This fifth annual report compiles and analyses the most up-to-date child protection data that exists across the UK for 2017. It sets out twenty different indicators, each of which looks at the question of ‘how safe are our children?’ from a different perspective. The report also includes historic data, to help track progress over time.
Setting: All nine level III perinatal centres (neonatal intensive care units (NICUs) and affiliated obstetrical services) in Switzerland.
Patients: ELGANs with a gestational age (GA) <28 weeks who died between 1 July 2012 and 30 June 2015.
Results: A total of 594 deaths were recorded with 280 (47%) stillbirths and 314 (53%) deaths after live birth. Of the latter, 185 (59%) occurred in the delivery room and 129 (41%) following admission to an NICU. Most liveborn infants dying in the delivery room had a GA ≤24 weeks and died following primary non-intervention. In contrast, NICU deaths occurred following unrestricted life support regardless of GA. End-of-life decision-making and redirection of care were based on medical futility and anticipated poor quality of life in 69% and 28% of patients, respectively. Most infants were extubated before death (87%).
Conclusions: In Switzerland, most deaths among infants born at less than 24 weeks of gestation occurred in the delivery room. In contrast, most deaths of ELGANs with a GA ≥24 weeks were observed following unrestricted provisional intensive care, end-of-life decision-making and redirection of care in the NICU regardless of the degree of immaturity.
The Campaign group End Child Poverty has published its latest Child poverty map of the UK 2016. The map provides statistics on the level of child poverty in each constituency, local authority and ward in the UK. It highlights there are now more than three and a half million children living in poverty in the UK, and that whilst child poverty exists in every part of the country, as many as 47% of children are living in poverty in some areas compared to one in ten in others.
Click on the image below to view the interactive map: