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Maternity Services Monthly Statistics, England - May 2017, Experimental statistics

Experimental

Publication date: 09:30 October 04, 2017

Summary

This is a report on NHS-funded maternity services in England for May 2017, using data submitted to the Maternity Services Data Set (MSDS). The MSDS has been developed to help achieve better outcomes of care for mothers, babies and children.

The MSDS is a patient-level 'secondary uses' data set that re-uses clinical and operational data for purposes other than direct patient care, such as commissioning and clinical audit. It captures key information at each stage of the maternity service care pathway in NHS-funded maternity services, such as those provided by GP practices and hospitals. The data collected include mother's demographics, booking appointments, admissions and re-admissions, screening tests, labour and delivery along with baby's demographics, diagnoses and screening tests.

The following analysis files are published within the zip file 'Additional experimental analysis using MSDS data' due to low data quality and completeness:
• Delivery method by previous births for births in May 2017
• Delivery method by Robson group for births in May 2017
• Smoking status at delivery for births in April 2017
• Postpartum haemorrhage and other maternal critical incidents for births in April 2017
• Antenatal pathway level for bookings in May 2017.

As part of this month's publication we are also publishing an additional Excel spreadsheet presenting analysis of births with and without intervention. (A birth without intervention in this analysis is a vaginal birth without induction of labour, augmentation of labour, use of instruments, episiotomy, general, spinal, epidural or caudal anaesthetic.)

These statistics are classified as experimental and should be used with caution. Experimental statistics are new official statistics undergoing evaluation. More information about experimental statistics can be found on the UK Statistics Authority website.
 


Key Facts

This report contains key information based on the submissions that have been made by providers and will focus on data relating to activity that occurred in May 2017.

  •  For May 2017 data, 133 providers successfully submitted data for the MSDS. This includes 131 of the 132 providers submitting data in HES for 2015-16 eligible to submit to the MSDS in May 2017. We are working closely with providers who did not respond and expect coverage and data quality to increase over time.
  • 116 of these providers submitted birth data relating to babies born in May 2017.
  • Among women that had a booking appointment in May 2017, 54 per cent were within the first 10 weeks of pregnancy. This varied across regions with the highest proportion (58 per cent) of women having appointments in the first 10 weeks in the North of England Commissioning Region and the lowest proportion (40 per cent) in the London Commissioning Region.
  • Of the births that had a recorded delivery method, 57 per cent were spontaneous vaginal births, 11 per cent had instrumental assistance, 13 per cent were elective caesarean sections and 15 per cent were emergency caesarean sections. The proportion of births by emergency caesarean was highest in the London Commissioning Region (17 per cent) and lowest in the Midlands and East of England Commissioning Region (14 per cent).
  • Among women that gave birth at 37 weeks gestation or later, 81 per cent had skin-to-skin contact with their baby within one hour of birth. The percentage of women that had skin-to-skin contact within one hour was highest in the Midlands and East of England Commissioning Region (84 per cent) and lowest in the North of England Commissioning Region (76 per cent).
  • 75 per cent of babies received maternal or donor breast milk as their first feed.

Coverage

Date Range: 01 May 2017 to 31 May 2017
Geographical coverage: England
Geographical granularity: NHS Trusts, Regions

Have a question? Call us on 0300 303 5678 or contact enquiries@nhsdigital.nhs.uk.

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