All of our clinic work has the goal of improving health outcomes and developing evidence based practice to reduce the number of babies who die during pregnancy or birth.
Impact of Tommy's Manchester Clinics
- 5006 women received care 2010-2017 in MAViS, MPC and Rainbow clinics and 4450 scans were completed in 2016-2017.
- Tommy's clinic researchers have contributed to the NHS England Saving Babies Lives Care Bundle. A team from the Maternal and Fetal Health Research Centre found that the stillbirth rate fell by 22% from 2013 to 2017 in early adopter sites. This is a more rapid and sustained fall than seen in the national stillbirth rates.
- 23 women attending research clinics received novel treatment for chronic histiocytic intervillositis. This condition has a high risk of recurrence leading to adverse pregnancy outcomes and stillbirth. All 23 pregnancies ended in live born infants.
- In 2017, 100% of patients who completed the friends and family test said they would recommend the research clinics for a friend or family member.
- An independent social return on investment evaluation of the Rainbow Clinics found that for every £1 invested the clinic generates £6.10 of value.
- Health Innovation Manchester is facilitating the roll out of Rainbow Clinic to additional hospitals in Greater Manchester in 2018-2019.
- A second site Rainbow clinic at Wythenshawe hospital in South Manchester saw 28 families in 2016, expanding to 40 families in 2017.
Preterm rate decrease
The second Rainbow Clinic has resulted in a decrease in preterm deliveries in this population from 13.4% to 8% (the same as the background rate).
'Every time I look at my tiny daughter, I can’t believe she’s really here. Casey has been a fighter since before she was born, we’re just incredibly grateful that she had the Tommy's team in her corner. I've no doubt that the Placenta Clinic in Manchester, funded by Tommy's, saved her life.'
Manchester clinic patient
- The Tommy’s Diabetes Clinic at Guy’s and St. Thomas’ Foundation Trust has identified the rate of gestational diabetes (GDM) to have increased from approximately 3% to 8.4%. More women are being identified due to the clinics' universal screening procedure.
- GDM increases the risks of stillbirth, pre-eclampsia and premature labour. However due to specialised care, the clinic has achieved comparable birth outcomes to those of the general population, despite the increased risks.
Preterm birth clinic
- 90% of high-risk women who attend the London clinic go on to have healthy babies at full term. The care provided by our clinic has reduced the rate of premature births in the local area by 15%.
'The fact that Priya survived pregnancy past viability is purely down to the London clinical team. Their knowledge means they can correctly identify risk factors and offer treatments that many hospitals, including my local hospital, can’t. Words cannot express the level of gratitude I have for the clinic. I just hope that one day the care given at these clinics becomes a national standard, so that more women like me can have a positive ending.'Catherine, a mother who suffered previous losses before attending our London clinic
- 600 women seen between 2008-2014.
- Attendance at the metabolic clinic has been shown to reduce rates of stillbirth and low birth weight and improved detection of gestational diabetes.
- The specialist clinic at the Royal Infirmary has become a model for the rest of the UK to follow. The risk of stillbirth was 8 times lower in obese women who attended the clinic compared to those who did not.
- There have been no stillbirths in women attending the clinic over the past year, despite it expanding to care for 25-30 women every week.
Preterm birth clinic
- The Edinburgh preterm birth clinic is the first and currently only specialised clinic for people at high risk of preterm birth in Scotland.
- Any woman with a known risk factor for preterm birth can be referred for expert assessment and the women at highest risk of preterm birth or late miscarriage are offered personalised treatment tailored to their risk and preferences carried out with the expert care that the risk of preterm birth requires.
- 207 women seen since November 2016.
'I was a complete mess and they kept me going.'Edinburgh preterm birth clinic user
- 600 couples treated for recurrent miscarriage since 2015.
- 111 couples discharged from clinic since 2015 following successful treatment.
- 1700% growth in people travelling from outside the local area to seek support from our clinic in Coventry.
- 75 Early Pregnancy Units brought together in a single nationwide network, rolling out new treatments and care for couples in their local area.
'Quite simply without you there would be no us.'Miscarriage Research Clinic user
Clinical trial recruitment
Our lifesaving research could not take place without the women who take part in our clinical trials. Clinics are essential for recruiting women to these trials. These trials enable faster implementation of research findings and also give women the opportunity to benefit from new tests and treatments.
Tommy's research centres produce high quality, relevant research to provide improved evidence needed for new understanding, new treatments and new and updated guidelines. This research will lead to the number of babies who die during pregnancy or birth decreasing.
Our NHS supported specialist clinics deliver a high quality care environment, enabling improved recruitment to clinical trials and faster implementation of research findings.
Tommy's evidence-based, high quality, comprehensive pregnancy information informs and empowers pregnant women to make healthy behaviour and lifestyle choices, ultimately leading to a reduction in the number of babies who die during pregnancy or birth.