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Overall findings for 2015

The final results for the babies born in 2015 who have been reported to Each Baby Counts.

723 251 term babies born in the UK in 2015

Exclusions:

  • Ineligible babies
  • Babies excluded centrally (congenital or chromosomal abnormalities) (51)
  • Potential unascertained babies not confirmed to be eligible (via MBRRACE-UK [170] and BadgerNet [112] )

 

1136 eligible babies reported

Exclusions:

  • Reports which have been started but not completed by the Lead Reporter (113)
  • Babies whose care was not investigated (54)
  • Completed reports with insufficient information for reviewers to make an assessment of the care provided (242)

 

727 babies fully reported with the uploaded reviews assessed as containing sufficient information for assessment by at least two reviewers

Figure 1. Final results for babies born in 2015 who have been reported to Each Baby Counts

 

 

Out of 723 251 term babies born in the UK in 2015[i], a total of 126 term babies died during labour, of whom 83 were confirmed to be alive at the onset of labour by a health professional and a further 43 might have been alive based on history, but this was not confirmed. A further 159 term babies were born alive following labour but died within the first 7 days after birth. There were 854 term babies reported as meeting the severe brain injury definition.

 

The estimated proportion of babies who meet the Each Baby Counts definition of stillbirth, early neonatal death or severe brain injury is 1 of every 635 term babies (1.57 per 1000 term births).

 

It is important to note that the Each Baby Counts definition of severe brain injury is based on information that is available within the first 7 days after birth. It is not yet known how many of these babies will have a significant long-term disability as a result of the injuries sustained during birth. However, the fact that the majority (96%) of these infants were actively therapeutically cooled – an intensive intervention requiring sedation and admission to the neonatal unit – reflects the serious clinical condition of these babies.

 

Recommendation

All eligible babies should be reported to Each Baby Counts within 5 working days.

 

As per the Each Baby Counts reporting protocol, Lead Reporters should begin the initial reporting of any eligible baby to Each Baby Counts within 5 working days. Lead Reporters will be able to determine the eligibility of a baby within this time frame. Lead Reporters should not wait until potentially eligible unreported babies are highlighted to them by Each Baby Counts or flagged on the MBRRACE-UK reporting system.

 

 

 

 


[i] Manktelow BN, Smith LK, Prunet C, Smith PW, Boby T, Hyman-Taylor P, et al., on behalf of the MBRRACE-UK Collaboration. MBRRACE-UK Perinatal Mortality Surveillance Report, UK Perinatal Deaths for Births from January to December 2015. Leicester: The Infant Mortality and Morbidity Studies, Department of Health Sciences, University of Leicester; 2017.