1. In-Utero Transfer RWHT & UHNS 2010-15
Tracey Vanner (Consultant Obstetrician)
Mary Rooney (Senior Midwife)
Royal Wolverhampton Hospitals NHS Trust
23/02/2019

2. SSBC Network Prospective Audit of IUT
IUT form developed by SSBC Maternity Network
Carbonated copy retained in receiving unit
Process for follow up established
Anonymous database held by SSBC Network
RWHT commenced audit April 2009
UHNS joined audit August 2009
Audit period for RWHT
Audit period 2011 to June 2015 for UHNS
Some data items incomplete for UHNS
23/02/2019

3. RWHT Transfers & Births
23/02/2019

4. UHNS Transfers & Births
23/02/2019

5. Transferring Units RWHT (% of transfers by Network)
23/02/2019

6. Transferring Units UHNS (% of transfers by Network)
23/02/2019

7. RWHT IUT Gestation (% by gestation range)
23/02/2019

8. RWHT Clinical Indication for IUT (% by indication)
23/02/2019

9. RWHT Outcome by Indication for IUT 2014 & 2015
23/02/2019

10. Threatened Pre-term Labour
Threatened PTL remains the leading indication for IUT
For the period % of women with threatened PTL gave birth, for this has fallen to 9% (RWHT data)
FFN or equivalent testing has improved. Only 1 woman was transferred with a negative result and 1 unit did not have a test available in 2014.
New NICE guidance on PTL encourages a low threshold for IUT. The numbers transferred are therefore likely to increase and the proportion that give birth to fall further.
23/02/2019

11. Steroids & Tocolytics
Steroids were commenced in all cases before transfer when indicated and the course completed before delivery where possible
Tocolysis was commenced & continued for the transfer where indicated.
Atosiban remains the most frequently used tocolytic

12. Summary
The proportion of transfers remaining within the SSBC network has improved. The adjacent SWM network is the next most frequent origin of transfers.
The proportion of transfers at the earlier gestations has improved suggesting that capacity and/or the understanding of patient pathways has improved.
Threatened Pre-term labour remains the leading indication for IUT and the majority are still undelivered at discharge.