Preventing cerebral palsy in babies – A Case Study
Prevention of Cerebral Palsy in PreTerm Labour (PReCePT) is a scheme developed from a neonatologists proposal to increase use of magnesium sulphate as a treatment to protect the brain in pre-term babies. Up to 1 in 5 extremely preterm babies will develop cerebral palsy. A 2009 study showed magnesium sulphate was effective in reducing cerebral palsy. The scheme across 3 NHS trusts has increased uptake of magnesium sulphate from 30% to 85% with estimates that it will reduce cerebral palsy in 15 – 20 children per year. Find out more here.
Alterations in maternally perceived fetal movement and their association with late stillbirth – Study
A study covering 41 maternity units in the UK has looked into the association between maternally perceived fetal movements and late still birth. The study concluded
‘Increased strength of fetal movements and fetal hiccups is associated with decreased risk of stillbirth. Alterations in frequency of fetal movements are important in identifying pregnancies at increased risk of stillbirth, with the greatest risk in women noting a reduction in fetal activity. Clinical guidance should be updated to reflect that increase in strength and frequency of fetal movements is associated with the lowest risk of stillbirth, and that decreased fetal movements are associated with stillbirth.’
The full study can be accessed here.
Finding the root cause – video
This video from the National Perinatal Epidemiology Unit highlights how to address contributory factors that are identified at perinatal mortality review. The video uses examples to identify causes and strategies that are needed to effectively address them. It focuses on fetal growth scans in cases where small gestational age has not been identified antenatally.