Written Question on Multiple Births

Written Questions are submitted by MPs or Lords to receive information from a Department.

See more on: "Multiple Births"
Date Title Questioner
29 Nov 2018, 1:49 p.m. Multiple Births Mrs Sharon Hodgson


To ask the Secretary of State for Health and Social Care, pursuant to the Answer on 23 October to Question 179160 on Perinatal Mortality, whether the expert oversight group (a) noted that twins and triplets are at a higher risk than other populations of stillbirth and neonatal death and (b) made an assessment of the effect of its decision not to include twin-specific recommendations in the Saving Babies' Lives Care Bundle on the NHS' ability to carry out its legal duty to have regard to reducing inequalities in outcomes from health services.

Answer (Jackie Doyle-Price)

The Saving Babies’ Lives Care Bundle is undergoing review by an oversight group consisting of nationally recognised experts, including representatives of the Royal College of Obstetricians and Gynaecologists and the British Maternal Fetal Medicine Society. The expert oversight group did note that twins and triplets are at a higher risk of stillbirth and neonatal death compared with other populations.

The Maternity Transformation Programme is addressing safety in maternity services, including reducing inequalities in outcomes regarding twin and multiple births through other channels in addition to the Saving Babies’ Lives Care Bundle. The programme is supporting Local Maternity Systems to implement best practice care by working with the National Perinatal Epidemiology Unit, which has developed the Perinatal Mortality Review Tool to support standardised perinatal mortality reviews across National Health Service maternity and neonatal units in England, Scotland and Wales.

All trusts in England are now using the tool to identify the factors associated with stillbirth and neonatal death, including within multiple pregnancies. Furthermore, NHS England encourages Local Maternity Systems to follow National Institute for Health and Care Excellence guidelines, including CG129 on the management of antenatal care for twin and triplet pregnancies.

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