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Each Baby Counts (EBC) and National Maternity and Perinatal Audit (NMPA) Joint Conference

Start: 15/11/2018 09:30
End: 15/11/2018 17:00

Location: RCOG
Programme: ~/link/9bd24d83c672465581a4ec2dd898225b.aspx


This joint meeting held by Each Baby Counts (EBC) and the National Maternity and Perinatal Audit (NMPA) will provide a unique opportunity to hear first-hand the findings of both programmes. The Each Baby Counts findings will feature findings and lessons that can be learned from the care of Each Baby Counts babies born in 2016 as well updated information relating to the quality of local reviews into the care of these babies. The event will also include an update from the NMPA and the results of the first ‘sprint’ audit on mothers admitted to intensive care.

Each Baby Counts launched in late 2014 and is the RCOG’s national quality improvement project with an aim to half the number of babies who die or are left with severe brain injury as a result of something going wrong during labour by 2020.

The National Maternity and Perinatal Audit (NMPA) has been commissioned by the Healthcare Quality Improvement Partnership (HQIP), funded by NHS England, the Scottish government and the Welsh Government. It is being delivered by the RCOG, in collaboration with the RCM, RCPCH and LSHTM.

Why attend?

Each Baby Counts session:

  • Be the first to hear the latest findings emerging from the RCOG’s flagship quality improvement project, Each Baby Counts
  • Participate in multi-professional discussions about how to improve the quality of incident reviews and the care of babies at a national level
  • Take part in interactive sessions to share your own ideas and experience with others working in your field
  • Be inspired by practical solutions about how to improve care in your own unit

NMPA Session:

  • Be the first to hear the results of the NMPA ‘sprint’ audit on mothers admitted to intensive care.
  • Hear from others about how they are using the NMPA results to improve the quality of care for mothers and babies in their unit

Who should attend?

  • Practising clinicians, midwives and allied healthcare professionals working in maternity and perinatal care, especially those with an interest in service improvement
  • Clinical Effectiveness Leads, Health Service Managers and other professionals with an interest in risk management or maternity service improvement
  • Clinical Governance, Patient Safety and Labour Ward Leads
  • Third sector organisations with an interest in maternity and/or neonatal care
  • Each Baby Counts Lead Reporters and Reviewers
  • Clinical Commissioners


We are pleased to announce that a selection of the EBC/NMPA joint conference sessions will be livestreamed on the day.

Click here to view the livestream of the sessions on the 15th November.

The timetable of sessions to be livestreamed can be found on the Livestream tab.

Course organisers

Each Baby Counts (EBC) Project Team

National Maternity and Perinatal Audit (NMPA) Project Team


March of dimes

March of Dimes logoThe conference is supported by the March of Dimes Foundation, a nonprofit organisation that funds lifesaving research and programs and works to end premature birth, birth defects and infant mortality. It was founded by then-President Franklin D. Roosevelt in 1938 to combat polio, and has since endeavoured to provide mothers, pregnant women and women of childbearing age with educational resources, as well as supplying information and support to families affected by prematurity, birth defects, or other infant health problems.

This is a free to attend event but advance registration is required. Refreshments, sandwich lunch, admission to the lectures and any technical exhibitions are included in your registration. You are not guaranteed a place until you receive confirmation.

How to book

This event is now fully booked. To add your name to a waiting list in case of cancellations please click here. We will be in touch nearer the time to let you know if you have been offered a place.

For any queries regarding this event, please contact:

Emma Heighway,

Becky Dumbrill

Submission is now open for the RCOG’s Each Baby Counts conference poster presentations

Are you currently undertaking a quality improvement initiative related to one of the Each Baby Counts key recommendations from the “Each Baby Counts: 2015 full report”?

Take this unique opportunity to showcase your work as a poster presentation at the Each Baby Counts conference on 15th November 2018.

The conference is supported by the March of Dimes Foundation and prizes of £750, £500 and £250 will be awarded on the day.

If you have any questions or suggestions for the conference please get in touch by e-mail.

View the submission form with instructions for authors.

Key recommendations for reporting and reviewing:

  • All eligible babies should be reported to Each Baby Counts within 5 working days.
  • All local reviews of Each Baby Counts babies should contain sufficient information to determine the quality of the care provided.
  • All trusts and health boards should inform the parents of any local review taking place and invite them to contribute in accordance with their wishes.
  • All local reviews must have the involvement of an external panel member.
  • All reviews of liveborn Each Baby Counts babies must involve neonatologists/neonatal nurses.

Key recommendations for care

Intermittent auscultation:

  • Women who are apparently at low risk should have a formal fetal risk assessment on admission in labour irrespective of the place of birth to determine the most appropriate fetal monitoring method. The development of IT tools that bring together data from across a trust’s systems to support accurate, easily accessible risk assessment should be prioritised.
  • NICE guidance on when to switch from intermittent auscultation to continuous cardiotogography (CTG) monitoring should be followed. This requires regular reassessment of risk during labour.

Continuous cardiotocography (CTG):

  • Staff tasked with CTG interpretation must have documented evidence of annual training.
  • Key management decisions should not be based on CTG interpretation alone. Healthcare professionals must take into account the full picture, including the mother’s history, stage and progress in labour, any antenatal risk factors and any other signs the baby may not be coping with labour.

Situational awareness:

  • All members of the clinical team working on the delivery suite need to understand the key principles (perception, comprehension, projection) of maintaining situational awareness to ensure the safe management of complex clinical situations.
  • A senior member of staff must maintain oversight of the activity on the delivery suite, especially when others are engaged in complex technical tasks. Ensuring someone takes this ‘helicopter view’ will prevent important details or new information from being overlooked and allow problems to be anticipated earlier.

Stress and fatigue:

  • Decision making is more difficult when staff feel stressed and/or tired. A different perspective improves the chances of making a safe decision. Clinical staff should be empowered to seek out advice from a colleague not involved in the situation who can give an unbiased perspective (either in person or over the phone).
  • When managing a complex or unusual situation involving the transfer of care or multiple specialities, conduct a ‘safety huddle’ – a structured briefing for the leaders of key clinical teams. This will ensure everyone understands their roles and responsibilities and shares key clinical information relevant to patient safety

Neonatal care:

  • If therapeutic hypothermia is being considered, continuous monitoring of core temperature must be undertaken. Early efforts to passively cool the baby should also be considered (turn off the heater, take off the hat).
  • The paediatric/neonatal team must be informed of pertinent risk factors for a compromised baby in a timely and consistent manner.

We are pleased to announce that a selection of the EBC/NMPA joint conference sessions will be livestreamed on the day.

Click here to view the livestream of the sessions on the 15th November.

The timetable of sessions to be livestreamed are as follows:

9:30am – 10:00am

9.30 – 9.45:Welcome

  • RCOG President Lesley Regan; RCPCH representative; RCM representative

9.45 – 10.00: Introduction to the NMPA

  • Jan van der Meulen, NMPA Senior Methodological Lead

10:40am – 11:15am

10.40NMPA: Local case studies

  • Sara Dexter; Northampton General Hospital NHS Trust, Gillian Pearce; The Hillingdon Hospitals NHS Foundation Trust and Kathryn Greaves; OBS Cymru

11:30am – 12:15pm

11.30: Each Baby Counts Results: Overall findings for 2016 and Barriers to Reporting

  • Sarah Prince; Each Baby Counts Clinical Fellow and Zarko Alfirevic; Each Baby Counts Co-Principal Investigator    

11.55 -12:15: Each Baby Counts: The role of parents in reviews - Clea Harmer; Sands CEO

13:20pm – 14:40pm

13.20Each Baby Counts Results: Anaesthetic Care

  • Marian Knight; Each Baby Counts Senior Project Advisor and Nuala Lucas; OAA Representative on the Each Baby Counts Independent Advisory Group

14.00 -14:40: Each Baby Counts Results: Guidelines and Human Factors

  • Sarah Prince; Each Baby Counts Clinical Fellow and Edward Prosser-Snelling; Each Baby Counts Quality Improvement Lead

14:45pm – 15:15pm

14.45 -15:15: Each Baby Counts: A model for involving families in adverse event reviews

  • Edile Murdoch; NHS Lothian, Belinda Hacking; NHS Lothian and Corinne Love; Scottish Government

16:00pm – 16:20pm

16.00: Each Baby Counts: Poster presentation prize giving

16.15 -16.20: Each Baby Counts: Poster presentation winner’s presentation