit Head, Patient Safety Flagship at the WHO) Maintaining safe functioning of maternal and newborn services during the COVID-19 pandemic (Dr
  12. Content Article
  13. Content Article
  14. News Article
    A catalogue of failures among prison and health professionals has been highlighted in an investigation report into the death of a teenager’s baby after she gave birth alone in her cell at the largest women’s prison in Europe. The Prisons and Probation Ombudsman published the devastating report into the events in September 2019 at HMP Bronzefield in Ashford, Middlesex on Wednesday. The case was first revealed by the Guardian and the baby’s death triggered 11 separate inquiries. The report details a disturbing series of events that culminated with the young woman, who cannot be named,
  15. Content Article
    Click here to view the report Click here to view the action plan
  16. News Article
    Babies and mothers are at risk of injury and death because too many maternity units have not improved care despite a string of childbirth scandals, a Care Quality Commission (CQC) report has warned. In a highly critical report published on Tuesday, the CQC voiced serious concern that lessons are not being learned and that many incidents involving patients’ safety are still not being recorded. Some hospitals have been “too slow” to take the steps needed to make labour and birth safer, despite multiple inquiries, reports and recommendations to do so, it said. The CQC also found ot
  17. Content Article
    The report highlights the next steps that maternity services and the CQC need to take: For maternity services and local maternity systems Leadership: In line with essential action 2 of the first Ockenden review, Boards must take effective ownership of the safety of maternity services. This includes ensuring that they have high quality, multidisciplinary leadership and positive learning cultures. They must seek assurance that staff feel free to raise concerns, that their concerns and adverse events lead to learning and improvement and that individual maternity staff competencies ar
  18. News Article
    Folic acid is to be added to UK flour to help prevent spinal birth defects in babies, the government will announce. Women are advised to take the B vitamin - which can guard against spina bifida in unborn babies - before and during pregnancy, but many do not. It is thought that adding folic acid to flour could prevent up to 200 birth defects a year. Mandatory fortification - which the government ran a public consultation on in 2019 - would see everybody who ate foods such as bread getting more folic acid in their diets. Neural tube defects, such as spina bifida (abnormal develop
  19. Content Article
    PReCePT (prevention of cerebral palsy in preterm labour) offers magnesium sulphate to eligible women during preterm labour, reducing the risk of a pre-term baby developing cerebral palsy by 50%. This HSJ Patient Safety Award-winning intervention led to 850 additional mothers in preterm labour receiving magnesium sulphate in 2019/20, avoiding an estimated 30 cases of cerebral palsy. The learning from the spread of PReCePT to all maternity units in the West of England was adopted as national safety improvement programme, leading to increased uptake across England. PERIPrem (Perinatal Excell
  20. Content Article
    Today marks the third annual World Patient Safety Day. Established by the World Health Organization (WHO) in 2019, this is intended as a day to help enhance understanding of patient safety and to engage the public in this, promoting actions to improve safety and reduce avoidable harm.[1] Patient safety and the impact of unsafe care The NHS describes patient safety as ‘the avoidance of unintended or unexpected harm to people during the provision of healthcare’.[2] The WHO in their definition expand on this, adding that it also involves ‘continuous improvement based on learning from err
  21. Content Article
    Key findings: Midwifery students perceive that being bullied in front of women or implicating them in the act adversely impacts their childbearing experiences. Some types of poor behaviour placed the safety of mothers and babies at risk. Students feel that the involvement of women, particularly COCE women, in the ‘drama’ of birth suite bullying fractures existing clinical relationships. Students believe that women lose confidence in both the midwifes’ and their ability to provide safe effective midwifery care and are left feeling awkward and uncomfortable, detracting
  22. Content Article
    1 Neonatal herpes: Why healthcare staff with cold sores should not be working with new babies In this blog, Sarah de Malplaquet, Chief Executive and Founder of the Kit Tarka Foundation, draws on her own devastating experience of her son dying to illustrate why healthcare staff with cold sores must stay away from new babies. Sarah highlights the lack of awareness of the dangers and calls for a widespread review of policy in order to prevent future deaths. 2 Midwifery Continuity of Care: What does good look like? In this video presentation, Trixie McAree, National Midwifery Lead f
  23. Content Article
  24. Content Article
    The areas of concerns which the assessors have identified include: Concerns about in-patient bed capacity in the antenatal and postnatal period Lack of shared intrapartum care guidelines Lack of agreement about senior medical staff cover (there was no clarity as to how the rota system worked, cover for holidays or absence or what was expected from the consultants e.g. when they were expected to be present on labour ward or when they should attend out of hours) A robust escalation policy when the maternity unit is full (the policy was written and ratified in September
  25. Content Article
    The letter states that despite recent improvements, the current trajectory in reducing the rate of stillbirths means the Government will be a long way off achieving their National Maternity Safety Ambition to reduce stillbirths and neonatal deaths by 50% by 2025. It argues that tackling the inequality in outcomes for babies will be key to achieving that target, highlighting that compared with white babies, stillbirth rates for Black/Black British babies are twice as high, and, for Asian/Asian British babies they are 1.6 times as high. For babies from the most deprived families, stillbirth
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