UKMidSS enables a rolling programme of different studies.
Study 5: Diabetes
This national cohort study will investigate outcomes for women with diabetes (both gestational and pre-existing) admitted for labour care in a midwifery unit (alongside or freestanding), compared with women without diabetes admitted to the same units. This study will also estimate the prevalence of diabetes in women starting labour care in midwifery units, and describe socio-demographic and clinical characteristics, progress and labour care in the two groups.
Study 4: PPH
This study has determined the incidence of PPH requiring transfer or obstetric care in AMU or FMUs. National guidance on the prevention and management of PPH was developed for obstetric units and explicitly recommends the development of guidance for other birth settings, but there is little evidence about PPH occurring in midwifery units on which to base such guidance. This study aimed to provide evidence to inform midwifery guidelines and practice, improvements in care and improve outcomes for mothers and babies, by investigating PPH occurring in UK midwifery units. This study is currently in the data analysis stage.
Study 3: Previous PPH
This study has determined the prevalence of PPH in a previous pregnancy among women admitted for labour care to alongside midwifery units and will describe labour care, management and outcomes for these women and their babies compared to other multiparous women admitted for labour care to AMU's. This study is currently in the writing-up stage.
Study 2: Neonatal admission
This national population-based case-control study has estimated the incidence of and risk factors for admission to neonatal care, stillbirth or early neonatal death in babies born to women who receive all their labour and birth care in AMU. It has described maternal characteristics, labour care and neonatal outcomes and is currently in analysis. The link to the publication can be found on this website under Publications.
Study 1: Severe obesity
This national cohort study, which is now complete and was published in December 2018, estimated the prevalence of severe obesity (BMI>35kg/m2) in women starting labour care in AMUs and investigate socio-demographic and clinical characteristics, progress and management of labour, and maternal and neonatal outcomes compared with women of normal weight planning AMU birth. The link to the publication can be found on this website under Publications.