Improving pregnancy outcomes by engaging women in their own safety (the REACH-UK study)

This project will explore the potential of providing women and their families with information about key stillbirth warning signs and what action they can take.

Investigators: Professor Jane Sandall, Professor Debra Bick, Dr Nicola Mackintosh, Wendy Carter

Summary: Several studies have shown that pre-eclampsia can escalate rapidly. We therefore need a way to identify early warning signs of the condition, which may allow earlier intervention. However, it can be difficult to raise awareness without also causing fear. We want to understand the factors that prevent women from speaking up about the signs and symptoms of early pre-eclampsia or about health concerns raised by members of their social network, the response of health professionals they consult, and women’s awareness of the potential complications of pre-eclampsia and eclampsia in pregnancy, birth and in the period afterwards. In the study, we will provide women and their families with personalised information about the key warning signs and what action to take; we will also provide health professionals with a programme to follow in response to alerts. The aim is to improve early detection and management of pre-eclampsia and therefore improve outcomes.

Read more about our research into stillbirth

  • The team at the Rainbow Clinic

    The Rainbow Clinic

    The Tommy's Rainbow Clinic is part of the Tommy's Stillbirth Research Centre at St Mary's Hospital in Manchester. It provides specialist care for women who have suffered a previous stillbirth or neonatal death.

  • Diagram of baby and placenta in womb

    The Placenta Clinic

    The Placenta Clinic, run as part of the Tommy's Stillbirth Research Centre at St Mary's Hospital in Manchester, is the largest placenta-focused research group in the world.

  • researcher looking through microscope

    Tommy’s Manchester Research Centre

    Tommy’s research centre at St Mary’s Hospital opened in 2001 and is now home to around 100 clinicians and scientists researching the causes of stillbirth, and how to prevent it.

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