You are here

Article Text

Article menu

Download PDFPDF

Poster presentations
BMFMS: Pregnancy Outcome
Free

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    PPO.01 STILLBIRTHS: HAVE THINGS CHANGED OVER A DECADE?

    A. Tang, M. Whitworth, D. Roberts. Liverpool Women’s NHS Foundation Trust, Liverpool, UK

    The stillbirth rate has remained stable nationally at 5/1000 births since the 1990s. We aimed to investigate in detail the causes and associations of stillbirths in two cohorts, 10 years apart to determine whether there has been any reduction in the prevalence of potentially preventable stillbirths.

    Methods: Information on stillbirths occurring in Liverpool Women’s NHS Foundation Trust between 1995–7 and 2004–6 was collected from perinatal mortality reports, birth registers and an electronic database (Meditech). ReCoDe, placental histology and birthweight centiles were used to examine further the unexplained groups. Results were analyzed using Stats Direct.

    Results: We investigated 269 stillbirths. Maternal age and proportion of primiparous women were similar in both cohorts. More than 50% of stillbirths in both groups are classified as unexplained by CEMACH. There is no significant change in the prevalence of fetal growth restriction babies in the unexplained groups over these years (see table).

    View this table:
    • In this window
    • In a new window

    Conclusions: Despite progression in obstetric services, there is no change in all causes of stillbirths. 41% of unexplained stillbirths may have been prevented if we identified methods to diagnose fetal growth restriction and predict which of these babies are at risk of stillbirth. This could impact on decreasing stillbirth rates in the next decade.

    PPO.02 EARLY DETECTION OF ADVERSE TRENDS IN HEALTHCARE: A PROSPECTIVE PILOT STUDY EVALUATING THE UTILITY OF THE CUSUM CHART METHOD IN MONITORING QUALITY IN MATERNITY

    T. Sibanda, T. Draycott. North Bristol NHS Trust, Bristol, UK

    The need for robust systems for monitoring the quality and performance of maternity services has been highlighted.1 The Cumulative SUM (CUSUM) chart method, proved as an effective tool for the early detection of faulty systems in industry,2 could play a role. We conducted a prospective pilot study evaluating the applicability and value of the CUSUM in monitoring outcomes in maternity. Rates of low Apgar scores (5 minute Apgar score <7) in term, cephalic …

    View Full Text