Posted on September 10, 2023
Short abstract
The results of the PReCePT study were published in BJOG. The study, conducted by NIHR ARC West researchers, compared uptake of magnesium sulphate in 27 maternity units under the standard programme with 13 units given an enhanced support package. Standard support included a PReCePT Quality Improvement (QI) guide and toolkit, support from local Health Innovation Networks and 90 hours of backfill for a midwife PReCePT champion. The enhanced support included the standard package plus unit-level QI coaching, a further 90 hours of midwife backfill and 104 hours of backfill for an obstetrics or neonatology lead, and other support.
The researchers found that in the year before the study started, 68% of eligible mothers in the control group and 64% of mothers in the enhanced support group received magnesium sulphate. After the study, this had gone up to 84% and 85% respectively. After adjusting for other factors, the two groups had improved by very similar amounts. The standard National PReCePT Programme (NPP) (control group) supported by Health Innovation Networks was the most cost-effective way to improve use of magnesium sulphate.
Citation
Edwards HB, Redaniel MT, Sillero-Rejon C, Pithara-McKeown C, Margelyte R, Stone T, et al. Quality improvement interventions to increase the uptake of magnesium sulphate in preterm deliveries for the prevention of cerebral palsy (PReCePT study): a cluster randomised controlled trial. BJOG. 2024 Feb; 131(3): 256–266. https://doi.org/10.1111/1471-0528.17651
Read the open-access article here.
