How are hospitals in England caring for women at risk of preterm birth in 2021? The influence of national guidance on preterm birth care in England: a national questionnaire.
Preterm
Preterm clinic
Preterm pathway
Saving Babies Lives Care Bundle Version 2
Journal
BMC pregnancy and childbirth
ISSN: 1471-2393
Titre abrégé: BMC Pregnancy Childbirth
Pays: England
ID NLM: 100967799
Informations de publication
Date de publication:
20 Jan 2023
20 Jan 2023
Historique:
received:
06
06
2022
accepted:
16
01
2023
entrez:
20
1
2023
pubmed:
21
1
2023
medline:
25
1
2023
Statut:
epublish
Résumé
National guidance (Saving Babies Lives Care Bundle Version 2 (SBLCBv2) Element 5) was published in 2019, with the aim to standardise preterm care in England. We plan to identify how many preterm birth surveillance clinics there are in England, and to define current national management in caring for women who are both asymptomatic and high-risk of preterm birth, and who arrive symptomatically in threatened preterm labour, to assist preterm management both nationally and internationally. An online survey comprising of 27 questions was sent to all maternity units in England between February 2021 to July 2021. Data was obtained from 96 units. Quantitative analysis and free text analysis was then undertaken. We identified 78 preterm birth surveillance clinics in England, an increase from 30 preterm clinics in 2017. This is a staggering 160% increase in 4 years. SBLCBv2 has had a considerable impact in increasing preterm birth surveillance clinic services, with the majority (61%) of sites reporting that the NHS England publication influenced their unit in setting up their clinic. Variations exist at every step of the preterm pathway, such as deciding which risk factors warrant referral, distinguishing within particular risk factors, and offering screening tests and treatment options. While variations in care still do persist, hospitals have done well to increase preterm surveillance clinics, under the difficult circumstances of the COVID pandemic and many without specific additional funding.
Sections du résumé
BACKGROUND
BACKGROUND
National guidance (Saving Babies Lives Care Bundle Version 2 (SBLCBv2) Element 5) was published in 2019, with the aim to standardise preterm care in England. We plan to identify how many preterm birth surveillance clinics there are in England, and to define current national management in caring for women who are both asymptomatic and high-risk of preterm birth, and who arrive symptomatically in threatened preterm labour, to assist preterm management both nationally and internationally.
METHODS
METHODS
An online survey comprising of 27 questions was sent to all maternity units in England between February 2021 to July 2021.
RESULTS
RESULTS
Data was obtained from 96 units. Quantitative analysis and free text analysis was then undertaken. We identified 78 preterm birth surveillance clinics in England, an increase from 30 preterm clinics in 2017. This is a staggering 160% increase in 4 years. SBLCBv2 has had a considerable impact in increasing preterm birth surveillance clinic services, with the majority (61%) of sites reporting that the NHS England publication influenced their unit in setting up their clinic. Variations exist at every step of the preterm pathway, such as deciding which risk factors warrant referral, distinguishing within particular risk factors, and offering screening tests and treatment options.
CONCLUSIONS
CONCLUSIONS
While variations in care still do persist, hospitals have done well to increase preterm surveillance clinics, under the difficult circumstances of the COVID pandemic and many without specific additional funding.
Identifiants
pubmed: 36670432
doi: 10.1186/s12884-023-05388-w
pii: 10.1186/s12884-023-05388-w
pmc: PMC9854090
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
47Subventions
Organisme : National Institute for Health Research
ID : NIHR300484
Informations de copyright
© 2023. The Author(s).
Références
Evid Based Nurs. 2014 Jul;17(3):65-6
pubmed: 24829302
BMC Pregnancy Childbirth. 2016 Nov 21;16(1):358
pubmed: 27871275
Lancet. 2021 Mar 27;397(10280):1183-1194
pubmed: 33773630
BMJ Open. 2022 Mar 29;12(3):e061302
pubmed: 35351735
Trials. 2021 Sep 28;22(1):664
pubmed: 34583760
BMJ. 2022 Feb 15;376:e064547
pubmed: 35168930
Midwifery. 2021 Jan;92:102864
pubmed: 33137547
BJOG. 2014 Mar;121(4):417-21
pubmed: 24314110
BJOG. 2019 May;126(6):763-769
pubmed: 30461172
Sex Reprod Healthc. 2021 Sep;29:100611
pubmed: 33882392
J Matern Fetal Neonatal Med. 2021 Jan;34(1):49-57
pubmed: 30895903
BMJ Open Qual. 2021 May;10(2):
pubmed: 33958354
Pediatrics. 2009 Feb;123(2):e312-27
pubmed: 19171583
BMC Pregnancy Childbirth. 2019 Feb 13;19(1):68
pubmed: 30760248