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Saving lives, supporting families

NHS staff praise Maternity Engagement Programme, independent report reveals

19th January 2019

Our world-first pioneering programme to reduce the number of stillbirths, neonatal admissions and deaths resulting from multiple pregnancies is being praised by midwives, obstetricians and sonographers at Maternity Units across England.

Tamba’s Maternity Unit Engagement Programme ensures mums expecting twins, triplets or more, are treated in line with NICE multiple pregnancy guidelines, as it is proven this can save lives.

Our interim report in the summer of 2018 showed that if all Maternity Units in England performed the same as the best performing ones in the group of 30 Tamba worked with, then 63 babies’ lives could be saved every year. Figures also showed that £4 million could be saved by the NHS each year as a result of fewer neonatal admissions.

Now an independent evaluation of the programme reveals that 90% of respondents involved said: “if we hadn’t done the Maternity Engagement Project we would not have achieved as much positive change.”

This is great news and everyone at Tamba, staff, volunteers and the people we support, should be proud.

The evaluation shows 81% confirming continuity of care for women expecting multiples had improved and 69% said team working between obstetricians, midwives and sonographer had improved – both key priorities identified in Better Births and for the NHSE’s Maternity Transformation team.

Three quarters of the units involved agreed that the Maternity Engagement Programme was the catalyst for positive change in care for women expecting multiples and that the understanding of what is required to deliver the best possible care to multiple pregnancy families had improved.

Keith Reed, CEO of Tamba, said: “This is the clearest indication yet that our work with maternity units has been welcome, positive and successful.

“Tamba’s midwifery consultants with specialist expertise and knowledge of multiple births, go into the units to conduct the audits and feedback shows that they offered wonderful support, were incredibly helpful, focussed, knowledgeable, committed and non-judgemental.

“We also have evidence to show that beyond adhering to the NICE guidance, this programme has generated additional positive outcomes such as increasing the understanding, awareness and profile of effective care for multiple pregnancies within units.

“Similarly, use of multiple growth charts does not appear in NICE guidance – however they were a resource several units introduced during the project.”

One midwife said: “Because the audit was so positive, news travelled to senior management. They were dumbfounded we had done so well in a service where we hadn’t put any resources. I finally found people were listening – [care for multiples] wasn’t just “another” specialty in midwifery. People finally sat up and listened.”

Another said: “The project helped to identify the gaps – that was really valuable. Nothing was provided for these high-risk women who end up in hospital. We were providing lots of things for lots of other high-risk pregnancies but not for these poor women – when we said that it was an eye opener.”

Recommending others participate in the programme was used as a proxy for overall satisfaction and 82% would recommend all maternity units get involved.

Keith added: “The fact that the units we worked with intend to sustain the project after it finishes reflects the overall message from this evaluation – that the project was effectively designed and delivered, that it was highly valued and that it has clearly resulted in positive change in the care of multiple pregnancies.”

Tamba now wants to expand the programme to every Maternity Unit in England and we’re working tirelessly to try to secure the £800,000 needed to this.

We have good data to show how this one investment could save the NHS in England £millions and more importantly hundreds of babies’ lives.

Fiveways is an independent consultancy which evaluates the performance of projects and you can read their full report here.

Register with Tamba for free resources

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