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News and Presentations for todays Saving Babies Lives: Reducing Still Birth conference

Matthew Jolly discussing the NHS Long Term PlanMatthew Jolly discussing the NHS Long Term Plan

Saving Babies Lives: National Developments
Matthew Jolly,
National Clinical Director for Maternity and Women’s Health, NHS England
Having a baby is now safer than 10 years ago. Since 2010, despite increases in some risk factors such as age and comorbidities of mothers, there has been an 18.8% reduction in stillbirths, a 5.8% reduction in neonatal mortality and an 8% reduction in maternal mortality. Maternal mortality occurs in fewer than 1 in 10,000 pregnancies. But we can do even better. Significant regional variation in extended perinatal mortality still exists. Of the term babies who died in 2016, different care might have led to a different outcome for 71%. Women from the poorest backgrounds and mothers from Black, Asian and Minority Ethnic (BAME) groups are at higher risk of their baby dying in the womb or soon after birth. Approximately 700-900 pregnancies a year are affected by neural tube defects – in early 2019, the government will consult on the mandatory fortification of flour with folic acid to prevent foetal abnormalities. As foetal and neonatal care has developed, pre-term birth is more common and the survival rate of sick newborn babies is continuing to improve. Neonatal critical care capacity needs to keep pace with these advances to improve short and long-term outcomes for these children.
Matthew, speaking at the conference this morning said:
"We know there is an unexceptional regional variation  in extended perinatal mortality"
"Having to work smarter due to a constrained budget"
"Continuity of carer is vital"
"Working hard to develop Maternity Digital care records"

Full PowerPoint Presentation

Learning from MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries
Prof Elizabeth Draper,
Professor of Perinatal and Paediatric Epidemiology, The Infant Mortality and Morbidity Studies Team, University of Leicester & MBRRACE-UK collaborators
Elizabeth said:
"The UK needs to aim higher in working to reduce still birth"
"Between 2010-2016 there was a 14.4% reduction in stillbirth and neonatal mortality rate"
"Over 1000 births between 22/23 weeks in 2016"

Prevention and Management of Risk Factors  
Prof Alex Heazell,
Clinical Director, Tommy’s Stillbirth Research Centre, St Mary’s Hospital, Manchester
Pre Event Abstract
The stillbirth rate in the UK is higher than comparable high-income countries. Although the reasons for this observation are incompletely understood, it suggests that improvement in the stillbirth rate in the UK is possible. Applying different epidemiological approaches to study stillbirth has identified risk factors including: younger and older maternal age, black and minority ethnic groups, poor educational attainment, obesity and cigarette smoking. Importantly, 81% of women who have a stillbirth do not have any of these risk factors present at the beginning of pregnancy, and few of these risk factors are amenable to modification during pregnancy.
Alex said:
"Small for Gestational age is still the biggest contributory for still births"
"Fetal hic-cups reduce the chance of still birth by 70%"

Full PowerPoint Presentation

Improving support for women and families following stillbirth
Marc Harder,
NBCP Lead and Nileema Vaswani, Bereavement Support Services Manager, Sands
Pre Event Abstract
Fifteen babies die before, during or shortly after birth every day in the UK. Sands supports anyone affected by the loss of a baby for as long as they need it. In addition to parents, who might need the highest level of support, Sands’ services are open to the wider family, friends, employers and health professionals. Support services include the helpline, online community, Bereavement Support App, memory making and print resources.
Newly bereaved families might need both practical and emotional support, and turn to Sands to help them navigate their way through decisions around post-mortems, funerals, registering the stillbirth of their baby, and starting to create memories. A number of parents also get in touch when they know that their baby has died and their babies are due to be born in the coming hours or days. In the short-medium term, parents might also contact us about anxieties related to returning to work.
Full PowerPoint Presentation

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