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Sine the beginning of January we have improved the numbner of babies having their temperature monitored within 2 hours of birth to 75%. This is in response to BAMP and NICE guidance. Well done team!!

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We introduced the Team of the Shift Huddle on Labour Ward on the 10th June. We have been successful in holding huddles during most day shifts, but need more engagement to ensure that huddles are also held during the night shift handover.

As we have new colleagues joining us in August it will be even more important to hold a Huddle to ensure that every member of the team is familiar with their colleagues, know who to escalate to, improve situational awareness and provide support to each other. Let's Huddle!

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Giant Panda:

RCT, recruiting women/birthing people with any type of hypertension, up to 35+6/40 and medicated with one anti-hypertensive.

Randomisation is to either Labetalol or Nifedipine, women/birthing people can be starting or already taking medication.

Recruitment issues continue, but a big thank you to Leanne Ball-Davies who referred a potential participant via the QR code, we left a prize for her and hope she received it 😊

Staff posters with the QR code are in GUH, if a woman/birthing person is admitted with any type of hypertension, please scan and complete the form with the following information,

• The name of the midwife referring not the woman/birthing person’s name please.

• The location of the midwife – we will come to GUH and find you to ask for the details of the potential participant.

SNAP-3:

RCT, recruiting women/birthing people who smoke and are <25/40 pregnant.

Randomisation is to either usual care with the HMQ team or to the intervention delivered by the study office, using nicotine replacement in a different way.

Recruitment is going quite well, with fantastic support from the HMQ team, but we do have to speak to a lot of potential recruits in order to recruit one participant.

You may see posters in the ANCs with a QR code for more information, if potential participants ask about the trial, they can be directed to the QR code.

NCMH – Maternal Wellbeing:

National Centre for Mental Health are inviting women/birthing people to participate in a survey about their wellbeing during pregnancy and up to one year postnatal.

This study previously invited women/birthing people under the care of the perinatal mental health team to participate, but it’ll now be open to all.

Posters will be going up in ANC and there are postcards with a QR code so potential participants can access all the study information – we’re just waiting for the study office to confirm they can be put up.

LOCI

Fertility RCT – follow up continues, you may see participants who are participating in this trial.

CaPE – In Set up

RCT for women/birthing people who are at increased risk of pre-eclampsia.

Randomisation to Calcium supplements or placebo – this is a blinded trial.

Aiming to open at the beginning of August.

Potential Trials

PIONEER – RCT for women/birthing people who have risk factors for a pre-term birth.

BLUSH – RCT for women/people with VMS of the menopause.

New Role

The new research midwife vacancy is now being advertised on TRAC.

Closing date is 18/07/2024.

Vacancy is 37.5hrs with 30hrs considered, but all applications will be reviewed, even if you’d like less hours.

If anyone is interested and would like to find out more, please email me on tracy.james@wales.nhs.uk

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Letrozole or Clomifene, with or without metformin, for ovulation induction in women with polycystic ovary syndrome: a 2x2 factorial design randomised trial

Aim: To investigate the clinical and cost-effectiveness of letrozole or clomifene, with or without metformin, for ovulation induction in women with polycystic ovary syndrome.

Primary clinical objective: To test the hypothesis that treatment with letrozole, with or without metformin, is superior to clomifene, with or without metformin, over 6 treatment cycles to result in a live birth beyond 34 weeks of gestation.

Key secondary objectives: To test the hypothesis that treatment with letrozole, with or without metformin, is superior to clomifene, with or without metformin, over 6 treatment cycles to reduce pregnancy loss (defined as pregnancy loss before 24 weeks of gestation) and reduce the number of ovulation induction cycles to live birth.

Exploratory secondary objectives: To test the hypothesis that treatment with letrozole, with or without metformin, is superior to clomifene, with or without metformin, over 6 treatment cycles to improve the following exploratory secondary outcomes: ovulation rate, time to pregnancy, number of ovulation induction cycles required for pregnancy, ongoing pregnancy at 12 weeks of gestation, termination, stillbirth, molar pregnancy, pregnancy of unknown location, twin live births, gestation age at live birth.

Where live birth is ≥24 weeks outcomes include: time from conception to delivery, gestational age <28/<32<37 weeks, singleton live births ≥34 weeks, live births ≥37 weeks, mode of birth, birth weight, arterial and venous cord pH, APGAR scores, base excess, pregnancy-induced hypertension, pre-eclampsia, obstetric cholestasis, cervical cerclage, preterm pre-labour rupture of membranes, gestation diabetes, chorioamnionitis, intrauterine growth restriction, macrosomia and haemorrhage.

Maternal outcomes include: admission to high dependency unit (HDU) and admission to intensive therapy unit (ITU).
Further outcomes are:
Neonatal outcomes: Discharge to hospital, early infection, retinopathy of prematurity, necrotising enterocolitis, intraventricular haemorrhage, respiratory distress syndrome, ventilation or oxygen support and survival at 28 days of neonatal life.

Safety outcomes: Neonatal congenital or chromosomal abnormalities, maternal adverse events, multiple pregnancies, ectopic pregnancies, ovarian hyperstimulation syndrome (OHSS), serious adverse events.

Health economic evaluation: To assess the cost-effectiveness of letrozole or clomifene, with or without metformin, in ovulation induction based on an outcome of additional cost per additional live birth and additional cost per additional quality-adjusted life-year (QALY). Using a model-based economic evaluation we will further explore the cost-effectiveness of ovulation induction, as explored in the proposed trial, with alternative treatment strategies, such as IVF and IUI, based on available secondary sources.

NIHR HTA Funder Ref: 17/116/01

Sponsor Ref: RG_18-232

ISRCTN No.: 11828358

REC Ref: 19/WM/0364

IRAS No.: 257918

EudraCT No.: 2018-004641-16

Sponsor: University of Birmingham
Chief Investigator: Prof Arri Coomarasamy
Coordinating Centre: Birmingham Clinical Trials Unit, University of Birmingham

This study is funded by the NIHR HTA (project reference 17/116/01).

The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health.

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LOCI - Letrozole or Clomifene, with or without metformin, for ovulation induction in women with polycystic ovary syndrome: a 2x2 factorial design randomised trial

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July's meeting was a hybrid session. We discussed implementation of the project to improve student midwives' confidence in theatre by shadowing an experienced theatre HCSW for a day and are hoping to start this when the next cohort of 2nd year students come on placement in October :)

We are continuing to look at improving the facilitation of physiological birth on the Labour Ward.

We had an update about the MatNeo MEWS project and the Team of the Shift Huddle which was introduced to Labour Ward on the 10th June and the progress that is being made with improving routine temperature monitoring of all babies within 2 hours of birth. You can see more info about these projects in the QI projects section.

We also had a research update from Tracy which you can read in full in the "Get involved in Research" section.

Our next forum will be held on Teams on the 8th August at 1pm. Please email Emma Mills for an invite :)

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Summary provided by TJ and shared with group by Chair:

SNAP 3 study has been extended until 31/12/2025

TJ thanked the group for their collaboration around improving recruitment onto Giant Panda study. New poster for recruitment with QR code is under development which will bw distributed to all sites by the research team and communicated to CMWs.

Some of our studies are coming to an end or are in follow up and we are looking for new studies – if anyone sees anything they think may be of interest, please let us know – thank you.

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SNAP3 Study - The University of Nottingham

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The Almost There Clinic has been running for 5 weeks, with attendance fluctuating week by week. Feedback from women using the service has been overwhelmingly positive.

MJ expressed concern that attendance seems low and the group discussed ways to increase numbers attending.

Ideas included:

• An introductory call the day before the Clinic

• Posts about the positive feedback about the Clinic to be shared on ABUHB social media

• Changing the criteria to include OLC women

However, the group also highlighted that the Clinic has only been running for a few weeks and it will take time for CMWs to be reliably encouraging all eligible women to attend. MJ reassured and will also focus on promoting the message with current CMW team.

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Copy of Brown Mom Not Superhero Pregnancy Infographic_20240321_132006_0000

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We continued our online meeting format this month. The Forum included a research update which can be found in the "Get involved in Research section". We were also updated about the newly-created Almost There Clinic, which has had really positive feedback from the women who have attended so far😍. There is a summary of the discussion in the QI projects section.

Following on from the discussion at last month’s Forum, we continued exploring the problem of some women feeling that physiological birth is not supported on LW.

Acknowledging that several interventions are already underway to improve this situation, the group recognised that an exploration of the potential causes may help identify other change ideas.

We explored the possible reasons as a group, utilising brainstorming and a MIRO board to facilitate participation. Further details and the MIRO board can be found in the QI section. We plan to continue exploring this theme at the next meeting (14th June, 1pm on Teams). Everyone welcome, please email rebecca.clement2@wales.nhs.uk for a link 😊

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Exploring the reasons why some women feel that physiological birth is not supported on LW

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Exploring the reasons why some women feel that physiological birth is not supported on LW

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Following on from the discussion at last month’s Forum, we continued exploring the problem of some women feeling that physiological birth is not supported on LW.

Acknowledging that several interventions are already underway to improve this situation, the group recognised that an exploration of the potential causes may help identify other change ideas.

We explored the possible reasons as a group, utilising brainstorming and a MIRO board to facilitate participation. We grouped the idea together into themes:

• Environment

• Culture

• Education (Women and staff)

• Experience (Women and staff)

Current initiatives aim to address elements of education and environment and the group thought that change ideas to improve culture and experience could contribute to addressing this issue.

We planned to pick this theme up at the next meeting to identify other possible change ideas.

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Maternity Escalation survey March 2024 - part of the MatNeoSSP MEWS work

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Maternity Escalation survey March 2024 - part of the MatNeoSSP MEWS work

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• SNAP 3 – the smoking cessation trial opened yesterday, so we’ll be coming to ANCs to let everyone know about the study, put up posters and to meet the HMQ advisors.

• LOCI – we’ve had our first babies born as a result of the trial 😊

• Giant Panda – we are still struggling to recruit to Giant panda. Any women/birthing people with any type of hypertension, up to 35+6/40 and medicated with one anti-hypertensive may be eligible. If anyone is admitted to triage or the ward, we’d greatly appreciate an email, we’ll come to GUH and approach the woman/birthing person if they are happy to discuss the trial with us, we’ll confirm eligibility with the doctor, ensure treatment chart and prescriptions are updated and collect any data required. Please email us on ABB.MidwiferyResearchTeam@wales.nhs.uk a simple ‘Potential Giant Panda Recruit and the ward area’ in the heading will suffice. There are also prizes for anyone who sends us a referral – Thank you!

Potential New Study

We are looking at the possibility of opening the CaPE trial, recruiting women/birthing people who are at increased risk of pre-eclampsia and randomising them to Calcium supplements or placebo.

We’re in the early stages of feasibility and will keep you updated.

Research Champions – we’re hoping this will be officially launched soon. As soon as it’s been authorised, I’ll email everyone who has shown an interest in the role to update them. There will be cohorts of recruits into this role, so if anyone else has an interest, please let me know.

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We met via Teams and welcomed 3 new members to the group 😍

We had a research update (see the research section) and explored ways to improve recruitment onto the Giant Panda study.

The problem of women not feeling they are supported on the obstetric unit in techniques to promote physiological birth was raised. The group agreed that this would be a good problem to explore and added that some work was already underway to address this with some midwives undertaking a Biomechanics course.

The group agreed that it would be a good idea to explore all potential causes and solutions to this problem and formulate as a QI project. We plan to include a discussion of this problem on the agenda for May and aim to formulate a problem statement and brainstorm causes in order to complete a Fishbone and Pareto chart.

We had a brief summary of current progress on the MatNeo MEWS and ATAIN work.

MEWS: Baseline data from escalation survey obtained and shared with staff. B3 huddle happening regularly Monday-Friday and survey to collect staff feedback recently circulated.

ATAIN: Data collection method for Baby Care Bundle changed due to Badgernet introduction – currently exploring ways to optimise this process with Digital Lead Midwife. MatNeo champion to attend ATAIN meeting in CTM to learn about their process and consider whether any points could be adopted in ABUHB to improve our process.

Update on the Almost there Clinic was postponed until our next meeting.

If you would like to join the meeting in May, please contact rebecca.clement2@wales.nhs.uk for a Teams invite.

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Overview of current studies plus updates:

• Chapter study are looking at a potential 3rd recruitment window in March which means that the research team will have increased visibility on B3 and opportunities for hospital staff to engage

• SNAP 3 smoking study is in set up with a proposed start date in April. Women will need 36/40 CO testing so research team will be do additional training for midwives in ANCs and community

• Research champions to be encouraged across all areas. Great opportunity to develop, expand CV and contribute to raising awareness of research. Some people already identified.

• There will be a 15-hour band 6 research post on TRAC soon and the attendees were asked to encourage anyone who may be interested to contact TJ

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When are the next QI and research forum dates?

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When are the next QI and research forum dates?

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The Qi and research forum has ben running each month since September 2023. In that time we have engaged with 20 members of staff and 2 student midwives.

We'll continue to meet on the second Thursday of each month from 1-2pm. Teams links are available from rebecca.clement2@wales.nhs.uk so please get in touch if you'd like to join in.

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Qi project - supporting student midwives in obstetric theatre

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Qi project - supporting student midwives in obstetric theatre

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Click on the attached file to learn more about the discussions in the forum in March about this exciting project aiming to improve student midwives' preparedness for obstetric theatre. If you'd like to support this project in any way please contact Sharon

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Please feel free to read the attached document for more details of the discussions held about the postdates clinic in March's Forum. We've renamed it the Almost There Club...what do you think?

If you'd like to support this brilliant project, please get in touch with Meg.

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We met via Teams for this month's forum and welcomed three new members.

We discussed QI work by an MCSW on the RCM leadership development course focusing on student midwives’ preparedness for theatre. This exciting project proposes that when student midwives have their MDU placement at ABUHB, they arrange a day to work alongside a MCSW who is covering theatres that day. It was agreed that members of the QI and research forum wil discuss this idea with the SMM team with the aim of trialing it in ABUHB with the potential to roll out as an All Wales initiative.

We also discussed the post-dates clinic which was introduced at the last Forum. We are pleased to announce that it has been re-named the "Almost There Club" and we are planning to pilot this idea at the Birth Centre in YYF from the Beginning of April 2024.

Full and productive discussions of these inspiring new projects we given priority in this month's forum. There are more detailed updates about both projects in the Qi section of this Padlet. Please check back next month for a research update or join us on the 12th April via Teams for our next meeting :)

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MJ discussed her ideas around a clinic for women following an MLC pathway, when they reach 41 weeks, to try and reduce the likelihood of IOL at 40+12. MJ shared some examples she had explored from other areas including a ‘Chill clinic’ in Bristol that offers aromatherapy, biomechanics and good quality information. This clinic saw a reduction of 6% in people admitted for IOL.

The group were all very positive about the idea and all keen to help. MJ acknowledged that she has a busy workload/other commitment so would like it to be a shared project.

EM advised:

• A review of how many women following an MLC pathway are admitted monthly for IOL at 40+12, and how many people following MLC pathway go into spontaneous labour between 41 and 42 weeks.

• A cost analysis of potential savings with an estimated 6% reduction in IOL admission

• A draft of how the service could look considering staffing, options within the clinic, governance, competencies of staff to offer alternative therapies and the pathways/ guidelines around this.

• How the impact would be measured

It was agreed that MJ would put a post out to staff to gauge level of interest and explore more widely. It was suggested that anyone interested is encouraged to come to the next QI and research forum to plan.

EM agreed to draft a working document that can be developed through further discussion with a wider group.

All attendees felt very positive about the idea and want to support MJ to make it work.

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Another inspiring Teams meeting today with lively discussion about research and a new Band 6 research midwife post, ongoing QI projects (MEWS, ATAIN, Entonox, the Maternity Volunteers Project, IOL forum and cultural competencies. One of our MCAs is doing some good QI work on the RCM leadership course and will share this with us at the next forum.

We discussed ideas around a clinic for women following an MLC pathway, when they reach 41 weeks, to try and reduce the likelihood of IOL at 40+12 (see QI section for more details on the discussions). It was agreed to put a post out to staff to gauge level of interest and explore more widely. It was suggested that anyone interested is encouraged to come to the next QI and research forum to plan.

Please contact Rebecca.Clement2@wales.nhs.uk for information about the research and QI forum

Please contact Tracy.James@wales.nhs.uk for information about the research midwife post.

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Are you interested in becoming a research champion?

We are looking for any member of staff with an interest in research to help promote and signpost people to the research team and/or our studies.

There will also be opportunities to become more involved and opportunities for training for anyone who is interested in this development.

If you’d like to find out more about the role or would be interested in taking on this role, please email Tracy James (Lead Midwife – Research Delivery) at  tracy.james@wales.nhs.uk

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We all joined via Teams today due to busy schedules. We discussed the creation of the Research Champion Programme (see research section for details), a new idea for a QI project about improving rates of skin-to-skin in ElLSCS theatre and the progress of the MatNeo ATAIN and MEWS projects.

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Take a look at this great piece of work improving bladder care during labour and the postnatal period :)

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BLADDER RETENTION Presentation for clinical governance.Emily Bird

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Going live in January. See Powerpoint for further details and contact rebecca.clement2@wales.nhs.uk if you would like to be involved.

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Going live in January! See powerpoint for further details and please contact rebecca.clement2@wales.nhs.uk if you would like to be involved.

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Nicotine replacement therapy (NRT), such as nicotine patches, used with behavioural support is effective in helping non-pregnant people to quit smoking. There is less evidence of NRT being effective in pregnancy. Nicotine preloading (starting NRT before the quit date, while gradually reducing the amount of cigarettes smoked), has been found further to help people who were not pregnant to quit smoking. NHS currently advises that pregnant women should not use NRT if they smoke, ‘not even a puff’, however some research suggests that allowing women to preload (smoke and use NRT at the same time) could help them stop smoking more successfully.

The SNAP3 trial will carefully test if relaxing the ‘not a puff’ rule in three different ways could help pregnant women to quit or not.

The intervention will be delivered alongside standard NHS stop smoking support, and compared to standard support alone.

The trial is designed to be practical and run alongside ANY stop smoking support provided locally.

Please contact tracy.james@wales.nhs.uk if you would like further information.

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Emma and Tracy were joined by staff in NHH for today's hybrid meeting. We discussed the successful recruitment of 37 women into the Chapter study in December ❤ and the upcoming SNAP3 study (see research section).

The MatNeo projects MEWS and ATAIN were discussed (see QI section) and there is opportunity for anyone interested to support this work :)

We learned about the successful work to improve the standard of bladder care - an amazing initiative with potential for All-Wales influence 👏

Merry Christmas everyone, see you in the new Year

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Consultant Midwife Emma Mills provided an update on the Cultural Competencies project which aims to address one of the CNO priorities of improving equity of access to healthcare. The scheme will help our service to evaluate our current position and identify future goals. This project involves staff engagement and training and raising awareness along with monthly working groups to ensure that the treatment our patients receive is not affected by the colour of their skin. If you would like to know more please contact emma.mills@wales.nhs.uk

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A hybrid meeting on 9th November facilitated discussion of a current project aiming to improve the cultural competencies of maternity staff, the ongoing recruitment into the CHAPTER study and upcoming QI projects around ATAIN and MEWS supported by the MatNeo programme. There is opportunity for staff in all roles to get involved in these projects so please get in touch if interested rebecca.clement2@wales.nhs.uk.

We also discussed an exciting new initiative around improving experiences and outcomes for women whose pregnancy lasts beyond their due date and have planned to support this project as a forum during the next meetings. If you'd like to hear more about it then join us next time! :)

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This improvement project showed that we can succeed in our aim of tagging 90% of babies but is in need of new team members bringing fresh energy and ideas. If you'd like to be involved please contact rebecca.clement2@wales.nhs.uk.

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Improving Infant Tagging Rates in Maternity 

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On a chilly October day we were given a warm welcome in YYF for the second Maternity QI and research forum. We had an update on the Chapter Study (details in the Research tab) and heard about a QI journey of improving infant tagging rates in maternity (you can access the Powerpoint presentation for this in the  Quality Improvement tab).

The group also discussed a project, currently in the planning stage, to encourage stmws to shadow MCAs to build their confidence in fundamentals of care. This brilliant idea was suggested by a staff member who was unable to attend today's forum, but we're hopeful they will come along next month to tell us more!

Today's group suggested that a bitesized training session on an aspect of QI is included in each forum. Agreed and to be included for November 😁

We touched on the ongoing work on Cultural Competencies and will include a more detailed discussion of this in November's forum.

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ABUHB maternity is collaborating with the University of Birmingham on the Chapter Study on perineal trauma beginning 1st November 2023. This aims to explore with key stakeholders (women, clinicians and primary and secondary health care services) their views on perineal trauma wound management and healing, what they would want from an assessment tool and outcomes that are important to them. Planned recruitment at 6 hours PN and opportunity for midwives providing care to be facilitate initial contact between women and research team.

Link to study website The Chapter Study – Childbirth Acquired Perineal Trauma Study - University of Birmingham

If you would like to support this research please contact Tracy.James@wales.nhs.uk

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These pages are accessible via sharepoint and outline the commitments that Aneurin Bevan University Health Board has made to eliminating discrimination, challenging prejudice and providing equality of opportunity, and the progress that we’re making towards these.

Please use the link below to access information about staff diversity networks
Staff Diversity Networks (sharepoint.com)

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GCP is the agreed international standard for conducting clinical research.

Good Clinical Practice Training is needed for researchers conducting Clinical Trials of Investigational Medicinal Products (CTIMPs).

Everyone who works on delivering a study has to have an up-to-date GCP certificate.

As a certified GCP researcher, you will:

protect the rights and safety of people taking part in research studies
collect reliable research data

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We offer free Good Clinical Practice (GCP) training courses for people supporting clinical research delivery at the NHS, UK universities and other publicly funded organisations in England.

Access GCP courses

You can browse all our GCP courses on NIHR Learn. You need to log in to see them.

First time users

Go to NIHR Learn and click on 'Create account'. You can register on NIHR Learn with your work email address.

What is GCP?

GCP is the agreed international standard for conducting clinical research.

Good Clinical Practice Training is needed for researchers conducting Clinical Trials of Investigational Medicinal Products (CTIMPs).

It's also known as ICH GCP - The International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) Guideline for Good Clinical Practice (GCP).

What courses are available?

GCP certification

You can do the following courses:

Informed consent

We also offer courses on informed consent. You can choose your course, depending on your experience, and the needs of the trial you are working on.

AccessGCPcourses

You can browse all ourGCPcourses onNIHRLearn. You need to log in to see them.

First time users

Go toNIHRLearn and click on 'Create account'. You can register onNIHRLearn with your work email address.

Frequently Asked Questions (FAQs)

How often do I need to renew it?

You will need to check the Standard Operating Procedures (SOPs) of your trust and employing organisation. This will define how often you need to renew your GCP by doing the GCP Refresher course.

We recommend refresher training every 2 to 3 years to keep up with best practice.

Is it CPD accredited?

Yes, the GCP courses are CPD accredited.

See more FAQs on Good Clinical Practice on the NIHR Learn Help website.

Why do I need to do this training?

Everyone who works on delivering a study has to have an up-to-date GCP certificate.

As a certified GCP researcher, you will:

protect the rights and safety of people taking part in research studies

collect reliable research data

Need help?

Email nihrlearnhelp@nihr.ac.uk

We will respond within 3 working days.

More information

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NIHR offers a range of Good Clinical Practice (GCP) courses for the clinical research delivery workforce.

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Video interpretation ipads have been introduced across all maternity and neonatal settings in ABUHB to improve equity and access to care. Work is currently underway to evaluate this service from both a staff and service-user perspective. If you would like to be involved in this, please contact rebecca.clement2@wales.nhs.uk❤

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The Voices@ABUHB Network aims to create a community for staff from ethnically diverse backgrounds, where we can connect with each other and feel a sense of belonging. Through sharing our experiences, we want to bring new perspectives and fresh ideas that help drive change to ensure that the Aneurin Bevan University Health Board (ABUHB) is welcoming to all.

Voices@ABUHB (sharepoint.com)

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When can I attend the next awesome QI and research forum?

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When can I attend the next awesome QI and research forum?

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All meetings start at 1pm
Dates and Venues:
14th September GUH Labour Ward
12th October YYF Birth Centre
9th November GUH Labour Ward
14th December NHH Birth Centre
11th January GUH Labour Ward
8th February RGH Birth Centre
14th March GUH Labour Ward

Please get in touch if you would prefer a Teams invite 😊😊
rebecca.clement2@wales.nhs.uk

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Our wonderful QI team in ABUHB were keen to share some resources that may help anyone embarking on a QI project!

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If you would like to know more about this fantastic initiative please contact lauren.kearney@wales.nhs.uk

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The Giant Panda Trial is a Randomised Controlled Trial looking at the treatment of hypertension in pregnancy. Participants are randomised to either Labetalol or Nifedipine and can have any type of hypertension to be eligible. Potential participants can be starting medication or already taking either labetalol or nifedipine, as long as they are happy to be randomised to the medication they are already taking or the alternative they will be eligible.
We are recruiting women and birthing people from booking to 34+6/40 of pregnancy.
There is also an observational arm if women/birthing people don’t want to be randomised.
If a woman/birthing person is admitted to triage, the ward or seen in ANC with raised blood pressure, please contact us and we will do the rest :)
tracy.james@wales.nhs.uk

THE NEPTUNE STUDY
The NEPTUNE study explores the views of both staff and women/birthing people on antenatal screening and has a particular focus on the NIPT test.
We are recruiting women and birthing people via a survey, face-to-face and by sending invitation packs.
We are also keen to offer the study to staff who have experience of delivering NIPT to participate in an interview with the Chief Investigator of the study, Dr Heather Strange. If you are interested in finding out more or participating, please contact us.

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We held the first maternity quality improvement and research forum on 14th September 2023 in GUH and on Teams. We had a small but diverse group with input from our ABUHB QI team and lots of interesting discussions. A summary of the topics covered can be found below.

Happy reading and please come along to our next meeting or email rebecca.clement2@wales.nhs.uk if you would like more information.

- Introductions
- Research Overview highlighted importance of midwifery involvement in recruiting participants for Giant Panda trial, which is ongoing and opportunity for midwives to be involved in Neptune study.
- Presentation of Beautiful Birth Boxes Project and opportunities for next steps discussed in group, including scaling up so equipment is present in all rooms. Possibility of QI project exploring aspect of maintaining stock levels discussed.
- Opportunities for QI skills training and development presented.
- Current QI projects with opportunity for staff involvement:
ATAIN, Infant Tagging, PeriPrem elements and data collection

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Please click on the image to access QI resources👍

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Please click the image to access information about in-house QI training opportunities.

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ABCi Poced QI (Virtual)- 2023 Open Session Dates

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Poced QI – Virtual Edition – For ABUHB Staff