FROSTTIE has recently been granted REC and HRA approval. We are looking for more centres to join the trial as recruiting sites.
FROSTTIE (REC reference 18/SC/0580; IRAS 235355) is a multi-centred randomised trial for babies with breastfeeding difficulties who are thought to have tongue-tie and who are receiving breastfeeding support, and there is uncertainty about whether frenotomy would help continuation of breastfeeding.
The aim of the trial is to find out if skilled support for breastfeeding on its own, or together with a frenotomy helps mothers and their babies to breastfeed.
If you are able to provide or facilitate infant feeding support services, with a minimum breastfeeding support level of:
Initial face-to-face assessment of breastfeeding;
Advice on positioning and attachment;
At least one follow-up visit, together with drop-in clinic advice as required, but available on more than one day a week;*
A standard follow-up visit at 1-2 weeks after frenotomy;*
Your site may be able to take part in this study. *Please note follow-up visits do not necessarily have to take place at your trust for you to take part.
With no existing evidence to support the use of ursodeoxycholic acid (UDCA) to improve intrahepatic cholestasis of pregnancy (ICP), PITCHES, a Phase III clinical trial proposes to provide definitive evidence to discover if the use of UDCA improves pregnancy outcomes in women with this liver disorder.
For more information, please find the recently published study protocol for the PITCHES trial in the BioMedCentral Trials journal here.
There is considerable concern about the impact of the death of a baby on parents’ psychological and physical health and the way in which they are cared for at the time of the death and subsequently. The UK Department of Health funded Listening to Parents study focused on this aspect of maternity care.
This latest paper on women whose babies died soon after birth is one of a series of papers using data from Listening to Parents, a population-based study of parents whose baby died as a stillbirth or shortly after birth in 2012-131. Two previous papers focused on the experience of stillbirth for women living in deprived areas2 who have a higher incidence of stillbirth, and parent’s experience of the post-mortem process following stillbirth3.
Giving birth in a birth centre may be as safe for some obese women who have given birth before as it is for those with a lower Body Mass Index (BMI).
A new study, published in PLOS ONE and funded by the National Institute for Health Research (NIHR), has shown that, for women with a BMI between 35 and 40 who have given birth before and are otherwise healthy, planning birth in an alongside midwifery unit (AMU) can be just as safe as for women with a lower BMI.
Working with a network of midwives in AMUs across the UK, as part of the UK Midwifery Study System (UKMidSS), researchers at the NPEU, led by Dr Rachel Rowe, identified and collected information about all 1,122 severely obese pregnant women (with a BMI over 35kg/m2) who received labour care in AMUs, and 1,949 comparison women with a lower BMI who were looked after in the same units.
This initiative is the direct result of the involvement of our Diabetes in Pregnancy PPI group of women with lived experience of diabetes in pregnancy. Their support has already helped to secure funding for another project to understand why women may experience the life-threatnening condition of diabetic ketoacidosis (DKA) in pregnancy. This important project, led by Professor Marian Knight uses the UK Obstetric Surveillance System (UKOSS) and confidential case enquiry, and is funded by an NIHR Research for Patient Benefit grant (NIHR RfPB ref: PB-PG-0817-20004).
Director, National Perinatal Epidemiology Unit 1994-1995
It was with great sadness that we heard the news of the death of Professor Judith Lumley on 25th October 2018 in Victoria, Australia. Judith was a world renowned researcher who leaves a substantial legacy in the field of maternal and child health. Among her many great and lasting achievements she established and ran the Victorian Perinatal Data Collection Unit. This exemplified her early vision of the need for and importance of routine surveillance data and the role such data can play in conducting high quality research to improve health outcomes.
In 1991 Judith established the Centre for the Study of Mothers’ and Children’s Health in Victoria, which was later renamed ‘The Judith Lumley Centre’ in recognition of her contribution to building a programme addressing issues of major public health importance for mothers, babies and families.
Judith was recruited as Director of the National Perinatal Epidemiology Unit in 1994. She spilt her time between Oxford and Victoria during the two years she was Director of the Unit (1994 to 1995) following which she returned to the Centre in Victoria, where she remained Director until her retirement in 2008.
Her lifetime achievements were recognised in 2006 when she was made a Member of the Order of Australia (AM) for her contribution to public health and maternity care.
We understand that Judith died peacefully following a long illness. She will be greatly missed by everyone who worked with her and benefited from her gentle guidance and kind mentorship. Predeceased by her husband Peter, Judith is survived by her children, grandchildren and three sisters.