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Publication, Part of

Maternity Services Monthly Statistics September 2020, experimental statistics

Official statistics, Experimental statistics

Current Chapter

Antenatal booking appointments

Clinical Quality Improvement Metric Update

UPDATE 12/03/2021


The Clinical Quality Improvement Metric (CQIM) data within the measures CSV datafile has been updated since original publication. This has been done to include the recently developed CQIMs on Robson groups, to include some recent changes to SNOMED derivations which affects the data used in the smoking and Apgar score measures and to standardise the presentation of some of the data between the CSV and the measures as displayed in the Maternity dashboard.

12 March 2021 09:30 AM

Antenatal booking appointments

Gestational age at booking appointment

At the booking appointment, the woman will be given information relating to the baby's development stages, nutrition and screening tests available.
NICE recommends that this appointment should ideally take place before 10 weeks' gestation.

63% of booking appointments were at or before 10 weeks' gestation.

Booking after more than 20 weeks of pregnancy accounted for 7% per cent of booking appointments.

Smoking Status of Women at booking appointment

Smoking during pregnancy, or living with someone who smokes, can affect the baby both before and after birth.

At the time of their booking appointment, 9% of women with a recorded smoking status were smokers, and 87% were non-smokers.

Of all women 2% had a recorded smoking status.  

Complex social factors

Please note that there is a known data quality issue this month, where some trusts reported "yes" for 100% of their records. Please see our data quality statement for more information.

13% of women attending a booking appointment had complex social factors recorded

Women with complex social factors may need additional support to use antenatal care services. 7,435 women attending a booking appointment had complex social factors recorded and 44,300 had a recording of no complex social factors. The remaining women did not have a complex social factor recorded.

Continuity of carer

The provision of care by a known midwife throughout the pregnancy, labour, birth and postnatal period can be associated with improved health outcomes for the mother and baby, and also greater satisfaction levels.

When a Continuity of Carer pathway has been agreed, this should be recorded and submitted via the MSDS.

79 trusts have reported that Continuity of Carer pathways are in place for a total of 20,615 women. This is 7 more trusts than in the previous month.

Personalised care

The NHS Long Term Plan and the accompanying guidance, Universal Personalised Care, made commitments to delivering choice and personalisation in maternity services, complimenting the recommendations in the national maternity review, Better Births

When a Personalised Care and Support Plan (PCSP) has been agreed, this should be recorded and submitted.

75 trusts have reported that PCSPs are in place for a total of 30,530 women. This is 5 more trusts than in the previous month.

Last edited: 9 February 2022 5:56 pm