The National Childbirth Trust

London, United Kingdom

The National Childbirth Trust

London, United Kingdom
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Rowe R.E.,University of Oxford | Townend J.,University of Oxford | Brocklehurst P.,University of Oxford | Brocklehurst P.,University College London | And 7 more authors.
BMC Pregnancy and Childbirth | Year: 2013

Background: In England, there is a policy of offering healthy women with straightforward pregnancies a choice of birth setting. Options may include home or a freestanding midwifery unit (FMU). Transfer rates from these settings are around 20%, and higher for nulliparous women. The duration of transfer is of interest because of the potential for delay in access to specialist care and is also of concern to women. We aimed to estimate the duration of transfer in births planned at home and in FMUs and explore the effects of distance and urgency on duration.Methods: This was a secondary analysis of data collected in a national prospective cohort study including 27,842 'low risk' women with singleton, term, 'booked' pregnancies, planning birth in FMUs or at home in England from April 2008 to April 2010. We described transfer duration using the median and interquartile range, for all transfers and those for reasons defined as potentially urgent or non-urgent, and used cumulative distribution curves to compare transfer duration by urgency. We explored the effect of distance for transfers from FMUs and described outcomes in women giving birth within 60 minutes of transfer.Results: The median overall transfer time, from decision to transfer to first OU assessment, was shorter in transfers from home compared with transfers from FMUs (49 vs 60 minutes; p < 0.001). The median duration of transfers before birth for potentially urgent reasons (home 42 minutes, FMU 50 minutes) was 8-10 minutes shorter compared with transfers for non-urgent reasons. In transfers for potentially urgent reasons, the median overall transfer time from FMUs within 20 km of an OU was 47 minutes, increasing to 55 minutes from FMUs 20-40 km away and 61 minutes in more remote FMUs. In women who gave birth within 60 minutes after transfer, adverse neonatal outcomes occurred in 1-2% of transfers.Conclusions: Transfers from home or FMU commonly take up to 60 minutes from decision to transfer, to first assessment in an OU, even for transfers for potentially urgent reasons. Most transfers are not urgent and emergencies and adverse outcomes are uncommon, but urgent transfer is more likely for nulliparous women. © 2013 Rowe et al.; licensee BioMed Central Ltd.


Trademark
The National Childbirth Trust | Date: 2016-09-20

Audio recordings featuring information and resources relating to pregnancy, childbirth, childcare and parenting;video recordings featuring information and resources relating to pregnancy, childbirth, childcare and parenting; audio visual recordings featuring information and resources relating to pregnancy, childbirth, childcare and parenting; audio and video recordings featuring information and resources relating to pregnancy, childbirth, childcare and parenting; compact discs featuring information and resources relating to pregnancy, childbirth, childcare and parenting; magnetic tapes and tape cassettes featuring information and resources relating to pregnancy, childbirth, childcare and parenting; video tapes featuring information and resources relating to pregnancy, childbirth, childcare and parenting; CD-Roms featuring information and resources relating to pregnancy, childbirth, childcare and parenting; DVDs featuring information and resources about pregnancy, childbirth, childcare and parenting; electronic storage devices being electronic memories featuring pregnancy, childbirth, childcare, and parenting; exposed cinematographic films; multimedia audio and video recordings featuring information and resources featuring information and resources relating to pregnancy, childbirth, childcare and parenting; electronic publications, namely factsheets, newsletters, pamphlets, magazines, booklets and books featuring information and resources relating to pregnancy, childbirth, childcare, and parenting recorded on computer media; webcams and webcam monitors, mouse mats, baby monitors, sound generating apparatus for soothing babies, bath temperature indicators; apparatus and instruments for recording and/or reproducing sound and/or images; replacement parts for all the aforesaid goods. Printed matter, namely, factsheets, newsletters, pamphlets, brochures, magazines, booklets, periodicals, journals, scientific journals, and books in the field of pregnancy, childbirth,child care and parenting; stationery; printed instructional, educational and teaching materials in the field of pregnancy, childbirth, childcare, and parenting publicity material and promotional leaflets for the purpose of promoting public issues relating to pregnancy, childbirth, childcare, baby feeding and parenthood; fact sheets in the field of pregnancy, childbirth, childcare and parenting; books, booklets, magazines and periodicals in the field of pregnancy, childbirth, childcare, and parenting; newsletters and catalogues in the fieldof pregnancy, childbirth, childcare and parenting; stickers, posters; keepsake boxes of paper or cardboard, freezer bags; anatomical models of babies for instructional and educational purposes. Advertising; public opinion polling; market research into gaining parents views on childbirth and early parenthood; promotional services relating to breastfeeding, pregnancy, birth and early parenthood; production of television and radio advertisements; retail store services and mail order services featuring skin care products, food for babies, nutritional supplements, sanitary pads and panties, panty liners, breast nursing pads, audio recordings, video recordings, audio visual recordings, recordings, compact discs, magnetic tapes and tape cassettes, video tapes, CD-Roms, DVDs and other electronic storage devices, cinematographic films, computer programs, multimedia recordings, electronic publications, webcams and webcam monitors, mouse mats, baby monitors, sound generating apparatus for soothing babies, bath temperature indicators, anatomical models for teaching purposes, apparatus, instruments and parts and fittings therefor, all for recording and/or reproducing sound and/or images, printed matter, stationery, instructional and teaching materials, publicity material, promotional leaflets, facts sheets, books, booklets, magazines, periodicals, stickers, posters, balloons, keepsake boxes, transfers, freezer bags, magazines published for and distributed to pregnant women and new mothers, collection boxes for fundraising none being wholly or principally of metal, blankets, bed protectors, cot sheets, cloth labels, flannels, clothing, promotional T-shirts, clothing for mothers-to-be, nursing mothers and their infants, bras, tops and dresses, all for nursing mothers, maternity underwear, babies napkins of textiles, splash suits and fleece suits, all for infants, toys, baby and small child equipment; including all of the aforesaid services provided via the Internet. Charitable fund-raising. Educational services, namely, the provision of workshops and courses featuring decision-making during pregnancy, preparation for childbirth, childcare and parenting including provision by electronic means of educational services, namely online classes, seminars and workshops featuring decision-making during pregnancy, preparation for childbirth, childcare and parenting; providing of training in the field of ante-natal health, childbirth, childcare, parenting and volunteer training, educational services , namely, the provision of workshops and courses for the promotion of the mental and physical welfare of expectant mothers through education for childbirth and parenthood; provision of educational information, namely publishing fact sheets, newsletters, pamphlets, booklets, magazines and books in the field of physical process and emotional factors arising before, during and after childbirth; providing training to give instruction and support in preparation for childbirth and during breastfeeding/infant feeding; provision of training in post-natal support; education services, namely the provision of workshops and courses for teaching good parenting and appreciation of parenting including provision by electronic means of educational services, namely, online classes, seminars, and workshops for teaching good parenting and appreciation of parenting; arranging and conducting of lectures, seminars and classes, all for children and parents in the field of ante-natal health, pregnancy, childbirth, childcare, parenting and first aid; production of entertainment services for children and parents, namely, television show production and video video production services; publishing of fact sheets, newsletters, pamphlets, booklets, magazines, books, non-downloadable electronic publications in the nature of fact sheets, newsletters, pamphlets, booklets, magazines and books all featuring information and resources relating to pregnancy, childbirth,childcare and parenting; publication of books, magazines, newspapers and of printed matter, publication of texts not being for advertising purposes; computer programs, audio-, video-, and audio visual recordings and multimedia recordings all featuring information and resources relating to pregnancy, childbirth, childcare, and parenting; electronic desktop publishing of fact sheets, newsletters, pamphlets, booklets, magazines and books featuring information and resources relating to pregnancy, childbirth, childcare, and parenting; entertainment services in the nature of organizing of competitions in the field of entertainment, education and health care; organization of lectures, seminars, symposia and educational conferences in the field of ante-natal health, pregnancy, childbirth, childcare, parenting and first-aid; presentation, namely, production of performances of childrens and other television programs; production and distribution of radio and television programs, films and shows; films, providing film production services; theater productions; organizing of educational, entertainment and social events, these aforesaid services being especially for pregnant women, their partners and for new parents. Scientific research into parents views on childbirth and early parenthood.


Trademark
The National Childbirth Trust | Date: 2012-05-30

Electronic publications (downloadable); printed publications in electronically readable form; audio recordings; audio visual recordings; compact discs; DVDs; CD-Roms; magnetic data carriers; multimedia recordings; podcasts; apparatus and instruments for recording and/or reproducing sound and/or images. Paper, cardboard and goods made of these materials; printed matter; stationery; instructional and teaching materials; publicity material and promotional leaflets; fact sheets; books, booklets, magazines and periodicals; journals; scientific journals; stickers, posters, calendars; periodic publications; periodical publications relating to health care; printed publications. Educational services; training services; provision by electronic means of education services and resources; arranging and conducting of lectures, seminars, workshops and classes; organising exhibitions and presentations for education and entertainment purposes; entertainment events; publishing services; electronic publications (non-downloadable); organising of educational, entertainment and social events; provision of instructions, training and educational assistance and educational counselling services in preparation for childbirth and during breastfeeding/infant feeding and post-natal support. Provision of medical consultancy, advisory and support services; provision of medical, lifestyle and psychological information in relation to all aspects of childbirth and early parenthood; medical, lifestyle and psychological counselling services in relation to all aspects of childbirth and early parenthood.

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