Maternity Unit level data on multiple pregnancies

The request was partially successful.

Dear Medway 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 Medway Maritime Hospital.

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 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

FREEDOMOFINFORMATION (MEDWAY NHS FOUNDATION TRUST), Medway NHS Foundation Trust

Dear Mr Reed

Freedom of Information Request: reference 6251

Thank you for your email requesting information regarding Medway NHS Foundation Trust. Your request is being dealt with under the terms of the Freedom of Information Act 2000.

Message from the Trust Head of Corporate Governance, Legal and Trust Data Protection Officer.

Please note your request for information may be delayed due to urgent operational responses to dealing with Public Health priorities. We apologise for any inconvenience this may cause, we do remain committed to responding to your request and will respond as soon as we are able. Should our response to your request breach the statutory timeframe and you remain unhappy with our response you have the right to complain to the Information Commissioners Office and you can contact them at

The Information Commissioner’s Office
Wycliffe House
Water Lane
Wilmslow
Cheshire
SK9 5AF

Yours sincerely

Freedom of Information Team
[email address]

Medway NHS Foundation Trust
Windmill Road
Gillingham
Kent
ME7 5NY
Website: www.medway.nhs.uk

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FREEDOMOFINFORMATION (MEDWAY NHS FOUNDATION TRUST), Medway NHS Foundation Trust

9 Attachments

Dear Mr Reed

 

Freedom of Information Request: reference 6251

 

Thank you for your recent request under the Freedom of Information Act
2000.

 

The information you have requested is as follows:

 

The unit level data requested is for the following categories:  Please
note that Medway NHS Foundation Trust holds the information you have
requested, but considers details where there are low numbers as
information that is exempt under Section 40 (2) (personal information) of
the Freedom of Information Act (FOIA), as the information constitutes
third party personal data.  Section 40(2) provides that personal data
about third parties is exempt information if one of the conditions set out
in section 40(3) is satisfied. Under the FOI Act disclosure of this
information would breach the fair processing principle contained in the
Data Protection Act 2018 (DPA), where it would be unfair to that person.
This is absolute exemption, and a public interest test is therefore not
required, however, I have outlined below our reasoning for the withholding
of the requested information.

 

Due to the low number of multiple birth pregnancies, still births,
neonatal deaths and mortality reviews, the Trust considers families to be
potentially identifiable, and would recognise themselves in the data.  The
Trust considers the trauma of the loss together with details being made
public would cause undue stress and emotional trauma.  The details would
be added to our online FOIA disclosure log and subsequently be available
online, which would be unfair to the family members.   The Trust therefore
believe that disclosure would cause an unacceptable level of distress to
the families involved.

 

1.       Number of Multiple Birth Pregnancies (e.g. twins, triplets, quads
+)  Medway NHS Foundation Trust regret that we are unable to provide the
exact number for some of the data due to the low numbers.  Please see
table below: 

Delivery Twins Triplets Quads Total Multiple
Year Pregnancies
2017 103 <5 103 + <5
2018 83 83
2019 97 <5 97 + <5
Total 283 <5 <5 283 + <5

 

2.    Number of Foetuses delivered from a Multiple Birth  Please see table
below:

Delivery Number of foetus
Year Delivered
2017 199
2018 161
2019 187

 

3.    Multiple Birth Still Births (number of babies)  The Trust regret
that as the numbers are so low we are unable to provide the exact data.

Delivery Number of Still
Year Births
2017 <5
2018 <5
2019 <5
TOTAL <5

 

4.    Multiple Birth pregnancies resulting in an Emergency C-Sections 
Please see table below

Delivery Number of Emergency
Year caesarean sections
2017 75
2018 74
2019 52

 

5.    Multiple Birth Neonatal Deaths (number of babies)  We regret we are
unable to provide the exact number for 2017 as the number is so low. 
Please see table below:

Delivery Number of Early
Year neonatal deaths
2017 <5
2019 7

 

6.    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 see table below:

Neonatal Unit
Delivery Year NNU SCBU
2017 21 37
2018 17 38
2019 6 37

 

7.    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. The Trust has a
clinical lead for this service and the Trust run a Gemini clinic for twins
and multiple births. We have dedicated midwives and sonographers that have
experience in this field.

We run a weekly clinic that has a sonographer, midwife and a Registrar
present

 

8.    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? 

Medway NHS Foundation Trust confirms there were less than five since 2018.

 

I hope that this gives you the answer you need, but if you are
dissatisfied with the handling of your request, you have the right to ask
for an internal review. Internal review requests should be submitted
within two months of the date of receipt of this email and should be
addressed to:

 

Paul Mullane

Head of Corporate Governance & Legal

Medway NHS Foundation Trust

Windmill Road

Gillingham

Kent

ME7 5NY

 

Please remember to quote the reference number in any future
communications.

 

In line with our obligations under the Freedom of Information Act the
Trust publishes responses to Freedom of Information Act Requests on the
Trust’s Disclosure Log which can be accessed via our website at:
[1]https://www.medway.nhs.uk/patients-and-p...

 

Yours sincerely

 

Freedom of Information Team

[2][email address]

 

 

Medway NHS Foundation Trust
Windmill Road
Gillingham
Kent
ME7 5NY

Website: [3]www.medway.nhs.uk 

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Dear FREEDOMOFINFORMATION (MEDWAY NHS FOUNDATION TRUST),

Thank you for your reply. There appears to be a year missing in the response (2018) as per below:

"5. Multiple Birth Neonatal Deaths (number of babies) We regret we are unable to provide the exact number for 2017 as the number is so low.
Please see table below:

Delivery Number of Early
Year neonatal deaths
2017 <5
2019 7"

Please can you confirm?
Yours sincerely,

Keith Reed

FREEDOMOFINFORMATION (MEDWAY NHS FOUNDATION TRUST), Medway NHS Foundation Trust

4 Attachments

 

Dear Keith Reed

 

Freedom of Information Request: reference 6251

 

Thank you for your email requesting information regarding Medway NHS
Foundation Trust. Your request is being dealt with under the terms of the
Freedom of Information Act 2000. Apologies we have gone back to the
relevant department and will get back to you with this information as soon
as possible.

 

 

Yours sincerely

 

Freedom of Information Team

[1][email address]

 

Medway NHS Foundation Trust
Windmill Road
Gillingham
Kent
ME7 5NY

Website: [2]www.medway.nhs.uk 

[3][IMG]    [4][IMG]    [5][IMG] 

 

 

 

           

 

 

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BRENCHLEY, Stephanie (MEDWAY NHS FOUNDATION TRUST), Medway NHS Foundation Trust

4 Attachments

Dear Keith Reed

 

Freedom of Information Request: reference 6251

 

We can confirm the below details

 

- Multiple Birth Neonatal Deaths (number of babies)

Delivery Year Number of Early
neonatal deaths
2017 2
2018 0
2019 7

 

 

Yours sincerely

 

Freedom of Information Team

[1][email address]

 

Medway NHS Foundation Trust
Windmill Road
Gillingham
Kent
ME7 5NY

Website: [2]www.medway.nhs.uk 

[3]cid:image001.jpg@01D68C0E.D6EDFC80

[4]cid:image002.png@01D68C0E.D6EDFC80   
[5]cid:image003.png@01D68C0E.D6EDFC80    [6]cid:image004.png@01D68C0E.D6EDFC80 

 

 

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