Table 1

Agreement between unit guidelines and recommendations in the Saving Babies’ Lives Care Bundle (SBLCB).

SBLCB recommendationFullPartialOmitted
Element 11Carbon monoxide (CO) testing of all pregnant women at antenatal booking appointment13 (76)0 (0)4 (24)
2Referral, as appropriate, to a stop-smoking service/specialist, based on an opt-out system11 (650 (0)6 (35)
3Referral pathway to stop-smoking service includes feedback and follow-up processes11 (65)0 (0)6 (35)
Element 24Use supplied algorithm to aid decision-making on classification of risk, and corresponding surveillance of all pregnancies (some providers may wish instead to use the RCOG algorithm)10 (55)7 (39)1 (6)
5For women at high risk of fetal growth restriction, fetal growth to be assessed using serial ultrasound scans as per algorithm0 (0)18 (100)0 (0)
6Estimated fetal weight derived from ultrasound measurements recorded on a chart0 (0)17 (94)1 (6)
7For low-risk women, fetal growth to be assessed using antenatal symphysis fundal height charts by clinicians trained in their use. All staff must be competent in measuring fundal height with a tape measure, plotting measurements on charts, interpreting appropriately and referring when indicated0 (0)16 (89)2 (11)
8Ongoing audit, reporting and publishing (on local dashboard or similar) of small-for-gestational age birth rate, antenatal detection rate, false positive rate and false negative rate.0 (0)0 (0)18 (100)
Element 39Information and advice leaflet on reduced fetal movement (RFM), based on current evidence, best practice and clinical guidelines, to be provided to all pregnant women by, at the latest, the 24th week of pregnancy and RFM discussed at every subsequent contact.6 (33)0 (0)12 (67)
10Use provided checklist to manage care of pregnant women who report reduced fetal movement, in line with RCOG Green-top Guideline 5717 (94)0 (0)1 (6)
Element 411All staff who care for women in labour to undertake and pass an annual training and competency assessment on cardiotocograph (CTG) interpretation and use of auscultation. No member of staff should care for women in a birth setting without evidence of competence within the last year.0 (0)5 (26)14 (74)
12Buddy system in place for review of cardiotocograph (CTG) interpretation, with protocol for escalation if concerns are raised. All staff to be trained in review system and escalation protocol.13 (68)6 (32)0 (0)
  • Percentage shown in parentheses.