ArticleBMC pregnancy and childbirth2018
Saving babies' lives project impact and results evaluation (SPiRE): a mixed methodology study.
Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03231007 (Saving Babies' Lives Project Impact and Results Evaluation), which is not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Saving Babies' Lives Project Impact and Results Evaluation: a Mixed Methodology Study
Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Factors That Influence Data Use to Improve Health Service Delivery in Low- and Middle-Income Countries.Global health, science and practice · 2020Pooled it
- Pooled it
- Real-world evaluation of Chinese National Maternal and Newborn Safety Action Plan for reducing neonatal mortality among pregnant women with conditions: a retrospective, matched, population-based cohort study.BMJ public health · 2026Article
- Safer Baby Bundle intervention for reducing perinatal mortality in Ethiopia: a quasi-experimental study.BMJ paediatrics open · 2025Article
- How obstetricians experience stillbirth and perinatal loss: a systematic review and meta-synthesis.AJOG global reports · 2025Review
- Quality and reporting of large-scale improvement programmes: a review of maternity initiatives in the English NHS, 2010-2023.BMJ quality & safety · 2024Review
- Experiences of antenatal care practices to reduce stillbirth: surveys of women and healthcare professionals pre-post implementation of the Safer Baby Bundle.BMC pregnancy and childbirth · 2024Article
- Mothers working to prevent early stillbirth study (MiNESS 20-28): a case-control study protocol.BMJ open · 2024Article
- Ending preventable stillbirths and improving bereavement care: a scorecard for high- and upper-middle income countries.BMC pregnancy and childbirth · 2023Article
- An exploration of maternity and newborn exposure, training and education among staff working within the North West Ambulance Service.British paramedic journal · 2022Article
- Article
- Implementation and evaluation of a quality improvement initiative to reduce late gestation stillbirths in Australia: Safer Baby Bundle study protocol.BMC pregnancy and childbirth · 2020Article
- Risk stratification for small for gestational age for the Brazilian population: a secondary analysis of the Birth in Brazil study.Scientific reports · 2020Article
- Stillbirth in Greece during the years of economic crisis: a population-based study.European journal of pediatrics · 2020Article
- Assessment of the quality, content and perceived utility of local maternity guidelines in hospitals in England implementing the saving babies' lives care bundle to reduce stillbirth.BMJ open quality · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundReducing stillbirth and early neonatal death is a national priority in the UK. Current evidence indicates this is potentially achievable through application of four key interventions within routine maternity care delivered as the National Health Service (NHS) England's Saving Babies' Lives care bundle. However, there is significant variation in the degree of implementation of the care bundle between and within maternity units and the effectiveness in reducing stillbirth and improving service delivery has not yet been evaluated. This study aims to evaluate the impact of implementing the care bundle on UK maternity services and perinatal outcomes.
methodsThe Saving Babies' Lives Project Impact and Results Evaluation (SPiRE) study is a multicentre evaluation of maternity care delivered through the Saving Babies' Lives care bundle using both quantitative and qualitative methodologies. The study will be conducted in twenty NHS Hospital Trusts and will include approximately 100,000 births. It involves participation by both service users and care providers. To determine the impact of the care bundle on pregnancy outcomes, birth data and other clinical measures will be extracted from maternity databases and case-note audit from before and after implementation. Additionally, this study will employ questionnaires with organisational leads and review clinical guidelines to assess how resources, leadership and governance may affect implementation in diverse hospital settings. The cost of implementing the care bundle, and the cost per stillbirth avoided, will also be estimated as part of a health economic analysis. The views and experiences of service users and service providers towards maternity care in relation to the care bundle will be also be sought using questionnaires. DISCUSSION: This protocol describes a pragmatic study design which is necessarily limited by the availability of data and limitations of timescales and funding. In particular there was no opportunity to prospectively gather pre-intervention data or design a phased implementation such as a stepped-wedge study. Nevertheless this study will provide useful practice-based evidence which will advance knowledge about the processes that underpin successful implementation of the care bundle so that it can be further developed and refined.
trial registrationwww.clinicaltrials.gov NCT03231007 (26th July 2017).
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.