WHO Collaborating Centre for Public Health Nursing and Midwifery: Practice Examples

Local practice examples can be used to celebrate successes and to share what works. They are not formal research however they make an invaluable contribution to knowledge translation and learning or research generation.

Click on the title of the practice example in the table below to view the full text.

 

Title of practice exampleSummary
A multicomponent approach to increase influenza vaccination offer and supply in pregnancy
(September 2020)
Current guidance from the Department of Health and Social Care recommends that all women who are pregnant during the influenza season (October-March) are advised to have the inactivated influenza vaccine (Public Health England 2014). Influenza vaccination during pregnancy reduces maternal morbidity and mortality, improves fetal outcomes including reduced likelihood of perinatal death and prematurity and low birth weight (Halsey 2009; Shifflett 2014). Between 2010-2012 1 in 11 maternal deaths were due to influenza (Knight 2014).
Building community capacity during Covid-19 – Whole system working, going above and beyond to support breastfeedingThe key focus of this work has been maintaining the offer of breastfeeding help and support to families during Covid-19. The main benefit so far is that despite limitations on the face to face offer, families continue to receive timely and responsive breastfeeding support.
Forging an effective, collaborative and sustainable maternity care pathway
(September 2020)
In early 2019, it was recognised that there was no clear, robust pathway or collaborative approach to sharing information concerning antenatal or immediate postnatal handover for women in our localities. There was a need to reach out to our maternity partners, in order to create effective communication pathways. This is an account of the work undertaken by Cambridgeshire and Peterborough Healthy Child Programme in partnership with North West Anglia Foundation Trust and The Rosie Maternity Unit at Cambridgeshire University Hospitals Foundation Trust.
Implementing Stage 1 of the BabyClear© Approach to Reduce Smoking Amongst Pregnant Women Living in the London Boroughs of Barking, Dagenham and HaveringSmoking during pregnancy can cause serious problems including an increased risk of still birth and sudden infant death. Reducing smoking during pregnancy to 6% by the end of 2022 is one of the three national ambitions in the Tobacco Control Plan.
Improving breastfeeding prevalence through better support for mothers and integrated working practices in Swindon, EnglandThis example describes how an integrated service model can support breastfeeding mothers and minimise the reduction of breastfeeding prevalence between birth and 6-8 weeks post-birth. This was achieved through developing a tiered service with different types of infant feeding to support the individual needs of parents. Partnership working included midwifery, health visiting, public health, specialist programmes (e.g. Family Nurse Partnership), parents, NCT (formerly called the National Childbirth Trust) and breastfeeding peer supporters.
Maternal mental health training in rural NepalA capacity building programme about perinatal mental health promotion for community-based health-care practitioners in Nawalparasi, rural Nepal.
Reducing the risk of Sudden Infant Death Syndrome in the East Riding of YorkshireThis case study will illustrate how Health Visitors and Midwives in the East Riding of Yorkshire promote the health and safety of all babies by providing information and advice in a universal and timely manner, alongside personalised and targeted support to families with additional needs.
Smoking cessation support to family members wishing to quit smoking: improving the quit environment of the pregnant woman
(September 2020)
This pilot study aims to:
• Increase its engagement of pregnant smokers from 52% to 75%.
• Increase the partner engagement rate from 4% to 30% and achieve a quit rate from 2.2% to 30%.
• Tackle the public health benefits of the 20-45-year-old targeted age group who smoke and usually do not access health care.
• Reinforce the simple prevention strategy that prevention is better than cure.
Smoking Cessation: Testing a clinical adaptation in Family Nurse Partnership (FNP)The Building Blocks randomised controlled trial (Robling et Al, 2015) published disappointing results on smoking cessation rates for first time pregnant teenage mothers in receipt of Family Nurse Partnership (FNP) Programme. Smoking during pregnancy is a significant risk to a child’s health and development, and stopping smoking is a challenge amongst first time teen mothers-to-be. Maternal smoking in pregnancy is strongly associated with increased risk of poor outcomes for child throughout the life course: premature birth, still birth, sudden infant death syndrome (SIDs), delayed and poorer cognitive development and lower educational attainment, poor childhood, and adulthood ill health.
Smoking in pregnancy: a self-assessment toolThis example provides insight into the development of a self-assessment tool for organisations to self-assess the effectiveness of their approach to addressing smoking in pregnancy. There is strong evidence that reducing smoking in pregnancy reduces the likelihood of stillbirth. It also impacts positively on many other smoking-related pregnancy complications such as premature birth, miscarriage, low birth-weight and Sudden Infant Death Syndrome (SIDS).
Supporting breastfeeding plans: development of a tool to communicate infant feeding plans between Parents, Midwives and Health Visitors to support the continuation of breastfeeding following an episode of neonatal weight loss, jaundice or compromised lactation
(September 2020)
This tool is part of a process to promote seamless care between the Midwifery and Health Visiting services in Sheffield, to support mothers whose baby is on a feeding plan. A booklet has been produced for parents to support clear and consistent information about how to step down the ‘top ups’, how to document feeding/expressing and information about when the plan will be reviewed, by who and where this will take place. It will also provide information on how mothers will be supported back to breastfeeding and contact details of where they can access further support and information.
Supporting young people and parents to raise awareness of the importance of mental health and emotional wellbeingThe Emotionally Healthy Schools pilot project (EHS) was commissioned by Cheshire East Council (CEC) to improve links between education and children, adolescent mental health services (CAMHS) in six local high schools. Children and young people’s mental and emotional wellbeing is a significant public health priority. The Department for Education (2014) and the National Institute for Clinical Excellence (2009) recommend a whole-school approach and identified universal services as necessary for children and young people to be resilient and mentally and emotionally healthy.
Tackling early childhood neglect through early interventionThis local practice example describes an area of work from the Portsmouth Family Nurse Partnership (FNP) team and forms part of a wider suite of improved development of the FNP national programme in England. The aim was to design and test a programme of early intervention work to prevent neglectful parenting practices among young vulnerable first-time parents.

 

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