A national audit of maternity services in <scp>E</scp>ngland

Wl, Palmer; Brackwell, L

doi:10.1111/1471-0528.12973

Cited by 4 publications

(8 citation statements)

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“…Whilst recent publications highlight maternity staff shortages (Palmer, Brackwell 2014), a paucity of evidence-based support available to midwives (Pezaro, Clyne et al 2017) and the reality of work-related psychological distress in midwifery populations (Coldridge, Davies 2017), this PPI explores how new mothers perceive the reality of these issues at the point of receiving maternity care. In addition to this, our findings demonstrate that new mothers would be supportive of a confidential and anonymous online intervention to support midwives in work-related psychological distress.…”

Section: Discussionmentioning

confidence: 99%

Childbearing women's experiences of midwives' workplace distress: Patient and public involvement

Pezaro

Pearce

Bailey

2018

British Journal of Midwifery

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Background Some midwives experience work-related psychological distress. This can reduce the quality and safety of maternity services, yet there are few interventions to support midwives. Aim To explore and voice the perceptions of new mothers in relation to the barriers to receiving high-quality maternity care, the psychological wellbeing of midwives and the development and evaluation of an online intervention designed to support them. GRIPP2 reporting checklists were also used to demonstrate how patient and public involvement works in research. Methods A co-design approach was used in a discussion group to collect qualitative data from 10 participants. A framework approach was used for analysis. Findings Unique findings included midwives crying, becoming emotional and seeking support from service users. Overall, seven patient and public involvement outcomes relating to intervention development and data collection were identified. Conclusion Maternity service improvement strategies may only be wholly effective once they include the provision of effective midwifery workplace support.

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Section: Discussionmentioning

confidence: 99%

Childbearing women's experiences of midwives' workplace distress: Patient and public involvement

Pezaro

Pearce

Bailey

2018

British Journal of Midwifery

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“…We used a bespoke genetic algorithm based on NSGA-II 9 (Non-dominated Sorting Genetic Algorithm II) to derive potential configurations of obstetrican-led birth units across England, balancing competing objectives. As possible locations, we include any unit currently also providing neonatal special care (we do not add any new locations not currently used).…”

Section: Methodsmentioning

confidence: 99%

“…The large majority of births in England (87%) take place in obstetric birth centres, with 11% in midwifery-led birth centres and 2.4% at home. 9 Of those in midwifery-led birth centres, 2% occur in free-standing midwifery-led birth centres. 10 In this study, we have focused on hospital-based births in obstetric or alongside midwifery led birth centres.…”

Section: Open Accessmentioning

confidence: 99%

How can consultant-led childbirth care at time of delivery be maximised? A modelling study

et al. 2020

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ObjectiveThe Royal College of Obstetricians and Gynaecologists has advised that consolidation of birth centres, where reasonable, into birth centres of at least 6000 admissions per year should allow constant consultant presence. Currently, only 17% of mothers attend such birth centres. The objective of this work was to examine the feasibility of consolidation of birth centres, from the perspectives of birth centre size and travel times for mothers.DesignComputer-based optimisation.SettingHospital-based births.Population or sample1.91 million admissions in 2014–2016.MethodsA multiple-objective genetic algorithm.Main outcome measuresTravel time for mothers and size of birth centres.ResultsCurrently, with 161 birth centres, 17% of women attend a birth centre with at least 6000 admissions per year. We estimate that 95% of women have a travel time of 30 min or less. An example scenario, with 100 birth centres, could provide 75% of care in birth centres with at least 6000 admissions per year, with 95% of women travelling 35 min or less to their closest birth centre. Planning at local level leads to reduced ability to meet admission and travel time targets.ConclusionsWhile it seems unrealistic to have all births in birth centres with at least 6000 admissions per year, it appears realistic to increase the percentage of mothers attending this type of birth centre from 17% to about 75% while maintaining reasonable travel times. Planning at a local level leads to suboptimal solutions.

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“…Two of the three articles selected for this review 30,31 used an experimental approach. Both used a computer‐simulated model compared to data obtained using an existing PAMT: Birthrate plus (BR+) to compare the extent to which one‐to‐one care by a midwife for birthing women was provided.…”

Section: What the Evidence Tells Usmentioning

confidence: 99%

“…Allios et al 30 developed a simulation model using discrete event simulation (DES) based on routinely collected data from a UK hospital maternity service, which had approximately 6000 births per year. DES is an accepted way of measuring resources, processes, and patients, to assess optimal levels of care 32 .…”

Section: What the Evidence Tells Usmentioning

confidence: 99%

Measure to improve: Is there a patient‐acuity measurement tool suitable for use in maternity service provision in the Netherlands? A systematic review

Cronie

Rosman

Vries

2022

Health Science Reports

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Background and Aims It is difficult to overestimate the importance of safe staffing levels within the context of effective, quality healthcare. Poor staffing has been cited as a contributory factor in the number of unnecessary hospital deaths. This is particularly so in maternity care, where poor staffing has been inexorably linked to avoidable perinatal and maternal mortality. In the Netherlands, maternity service provision (MSP) is stratified into primary (community)‐ and secondary (hospital)‐based care. While most midwives (71%) work in primary care, the majority are self‐employed or work in small group practices. Where women birth at home, one‐to‐one care during labor is the norm. However, despite the existence of a national standard for birth‐related care, which states unequivocally that women birthing in hospitals should (also) receive one‐to‐one care, while in labor this is not always the case. The extent of compliance with the national care standard has until now not been the subject of scrutiny. We aim to identify evidence for the use of patient‐acuity measurement tools (PAMTs) in MSP to explore the extent of one‐to‐one care for women birthing in hospitals in the Netherlands and select and/or modify a valid PAMT suitable for use in maternity units in hospitals in the Netherlands to assess to what extent the quality standard of one‐to‐one care for birthing women is being met. Methods In this systematic literature review, all citations are first screened for title and abstract, then full text for suitability of inclusion. Results Three studies were identified for inclusion in the review. One PAMT is recommended. Conclusion One PAMT suitable for use in maternity service was identified. However, the evidence level for use is low. Nevertheless, in view of the unique nature of midwifery service provision, a PAMT specifically developed for use in maternity service is preferable.

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A national audit of maternity services in England

Abstract: Please cite this paper as: Palmer WL, Brackwell L. A national audit of maternity services in England.

Cited by 4 publications

References 1 publication

Childbearing women's experiences of midwives' workplace distress: Patient and public involvement

Childbearing women's experiences of midwives' workplace distress: Patient and public involvement

How can consultant-led childbirth care at time of delivery be maximised? A modelling study

Measure to improve: Is there a patient‐acuity measurement tool suitable for use in maternity service provision in the Netherlands? A systematic review

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