Making Stillbirths Count A Local Approach Katy Evans, Maternity - PowerPoint PPT Presentation

Making Stillbirths Count A Local Approach Katy Evans, Maternity Matron – 11/2/2016

Commitment Didn’t search for perfection, enabled us to drive the possible • SB within our Maternity Strategy / 3 year QI Plan – Aims: o 50% reduction by 2018 o Zero avoidable stillbirths by 2018 • High level aim of Maternity Sign Up To Safety work stream • 12 study days for Midwives ~ Saving Babies Lives • Review/ RCA of all stillbirths

Saving Babies Lives Study Day • Scene setting • Smoking cessation • Baby movements • DVD - The Deafening Silence • GROW training & assessment • Sharing learning from missed SGA/SB cases

Smoking Cessation • Lead Midwife one day a week • CO breath test • Focus, targets and objectives • Close links with Public Health • Made a real difference

Baby Movements • Leaflet given at 16 week appt • Sign up from Community Midwives • Scenario based learning • Consistency of message • Revolving door • Weekly monitoring compliance • Weekly feedback individuals

GAP • Phased approach • Introduced Sonographers plotting EFW • Introduce new guideline • Monitor compliance with training • Monitor SGA detection rates

Intrapartum Care • Purchase K 2 • Buddy system in place • New Latent phase guideline • Monitoring compliance • Review through risk

Keep up momentum • Newsletter each quarter • Standing item at Governance • Email every 100 days • Brief summary each stillbirth to all staff • Connecting with whole team • Celebrate success

• 7 babies died  60% • Less women smoking • 30 more women a month seen in DCAU with RFM • Scan referrals up 20% • 76% births recorded onto GROW • Identify 45% SGA babies • 141 days

Going Forward • Ultrasound capacity • Measure, measure • Upgrade IT system • Keep learning lessons • Website • Sharing the learning to improve • Focus intrapartum care • Annual SB Report • RCA stillbirths

Thank you