The fourth annual Saving Lives, Improving Mothers’ Care report issued by the MBRRACE-UK collaboration is published today 7th December 2017: You can read it on the MBRRACE-UK reports page.
In this, the latest Confidential Enquiry into Maternal Deaths and Morbidity, the MBRRACE-UK collaboration report on the care of 124 women who died during or after pregnancy in the UK and Ireland between 2013 and 2015, and 46 women who had severe illness in this period. In particular the care for women with severe epilepsy and women who had severe mental illness was examined, as well as the care for women who died.
A key finding was that forward planning of care and optimising medication doses for women with physical and mental health problems could make a major difference to women’s risk of complications during and after pregnancy. In particular pregnant women and those who are planning pregnancy who are on medication should not discontinue their treatment without consulting a specialist.
“Term, singleton, intrapartum stillbirth and intrapartum-related neonatal death”
The third Perinatal Confidential Enquiry report issued by the MBRRACE-UK collaboration is published today 28th November 2017: You can read it on the reports page.
The rate of term, singleton, intrapartum stillbirth and intrapartum-related neonatal death has more than halved since these deaths were last reviewed nationally in 1993. This represents a reduction of about 220 intrapartum deaths per year.
Mental health problems in pregnancy and the postnatal period are relatively common and are associated with an increase in adverse outcomes. Jane Henderson, Julie Jomeen and Maggie Redshaw have conducted a study, using data from an English survey, to describe the care received by women with mental health problems in pregnancy, and to describe the effects of support, advice and treatment on outcomes in the postnatal period.
They found that women with antenatal mental health problems were significantly more worried at the prospect of labour and birth, had lower satisfaction with the experience of birth, worse postnatal mental health, and indications of poorer attachment to their baby. They also found that these women received substantially more care than other women but they did not always view this positively.
These results suggest that health care professionals may need additional training to effectively support women with mental health problems during the perinatal period.
The INFANT study has been featured on the MoreTrials website under a series called ‘Trials that matter’. The INFANT study, which involved NPEU researchers Ed Juszczak, Louise Linsell and Maria Quigley, recruited more than 47,000 women and assessed whether automated computerised interpretation of the fetal heart rate during labour improved major outcomes such as neonatal death and child development at age 2.
Baby-OSCAR study has started its follow-up phase while recruitment continues in hospitals across the UK.
We will be sending questionnaires directly to parents just before their child's second birthday. It is imperative that we receive these questionnaire back, as it measures the primary outcome of the trial. So if your baby was a participant on the trial, please help us out by taking part in this important stage of the study.
If you have any questions regarding this follow-up, have any queries regarding the questionnaire or haven't received your questionnaire when you think you should have, please contact the Baby-OSCAR team via email (email@example.com) or telephone 01865 17965.
There is an option of completing the questionnaire online. Thank you for your help and support of this important study.
The Poppi trial team have joined the #startedinoxford initiative with a video introducing their work to explore how babies feel pain.
Started in Oxford highlights some of the innovative and exciting work being undertaken at the University of Oxford. Further details about this initiative can be found on the Started in Oxford youtube channel here.
We are pleased to announce the appointment of Professor Maria Quigley as the Director of Graduates Studies (DGS) for postgraduate research students in the Nuffield Department of Population Health (NDPH). Maria is a statistical epidemiologist and senior researcher in NPEU. She currently supervises several DPhil students and teaches on the MSc in Global Health Science. She assumes her new role in January 2018, succeeding Professor Sasha Shepperd, who steps down at the end of 2017. Associate Professor Jonathan Emberson will continue to serve as Deputy DGS.
Louise Linsell, Senior Medical Statistician from NPEU, will be presenting the latest results from the EPICURE study, “Born at the threshold of viability: impact on cognitive development into adulthood” (2nd November). Associate Professor Ed Juszczak will also be attending the conference, if you're there, please come and say hello!
Louise has two related articles on cognitive and behavioural trajectories in the EPICURE cohort should be published in the very near future.