Thinking about future UKMidSS studies

UKMidSS Study Criteria The condition, event or outcome of interest is an important cause of maternal or perinatal morbidity or mortality in midwifery units. The condition, event or outcome of interest is relatively uncommon in midwifery units (so the collection of data does not impose too great a burden on UKMidSS reporters). The research questions posed by the study can be suitably addressed using the UKMidSS methodology (i.e. prospective descriptive, cohort or case-control studies). This means that: The condition, event or outcome needs to be well-defined. The questions need to be able to be answered using data collected from medical records and cannot involve additional data collection from other sources, e.g. from women themselves.

Possible areas for research? Uncommon adverse outcomes Gaps in the guidelines or evidence Women with ‘risk factors’ planning midwifery unit birth

PPH Previous PPH GBS Normal blood loss VBAC Diet=controlled GDM Primips aged over 40 Prolonged ROM Low Hb 3rd/4th degree tears 11. Low BMI 12. Spontaneous labour after 42 weeks 13.Twins 14.Breech 15. IVF 16. Well controlled epilepsy 17. Other chronic medical conditions 18. Grand multips 19. Induction (Propess in spontaneous labour) 20 Meconium Those in bold were those that received most support in ‘voting’