Detecting and responding to deterioration of a baby during labour: surveys of maternity professionals to inform co-design and implementation of a new standardised approach
We found strong professional support for the principle of a standardised approach to detection and response to intrapartum fetal deterioration and high agreement on the clinical importance of a set of evidence-based risk factors. Further work is needed to address: (1) clarity of clinical definitions of some risk factors, (2) building evidence and agreement on thresholds for action and (3) deimplementation strategies for existing local practices.
Authors
- Matthew Woodward (ORCID: https://orcid.org/0000-0003-4249-1947)
- Wendy Randall (ORCID: https://orcid.org/0000-0002-0934-3806)
- Jordan M Moxey (ORCID: https://orcid.org/0000-0003-0165-7963)
- Sarah Kelly (ORCID: https://orcid.org/0000-0002-1114-2456)
- Margaret Blott
- Sarah Blackwell (ORCID: https://orcid.org/0000-0002-9728-8842)
- Chloe Hughes
- Tim Draycott (ORCID: https://orcid.org/0000-0002-1825-4864)
- Annabelle Olsson (ORCID: https://orcid.org/0000-0003-3792-0575)
- Rachna Bahl
- Jan W. van der Scheer (ORCID: https://orcid.org/0000-0002-4368-0355)
- Giulia Maistrello (ORCID: https://orcid.org/0000-0002-2099-006X)
- Mary Dixon‐Woods (ORCID: https://orcid.org/0000-0002-5915-0041)
- Louise Dewick
- Caroline Walker
Institutions
- Royal College of Obstetricians and Gynaecologists (GB)
- North Bristol NHS Trust (GB)
- University of Cambridge (GB)
- University Hospitals Bristol NHS Foundation Trust (GB)
- Royal College of Midwives (GB)
- Institute for Healthcare Improvement (US)
- RAND Europe (GB)
- University Hospitals Bristol and Weston NHS Foundation Trust (GB)
Publication Details
- Journal
- BMJ Open
- Published
- 2025-03-01
- DOI
- https://doi.org/10.1136/bmjopen-2024-084578
- Citations
- 4
- Primary Topic
- Maternal and Perinatal Health Interventions
- Type
- article
- Field-Weighted Citation Impact
- 8.23
Funders
- National Institute for Health and Care Research
- Department of Health and Social Care
- Health Foundation