NCT06453954

Brief Summary

The purpose of this study is to learn about the implementation of NHS England's Saving Babies Lives Care Bundle Version 2 to reduce perinatal mortality. It will explore whether the care bundle is effective at reducing stillbirth rates, neonatal death rates and preterm births in England. It will also explore the lived experiences of women's maternity care and their babies neonatal care, and the views and experiences of healthcare professionals who are involved in delivering the care bundle. The main questions it aims to answer are:

  • Does the care bundle reduce perinatal mortality rates?
  • What are women's views and experiences of their maternity and neonatal care?
  • What are the barriers around delivering the care bundle and how can this be improved?
  • How do health inequalities affect the care women receive?
  • How does the workforce culture affect how healthcare professionals use the care bundle? Perinatal mortality rates and other pregnancy outcomes will be obtained from national data sources. Women and healthcare professionals will be asked to complete a survey and we will interview select groups of participants to further explore their experiences. Mortality rates will be compared before and after the implementationof the care bundle where data allows. Data from the surveys will be descriptive. Data from the interviews will be analysed using thematic analysis to determine patterns and recurring ideas in the data.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,773

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Oct 2023

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 17, 2023

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 31, 2024

Completed
21 days until next milestone

Study Completion

Last participant's last visit for all outcomes

February 21, 2024

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

May 21, 2024

Completed
22 days until next milestone

First Posted

Study publicly available on registry

June 12, 2024

Completed
Last Updated

June 12, 2024

Status Verified

June 1, 2024

Enrollment Period

4 months

First QC Date

May 21, 2024

Last Update Submit

June 5, 2024

Conditions

Keywords

Saving Babies Lives Care Bundle Version 2NHS Maternity CarePregnancyStillbirthPerinatal death

Outcome Measures

Primary Outcomes (1)

  • Number of stillbirths in England

    A baby born after 24 or more weeks completed gestation and which did not, at any time, breathe or show signs of life

    Up to 60 months

Secondary Outcomes (11)

  • Number of babies born preterm

    Up to 60 months

  • Number of neonatal deaths in England

    Up to 60 months

  • Number of babies born small for gestational age (SGA)

    Up to 60 months

  • Number of women who had a caesarean section

    Up to 60 months

  • Number of women who had induction of labour

    Up to 60 months

  • +6 more secondary outcomes

Eligibility Criteria

Age16 Years+
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

Phase 1: births in England. Phase 2: women who received their antenatal care, labour and birth in 28 participating NHS maternity Trusts in England. Healthcare professionals currently employed in these 28 Trusts.

You may qualify if:

  • women who have given birth in the last 12 months
  • women who can understand English
  • healthcare professionals involved in delivering the care bundle

You may not qualify if:

  • women who gave birth more than 12 months ago
  • women who cannot understand English
  • women without access to the internet for online survey completion
  • healthcare professionals not involved in delivering the care bundle

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Manchester Foundation Trust

Manchester, M13 9WL, United Kingdom

Location

MeSH Terms

Conditions

StillbirthPerinatal Death

Condition Hierarchy (Ancestors)

Fetal DeathPregnancy ComplicationsFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesDeathPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Alexander Heazell, Prof

    The University of Manchester

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
RETROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor of Obstetrics

Study Record Dates

First Submitted

May 21, 2024

First Posted

June 12, 2024

Study Start

October 17, 2023

Primary Completion

January 31, 2024

Study Completion

February 21, 2024

Last Updated

June 12, 2024

Record last verified: 2024-06

Data Sharing

IPD Sharing
Will not share

If requested, site-specific data from the questionnaires may be shared with participating NHS Trusts. This data will be provided in an anonymous aggregated format, with only that specific site identified. No identifiable data will be shared with participating NHS Trusts (i.e. names and email addresses will not be shared with NHS sites). Following completion of the study, with consent a fully anonymised aggregated dataset \[e.g. including anonymous aggregated questionnaire responses\] will be deposited in Figshare at the University of Manchester library, which is an open data repository where it will be permanently stored. Researchers at other institutions and others can access the anonymised data directly from the repository and use it for further research or to check our analysis and results. Individual NHS Trusts will not be identified.

Locations