Summary
This is a report on NHS-funded maternity services in England for March 2019, 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. This is the final report from the current version of the dataset, with future publications using MSDSv2 as the data source. The new dataset is a significant change which adds support for new policy initiatives such as personalised and continuous care plans as well as increased flexibility through the introduction of clinical coding. 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' 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.
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 March 2019.
· For March 2019 data, 131 providers successfully submitted data for the MSDS and 1 provider did not submit data. We are working closely with providers who did not respond and expect coverage and data quality to increase over time.
· Among women that had a booking appointment in March 2019, 56 per cent were within the first 10 weeks of pregnancy. This varied across regions with the highest proportion (61 per cent) of women having appointments in the first 10 weeks in the South West Commissioning Region and the lowest proportion (49 per cent) in the London Commissioning Region.
· At the time of their booking appointment, 12 per cent of women with a recorded smoking status were smokers, and 85 per cent were non-smokers. The remaining 3 per cent were recorded as ‘Unknown’.
· 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 (17 per cent) and lowest in the South West Commissioning Region (15 per cent).
· NICE recommend skin-to-skin contact to promote breastfeeding initiation among women that gave birth at 37 weeks gestation or later, 82 per cent had skin-to-skin contact with their baby within one hour of birth.
· 75 per cent of babies received maternal or donor breast milk as their first feed.
Administrative Sources
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: 5 July 2019 2:34 pm