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The Sheffield Infant Mortality Delivery Plan: An overview of the 8 Strands

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The Sheffield Infant Mortality Delivery Plan: An overview of the 8 Strands

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    1. The Sheffield Infant Mortality Delivery Plan: An overview of the 8 Strands Caroline Burrows Health Improvement Principal (Maternal & Infant Health) NHS Sheffield

    2. Strand 1: Breastfeeding Siobhan Horsley NHS Sheffield SW 74% SE SW 74% SE

    4. Target: To increase the rate of breastfeeding at 6-8 weeks in the Community Assembly areas with the lowest rates to a minimum 48.9% by 2020 Achievement of Baby Friendly Status Breastfeeding Peer Support in the community & at Jessop Wing Breastfeeding Friendly public places and workplaces

    5. Strand 2: Child Poverty Tony Tweedie Director of Lifelong Learning, Skills & Communities Sheffield City Council Target to be agreed Workshop 1

    6. Strand 3: Maternal Healthy Weight Sheila Paul & Baljit Sanghera NHS Sheffield Targets: To reduce the overall rate of women with a BMI of 30 or more at booking by 2% (from 21.9% 2010/11 to 19.9% in 2019/20) To reduce the Slope Index of Inequality gap by 10% (from 16.6% 2010/11 to 14.9% by 2019/20)

    8. Strand 4: Maternal Smoking Helen Baston Sheffield Teaching Hospital Foundation Trust Target: To reduce the rate of smoking in pregnancy to 8% by 2020 with a maximum rate of 14% in any Community Assembly area Headlines: Sheffield Rate 13.8% England Rate 13.5% (2010-11) Current rates Q1 15.2% & Q2 14.5% (2011-12) Massive inequalities across the city Actions: Support pregnant women who smoke to quit (including carbon monoxide monitoring of all pregnant women, and opt out referral for Stop Smoking Support) Smoke Free Homes Actions: Support pregnant women who smoke to quit (including carbon monoxide monitoring of all pregnant women, and opt out referral for Stop Smoking Support) Smoke Free Homes

    9. Range from 1.7 to 20.8 in the best to worse CA areas.Range from 1.7 to 20.8 in the best to worse CA areas.

    10. Strand 5: Sudden Infant Death Karen Bennett Children’s Safeguarding Lead Sheffield City Council Target: To Reduce the SID rate in Sheffield by half to 0.4/1000 live births by 2016-2020 *2006-10 rate of 0.79/1000 Foundation for Sudden Infant Deaths – national aspiration to reduce the SID rate by half *2006-10 rate of 0.79/1000 Foundation for Sudden Infant Deaths – national aspiration to reduce the SID rate by half

    13. Known risk factors present in 90% of the deaths 90% of the mothers aged 20 or younger at birth of 1st child Maternal smoking in 90% of deaths Alcohol a factor in around half of the cases ‘Routine change’ in over half of the cases ‘Social and/or mental health factors’ present in 83% cases The majority of babies had never been breastfed Place of sleep unsafe in majority cases

    14. Strand 6: Teenage Pregnancy Alicia Marcroft NHS Sheffield Target: To Reduce conceptions in under 18 year olds by 14% by 2018 (reporting in 2020 from baseline in 2009)

    15. Strand 7: Recessive Genetic Disorders Professor Sarah Salway Sheffield Hallam University Target – to be agreed % of infant deaths where consanguinity is a known risk factor 17.2% (2009) 17.9% (2010)

    16. A challenging area Genetic risk is complex (most cousin couples not at risk) Unmet need is concentrated among individuals and communities who commonly experience marginalisation and discrimination within the health service and wider society Past interventions elsewhere have been inappropriate and served to alienate rather than empower Need for multi-professional response and strong community involvement But we have: Learning/support from colleagues in Bradford, Walsall, Birmingham & input from national experts Enthusiasm of partners across the city to move forward

    17. Strand 8: Early Access to Maternity Care Dotty Watkins Sheffield Teaching hospital NHS Foundation Trust Target: 100% of women booking by the end of the 12th week of pregnancy by 2020 Workshop 2

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