Saving-Babies-Lives-Care-Bundle-Version-Two-Updated-Final-Version
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Saving-Babies-Lives-Care-Bundle-Version-Two-Updated-Final-Version
NHSSaving Babies’ Lives Version TwoA care bundle for reducing perinatal mortality1NHS England INFORMATION READER BOXDirectorateMedicalOperations and I Saving-Babies-Lives-Care-Bundle-Version-Two-Updated-Final-VersionInformationSpecialised CommissioningNursing] Trans. & Corp. ops.Strategy & InnovationFinancePublishing Approval Reference:320Document PurposeGuidanceDocument NameSaving Babies' Lives Care Bundle Version 2AuthorNHS EnglandPublication Date43525Target AudienceCCG Clinical Leaders, CCG Accountable Offic Saving-Babies-Lives-Care-Bundle-Version-Two-Updated-Final-Versioners, Care Trust CEs, Foundation Trust CEs. Directors of PH. Directors of Nursing. Communications Leads. NHS Trust CEs, Maternity staffAdditional CircuSaving-Babies-Lives-Care-Bundle-Version-Two-Updated-Final-Version
lation csu Managing Directors, Medical Directors, Directors of PH, NHS Trust ListBoard Chairs. NHS England Regional Directors. NHS England Directors oNHSSaving Babies’ Lives Version TwoA care bundle for reducing perinatal mortality1NHS England INFORMATION READER BOXDirectorateMedicalOperations and I Saving-Babies-Lives-Care-Bundle-Version-Two-Updated-Final-Versionp reduce perinatal mortality aơoss England.Cross Reference- . Saving babies lives care bundleSuperseded Docs (if applicable)Action RequiredNTiming / DeadlinesN,A (if applicable)Contact Details forKaren Thirsk further informationMaternity Transformation Programme Quarry House Leeds LS2 7UE 0113 825 5 Saving-Babies-Lives-Care-Bundle-Version-Two-Updated-Final-Version360 www.engiand.nhs.ukDocument Status This is a controlled document. Whilst this document may be printed, the electronic version posted on the websiteSaving-Babies-Lives-Care-Bundle-Version-Two-Updated-Final-Version
IS the controsed copy. Any printed copies of this document are not controlled. As a controlled document, this document should not be saved onto localNHSSaving Babies’ Lives Version TwoA care bundle for reducing perinatal mortality1NHS England INFORMATION READER BOXDirectorateMedicalOperations and I Saving-Babies-Lives-Care-Bundle-Version-Two-Updated-Final-Version been produced to build on the achievements of version one and address the issues identified in the SPiRE evaluation1. It aims to provide detailed information for providers and commissioners of maternity care on how to reduce perinatal mortality across England. The second version of the care bundle Saving-Babies-Lives-Care-Bundle-Version-Two-Updated-Final-Versionbrings together five elements of care that are widely recognised as evidence-based and/or best practice:1.Reducing smoking in pregnancyThis element prSaving-Babies-Lives-Care-Bundle-Version-Two-Updated-Final-Version
ovides a practical approach to reducing smoking in pregnancy by following NICE guidance. Reducing smoking in pregnancy will be achieved by offering caNHSSaving Babies’ Lives Version TwoA care bundle for reducing perinatal mortality1NHS England INFORMATION READER BOXDirectorateMedicalOperations and I Saving-Babies-Lives-Care-Bundle-Version-Two-Updated-Final-Versionexposed to tobacco smoke) and offer them a referral for support from a trained stop smoking advisor.2.Risk assessment, prevention and surveillance of pregnancies at risk of fetal growth restriction (FGR)The previous version of this element has made a measurable difference to antenatal detection of s Saving-Babies-Lives-Care-Bundle-Version-Two-Updated-Final-Versionmall for gestational age (SGA) babies across England2. It is however possible that by seeking to capture all babies at risk, interventions may have inSaving-Babies-Lives-Care-Bundle-Version-Two-Updated-Final-Version
creased in women who are only marginally at increased risk of FGR related stillbirth. This updated element seeks to address this possible increase by NHSSaving Babies’ Lives Version TwoA care bundle for reducing perinatal mortality1NHS England INFORMATION READER BOXDirectorateMedicalOperations and I Saving-Babies-Lives-Care-Bundle-Version-Two-Updated-Final-Versionopriate. The importance of proper training of staff who carry out symphysis fundal height (SFH) measurements, publication of detection rates and review of missed cases remain significant features of this element.3.Raising awareness of reduced fetal movement (RFM)This updated element encourages aware Saving-Babies-Lives-Care-Bundle-Version-Two-Updated-Final-Versionness amongst pregnant women of the importance of detecting and reporting RFM.and ensuring providers have protocols in place, based on best available eSaving-Babies-Lives-Care-Bundle-Version-Two-Updated-Final-Version
vidence, to manage care for women who report RFM. Induction of labour prior to 39 weeks gestation is only recommended where there is evidence of fetalNHSSaving Babies’ Lives Version TwoA care bundle for reducing perinatal mortality1NHS England INFORMATION READER BOXDirectorateMedicalOperations and I Saving-Babies-Lives-Care-Bundle-Version-Two-Updated-Final-Versionqualified staff who care for women in labour are competent to interpret cardiotocographs (CTGs), always use the buddy system and escalate accordingly when concerns arise or risks develop. This element now includes use of a standardised risk assessment tool at the onset of labour and the appointment Saving-Babies-Lives-Care-Bundle-Version-Two-Updated-Final-Versionof a Fetal Monitoring Lead with the responsibility of improving the standard of fetal monitoring.5.Reducing preterm birthNHSSaving Babies’ Lives Version TwoA care bundle for reducing perinatal mortality1NHS England INFORMATION READER BOXDirectorateMedicalOperations and INHSSaving Babies’ Lives Version TwoA care bundle for reducing perinatal mortality1NHS England INFORMATION READER BOXDirectorateMedicalOperations and IGọi ngay
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