This is a report on NHS-funded maternity services in England for March 2018, 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 Quality Improvement Metrics file includes rates for 3 of the 14 Clinical Quality Improvement Metrics that form part of NHS England's Maternity Transformation Programme.
The following analysis files are published within the zip file 'Additional experimental analysis using MSDS data' for the relevant month due to low data quality and completeness:
• Delivery method by previous births
• Delivery method by Robson group
• Smoking status at delivery (for births one month earlier)
• Postpartum haemorrhage and other maternal critical incidents (for births one month earlier)
• Antenatal pathway level
• Births without intervention.
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.
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 March 2018.
• For March 2018 data, 134 providers successfully submitted data for the MSDS. This includes all of the 132 providers included in HES data for 2016-17 that were eligible to submit to the MSDS, and 2 providers of midwifery services.
• Among women that had a booking appointment in March 2018, 54 per cent were within the first 10 weeks of pregnancy. This varied across regions with the highest proportion (57 per cent) of women having appointments in the first 10 weeks in the North of England and the Midlands and East of England Commissioning Regions and the lowest proportion (45 per cent) in the London Commissioning Region.
• Of the births that had a recorded delivery method, 58 per cent were spontaneous vaginal births, 11 per cent had instrumental assistance, 13 per cent were elective caesarean sections and 16 per cent were emergency caesarean sections. The proportion of births by emergency caesarean was highest in the London Commissioning Region (19 per cent) and lowest in the North of England and the South of England Commissioning Regions (15 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 (83 per cent) and lowest in the London Commissioning Region (78 per cent).
• 74 per cent of babies received maternal or donor breast milk as their first feed.
Maternity Services Data Set (MSDS): this is a patient-level data set that captures information about activity carried out by Maternity Services relating to a mother and baby(s), from the point of the first booking appointment until mother and baby(s) are discharged from maternity services. This is a secondary uses data set, which re-uses clinical and operational data for purposes other than direct patient care.
Last edited: 27 June 2018 3:27 pm