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21/03/2016

New Guidance To Reduce Stillbirths

New guidance has been published by NHS England in the hope of reducing the number of stillbirths.

The guidance, entitled 'Saving Babies' Lives Care Bundle', is part of an initiative to halve the rate of stillbirths from 4.7 per thousand to 2.3 per thousand by 2030. Overall, while the majority of women receive high quality care, there is around a 25% variation in stillbirth rates across England. This guidance addresses the variation by bringing together four elements of care, based on the best available evidence and practice, and will support commissioners, providers and professionals in making care safer for women and babies.

The four key interventions outlined include:

• Reducing smoking in pregnancy

• Enhancing detection of fetal growth restriction

• Improving awareness of the importance of fetal movement

• Improving fetal monitoring during labour.

Further information on all four of these interventions can be found here.

The guidance has been developed by NHS England working with organisations including the Royal College of Midwives, Royal College of Obstetricians and Gynaecologists, British Maternal and Fetal Medicine Society and Sands, the stillbirth and neonatal death charity.

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Simon Stevens, Chief Executive of NHS England, said: "For over 650,000 families who'll have a baby in the NHS this year, it'll be one of their happiest and most moving experiences. NHS maternity care is now the safest it's ever been, and most mums say they're cared for brilliantly.

"But that makes it all the more tragic and heart wrenching when for a small number of families something goes terribly wrong. We could however cut the chances of this happening if all pregnant mums were encouraged to quit smoking, if proper monitoring takes place during pregnancy, and if maternity providers listen carefully when pregnant women report worries about their baby's movements.

"That's what this new NHS 'care bundle' – developed by obstetricians, midwives, and parents – now recommends as the best standard of care everywhere. It brings together evidence-based best practice to support midwives and doctors and is a key step in driving forward safer care as set out in the recently published national Maternity Review."

Professor Jacqueline Dunkley-Bent, Head of Maternity, Children & Young People for NHS England, added: "Having a baby in this country is now safer than ever before, but for some mums that's not the case, and the 'care bundle' and new National Maternity Review will help all families receive excellent maternity care."

Dr Matthew Jolly, National Clinical Director for Maternity and Women's Health at NHS England, commented: "Saving Babies' Lives provides clinicians with the best available clinical approaches to tackling stillbirth across four key elements of care.

"Though many NHS maternity care providers already follow much of this best practice, this is the first time that guidance specifically for reducing the risk of stillbirth and early neonatal death has been brought together in a coherent package."

Currently, there are around 665,000 babies born in England each year, but there are more than 3,000 stillbirths. One in every 200 babies is stillborn in the UK, despite the rate falling to its lowest level in 20 years.

(JP)

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"New guidance has been published by NHS England in the hope of reducing the number of stillbirths."