Around 8% of babies in the UK are born prematurely - higher than elsewhere in Europe. There are also major disparities in maternal health outcomes for women belonging to ethnic minorities and those living in disadvantaged areas.
Our maternity researchers explored how health outcomes for women and babies at risk of complications could be improved. They examined models of midwifery continuity of care, where the same midwife or small team of midwives provide care for a woman during her pregnancy, birth and after birth.
They found that women receiving continuity of care were:
- 19% less likely to lose their baby before 24 weeks
- 24% less likely to lose their baby overall
Their findings have informed key national and international guidance, including DHSC’s Safer Maternity Care, NICE intrapartum guidance, WHO antenatal and midwifery-care recommendations, and the NHS Long Term Plan.
They have also supported community-based continuity models for women at greatest risk, including those from minority ethnic groups. They worked with Guy’s and St Thomas’ NHS Foundation Trust, and the Lambeth Early Action Partnership (LEAP) a community-based midwifery model of care.
Their research showed that the LEAP model significantly reduced preterm birth and birth by caesarean birth when compared with those receiving usual maternity care in Lambeth (24.3% vs 38.0%). This includes emergency caesarean deliveries (15.2% vs 22.5%).
Read the full impact case study.