Table 2 Planned process measures relating to each element of Saving Babies Lives Care Bundle
From: Saving babies’ lives project impact and results evaluation (SPiRE): a mixed methodology study
Element | Outcome Type | Process Outcome |
|---|---|---|
Element 1 Smoking and Pregnancy | Primary Outcome | Proportion of women smoking at delivery |
Secondary Outcomes | Proportion of women offered carbon monoxide (CO) test | |
Proportion of women accepting CO test | ||
Proportion of women referred to smoking cessation | ||
Proportion of women ceasing smoking between booking and delivery | ||
Proportion of women referred to smoking cessation with a positive CO test | ||
Element 2: Detection of SGA | Primary Outcome | Proportion of SGA singletons detected prior to delivery |
Secondary Outcomes | Proportion of all singletons with growth charts in notes | |
Proportion of SGA pregnancies with estimated fetal weight (EFW) plotted on growth chart | ||
Proportion of SGA pregnancies with symphysis fundal height (SFH) plotted on growth chart | ||
Proportion of SGA pregnancies with EFW correctly plotted on growth chart | ||
Exploratory Outcomes | Proportion of babies identified as SGA during pregnancy that were appropriate for gestation age (AGA) at birth (false positives) | |
Proportion of babies identified as AGA during pregnancy that were SGA at birth (false negatives) | ||
Proportion of pregnancies with customised growth chart | ||
Birthweight centile at last scan (by EFW measurement) | ||
Number of third trimester growth scans | ||
Element 3: Patient information provision and RFM management | Co-primary outcomes | Proportion of women receiving RFM leaflet |
Proportion of women with RFM managed according to checklist | ||
Secondary outcomes | Number of women attending antenatal triage clinic | |
Proportion of triage women presenting with RFM on at least one occasion | ||
Proportion of women with RFM who had scan | ||
Exploratory outcomes | Proportion of women with RFM who had FH monitoring | |
Gestation of baby at RFM episodes | ||
Number of growth scans due to RFM | ||
Time to scan from reporting RFM | ||
Number of RFM episodes per pregnancy | ||
Element 4: Effective fetal monitoring during labour | Primary outcome | Proportion of deliveries where both buddy and stickers used |
Secondary outcomes | Proportion of staff completing annual CTG training | |
Proportion of pregnancies where escalation protocol was used |