A 'care bundle' is an evidence-based structured set of practices that, used reliably, improves patient outcomes. In this case it is a series of four practices that NHSE is encouraging maternity units to use.
The four 'elements' are:
- Smoking cessation – CO testing offered to all women at their antenatal appointments
- Fetal growth restriction - using growth charts that are individualised to the mother to track the baby's development in the womb.
- Reduced fetal movement pathway and leaflet - raising awareness amongst women of the importance of monitoring their baby's movements and timely reporting if they notice a change in patterns, and providing a process of care for those who do report.
- Effective fetal monitoring during labour - the CTG records fetal heartbeat and uterine contractions during labour and units are encouraged to develop a buddy system to double-check important CTG results during labour.
Tommy's has been involved in the development of the leaflet on Reduced Fetal Movement, which uses messages that have been agreed by a Sub Working Group on Reduced Fetal Movement, and has been tested with a focus group of users. The leaflet is now undergoing NHS Gateway review before being implemented.