University Hospitals Bristol Foundation Trust and West of England Academic Health Science Network: PRCePT1 (prevention of cerebral palsy in preterm labour) quality improvement initiative

Treating women who go into pre-term labour with magnesium sulphate can prevent a third of cerebral palsy cases in their babies – but, despite good evidence for this intervention, in 2014 it was only used in 10 per cent of pre-term labours. This project started by changing behaviours in five trusts in the west of England. QI coaching and training was used to encourage behaviour change among midwives with the involvement of women who had experienced pre-term labour.

This led to uptake rising from 22 per cent to over 65 per cent. The work influenced the National Institute for Health and Care Excellence guidance on preterm labour and funding was obtained from the Health Foundation to scale up the approach. National spread was supported by NHS England and delivered through the Academic Health Science Network with funded time for regional leads and PReCePT midwife leads in every maternity unit.

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