Maternity Unit level data on multiple pregnancies

The request was partially successful.

Dear The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust,

Twins Trust is undertaking a national multiple pregnancy bench-marking exercise. As part of this, I would like to request information relating to the multiple pregnancies cared for at the Queen Elizabeth Hospital, King’s Lynn.

The unit level data requested is for the following categories:
- Number of Multiple Birth Pregnancies (e.g. twins, triplets, quads +)
- Number of Foetuses delivered from a Multiple Birth
- Multiple Birth Still Births (number of babies)
- Multiple Birth pregnancies resulting in an Emergency C-Sections
- Multiple Birth Neonatal Deaths (number of babies)
- Multiple Birth Neonatal Admissions (number of babies admitted to a neonatal unit for their care) For each of the following years 2017, 2018 and 2019.

Please also confirm if current antenatal care for multiple pregnancies (in 2020 and going forward) is delivered by a "a core team of named specialist obstetricians, specialist midwives and sonographers, all of whom have experience and knowledge of managing twin and triplet pregnancies" in accordance with NICE guideline NG137.

Finally, how many perinatal mortality reviews involving multiple births have been conducted since 2018 and what changes have been made as a result of them?

As a background for your team, we have a quality improvement team who work with maternity teams across the UK caring for multiple birth families https://twinstrust.org/healthcare-profes... and have a wide range of classes, resources and services to support multiple birth families https://twinstrust.org/let-us-help.html

With thanks to your whole team for all they do for our families and if we can be of any assistance please do let us know.

Yours faithfully,

Keith Reed

Legal Services, The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust

Dear Mr Reed,

Many thanks for your FOI request which is receiving attention.

Yours Sincerely

Vicky Townsend
Legal Services Support Officer
The Queen Elizabeth Hospital
Kings Lynn
Norfolk
PE30 4ET

[email address]
01553 613998
Working hours Mon, Tues 0830 to 1615 & Wed 0830 to 1300

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Heywood, Martin, The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust

Dear Keith

 

Please accept our apologies for the delay.  I'm having trouble obtaining
the full information for you due to staff illness.  I'm awaiting the NICU
admission data.  Everything else is there.

 

 

2017 2018 2019
Number of Multiple Birth Pregnancies 36 33 44
(e.g. twins, triplets, quads +)
Number of Foetuses delivered from a 72 66 88
Multiple Birth
Multiple Birth Still Births (number of 0 0 0
babies)
(1 feticide)
Multiple Birth pregnancies resulting 6 4 10
in an Emergency C-Sections
(12 babies) (8 babies) (20 babies)
Multiple Birth Neonatal Deaths (number 0* 2 2
of babies)
Multiple Birth Neonatal Admissions
(number of babies admitted to a
neonatal unit for their care

 

 

Confirm if current antenatal care for Despite currently not having a
multiple pregnancies (in 2020 and dedicated multiple pregnancy
going forward) is delivered by a "a clinic, all multiple pregnancies
core team of named specialist are cared for under a specific
obstetricians, specialist midwives and named consultant with experience
sonographers, all of whom have and knowledge of managing multiple
experience and knowledge of managing pregnancies. The Core team is also
twin and triplet pregnancies" in a senior sonographer and a fetal
accordance with NICE guideline NG137. medicine midwife who is currently
involved in care of multiple
pregnancy. All triplet pregnancies
are cared for in an agreed tertiary
unit. A dedicated multiple
pregnancy clinic is still currently
being developed.

 

 

How many perinatal mortality reviews 3 x PMRT reviews since 2018
involving multiple births have been
conducted since 2018 and what changes  
have been made as a result of them?
All Twin pregnancies have consultant
reviews in ANC

 

Grow chart is printed off, placed in
medical notes and estimated fetal
weights plotted manually.

 

Regards

 

Martin Heywood

Legal Services Manager

The Queen Elizabeth Hospital King’s Lynn NHS Foundation Trust

Gayton Road

King’s Lynn

PE30 4ET

Phone: 01553 613521

 

 

Email: [email address]

Website: www.qehkl.nhs.uk

 

Twitter: @TeamQEH

Facebook: www.facebook.com/teamqeh

 

 

Web : www.qehkl.nhs.uk

 

 

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