Publication, Part of Maternity Services Monthly Statistics

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

Official statistics

Publication Date:: 6 Sep 2017

Geographic Coverage:: England

Geographical Granularity:: Country, Regions, Hospital Trusts, Provider, NHS Trusts, Integrated Care Boards, Sub-Integrated Care Boards, Local Authorities, Hospital and Community Health Services, Hospital Sites

Date Range:: 01 Apr 2017 to 30 Apr 2017

Page contents

Summary

This is a report on NHS-funded maternity services in England for April 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, 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.

In previous months we have published some new analysis on our supplementary information page because of low data quality and completeness. Starting from the April 2017 publication, these analysis files are published here within the zip file 'Additional experimental analysis using MSDS data' to make them more accessible to users.

The zip file below includes:

Delivery method by previous births for births in April 2017
Delivery method by Robson group for births in April 2017
Smoking status at delivery for births in March 2017
Postpartum haemorrhage and other maternal critical incidents for births in March 2017
Antenatal pathway level for bookings in April 2017

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.

Highlights

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 April 2017.

For April 2017 data, 129 providers successfully submitted data for the MSDS. This includes 127 of the 132 providers submitting data in HES for 2015-16 eligible to submit to the MSDS in April 2017. We are working closely with providers who did not respond and expect coverage and data quality to increase over time.
105 of these providers submitted birth data relating to babies born in April 2017.
Among women that had a booking appointment in April 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 (41 per cent) in the London Commissioning Region.
Of the births that had a recorded delivery method, 60 per cent were spontaneous vaginal births, 11 per cent had instrumental assistance, 12 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 was 14 per cent for all other NHS England Regions (14 per cent).
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. The percentage of women that had skin-to-skin contact within one hour was highest in the London and the South of England Commissioning Regions (84 per cent) and lowest in the North of England Commissioning Region (76 per cent).
74 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.

Resources

Last edited: 11 April 2018 4:25 pm