Widdows Kate, Reid Holly, Smith Debbie M, Wood-Harper Rebecca, Camacho Elizabeth, Roberts Stephen A, Heazell Alexander E P
Maternal and Fetal Health Research Centre, The University of Manchester Faculty of Biology Medicine and Health, Manchester, UK.
Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK.
BMJ Open Qual. 2025 Sep 2;14(3):e003456. doi: 10.1136/bmjoq-2025-003456.
The Saving Babies' Lives Care Bundle (SBLCB) was introduced in England in 2015 and was updated in 2019 (SBLCBv2). This study aimed to describe the degree to which SBLCBv2 was implemented in practice and describe contemporary experiences of receiving and delivering antenatal and intrapartum care informed by the recommendations of SBLCBv2.
This cross-sectional questionnaire study was conducted in 28 National Health Service maternity units across England between October and December 2023. The study had two arms, one for maternity service users and one for healthcare professionals. Maternity service users aged ≥16 years who had given birth in the last 12 months were invited to participate in an online survey which contained closed questions about elements of the SBLCBv2, and two free-text questions about their experiences of receiving antenatal and intrapartum care. Maternity healthcare professionals from participating sites were invited to complete a separate questionnaire about delivering care. Responses were summarised by descriptive statistics.
1140 women and 633 healthcare professionals participated. The majority of staff reported implementing all five elements of SBLCBv2, though this varied from 57% (prevention of preterm birth) to 99% (smoking cessation). Service users frequently reported receiving interventions that were part of SBLCBv2: 26% were offered Aspirin and 97% monitored fetal movement. Staff generally reported positive experiences of implementing the SBLCBv2, feeling that it supported clinical decision making. 89% and 86% of service users reported a positive experience in pregnancy and labour, respectively. This was underpinned by positive staff attitudes, behaviours and communication, and being listened to and involved in decisions about care.
SBLCBv2 has been integrated into clinical practice, though some elements require additional focus to increase implementation (e.g., preterm birth). Maternity staff may benefit from additional training to discuss the reasons for and results of interventions to reduce the risk of pregnancy complications.
“拯救婴儿生命护理包”（SBLCB）于2015年在英国推出，并于2019年进行了更新（SBLCBv2）。本研究旨在描述SBLCBv2在实际中的实施程度，并描述根据SBLCBv2的建议接受和提供产前及产时护理的当代经验。
2023年10月至12月期间，在英格兰的28个国民保健服务产科单位进行了这项横断面问卷调查研究。该研究分为两个部分，一部分针对产妇服务使用者，另一部分针对医疗保健专业人员。邀请过去12个月内分娩的16岁及以上产妇服务使用者参与在线调查，调查包含关于SBLCBv2要素的封闭式问题，以及两个关于她们接受产前和产时护理经历的自由文本问题。邀请参与站点的产科医疗保健专业人员填写一份关于提供护理的单独问卷。通过描述性统计对回答进行总结。
1140名女性和633名医疗保健专业人员参与了研究。大多数工作人员报告实施了SBLCBv2的所有五个要素，不过实施比例从57%（预防早产）到99%（戒烟）不等。服务使用者经常报告接受了属于SBLCBv2一部分的干预措施：26%的人被提供了阿司匹林，97%的人监测了胎动。工作人员普遍报告在实施SBLCBv2方面有积极的经验，认为它有助于临床决策。分别有89%和86% 的服务使用者报告在孕期和分娩时有积极的体验。这得益于工作人员积极的态度、行为和沟通，以及她们被倾听并参与护理决策。
SBLCBv2已被纳入临床实践，不过一些要素需要更多关注以提高实施率（例如早产）。产科工作人员可能会从额外的培训中受益，以讨论干预措施的原因和结果，以降低妊娠并发症的风险。
