1. Questions to the First Minister – in the Senedd on 13 March 2018.
7. Will the First Minister provide an update on Maternity Network Wales? OAQ51916
Since its launch in 2015, the maternity network has brought together health professionals to work on three priority areas: reducing stillbirth, improving the quality and safety of services, and working in partnership with women and their families. There are plans this year to align this network with the neonatal network.
Thank you, First Minister. Stillbirth can have a devastating and long-lasting impact on families. The safer pregnancy campaign, launched by maternity network in March last year, has sought to reduce the risk of stillbirth. A study conducted by Emma Mills of St Woolos Hospital's clinical research and innovation centre found that interventional care led to a marked decrease in stillbirth rates. Emma was instrumental in bringing the study to Gwent and stillbirth rates dropped between 25 per cent and 50 per cent in the first year. The stillbirth rate in Aneurin Bevan health board last year was 4.3 per 1,000 births, notably lower than the national average of 5.8. Can the First Minister commend the work by Emma Mills and ensure that this work is disseminated to all health boards across Wales? And can he join with me in praising the excellent support provided by midwives and volunteers such as Sands, who help families from the early hours after a baby's death through to the weeks, months and years ahead?
We know the causes of stillbirth are multifaceted, with some factors still not clearly understood. So, the work done by Emma Mills and others is vital if we're going to achieve a significant reduction in stillbirths. There is collaborative work, involving the maternity network, Sands, and maternity services across Wales, and that has resulted in a range of interventions being taken forward. Early indications do show a reduction in the numbers of stillbirths—early signs yet, but they seem to give us a picture that is improving.
One thing I think is important as well is it's important that people who experience the effects of a stillbirth have bereavement support services available to them. I've seen this with my own eyes, where people do feel that they have lost somebody—they do not see it in terms of a stillbirth, they see it in terms of a child. It's hugely important then that bereavement services are available. It is now part of the core part of maternity services in Wales, and that is something I think is hugely important for those who suffer so much as a result of experiencing stillbirth.
Is it right for women so often to be guided to midwife-led birthing units as a default option, rather than to consultant-led labour wards?
Well, the women around me on the front bench have all said 'yes' to that. They're more than happy to be in the hands of a midwife, and midwives, of course, are fully qualified to deal with the vast majority of births. Where there are occasions when births are more difficult, then, of course, mothers are usually—it's planned, actually; this is usually planned—taken to maternity units that have more specialised services. But midwives provide us with a fantastic service.