1. Introduction to next year’s UKMidSS study: Neonatal Admission
Dr Rachel Rowe
Head of UKMidSS

2. Overview Background Methods Timetable Case definition
Control selection
Timetable

3. Background Why are we interested in neonatal admission?
Guidelines recommend transfer when complications arise
~40% of adverse perinatal outcomes in births planned in midwifery-led settings occurred where no transfer took place
Potential indicator of event where different management might have made a difference to outcome

4. Methods National case-control study Objectives
To find out how many babies are admitted to a neonatal unit following birth in a midwifery unit
To investigate risk factors for admission to a neonatal unit in babies born in a midwifery unit

5. Case definition
Any woman who gives birth in the midwifery unit and whose baby:
Is admitted to neonatal care within 48 hours of birth or before discharge home (whichever is sooner) OR
Is stillborn or dies within 48 hours of birth without admission to neonatal care

6. Data collection Monthly reporting for 12 months
Collecting data about cases and controls using OpenClinica
Section 1. Woman’s details
Section 2. Pregnancy/antenatal history
Section 3. Labour and birth care
Section 4. Baby care and outcomes

7. Control selection Who are our cases? Who are our controls?
Any woman who gives birth in the midwifery unit and whose baby:
Is admitted to neonatal care within 48 hours of birth or before discharge home (whichever is sooner) OR
Is stillborn or dies within 48 hours of birth without admission to neonatal care
The two women who gave birth in the midwifery unit immediately before the case, whose baby was NOT admitted to neonatal care etc.

8. Control selection summary
For the Neonatal Admission Study
Controls should be the two women who gave birth in the midwifery unit immediately before the case, whose baby was NOT admitted to neonatal care or die within 48 hours of birth
Note that for this study it is more important that controls were women who gave birth immediately BEFORE the case
If you are unsure, please check!

9. Timetable Piloting forms in OpenClinica
November-December 2016
Sample forms on our website early 2017
Start data collection from 1st March 2017
First monthly report request 1st April 2017
Continue collecting data for 12 months
Analysis and publication 2018

10. Thank you! Any questions or comments?
@NPEU_UKMidSS
This is independent research arising from a National Institute for Health Research (NIHR) Post Doctoral Fellowship awarded to Rachel Rowe (PDF ). The views expressed are those of the author and not necessarily those of the NHS, the NIHR or the Department of Health.