Maternal & Neonatal Health

The Public Health England, Child Health Profile for March 2019 shows the following:

• More babies in Liverpool are now dying before their first birthdays.
• The teenage pregnancy rate is worse than England, with 195 girls becoming pregnant in a year.
• 7% of women smoke while pregnant which is worse than England. Breastfeeding rates in this area are worse than England. 55.0% of mothers initiate breastfeeding. By 6 to 8 weeks after birth, 35.2% of mothers are still breastfeeding.

• What happens in pregnancy and early childhood impacts on physical and emotional health all the way through to adulthood.
• Supporting good maternal health is important for safe delivery and good birth weight to give babies the best start
• The prevention of adverse health factors in pregnancy is vital. Premature and small babies are more likely to have poorer outcomes.
• The earliest experiences, starting in the womb, shape a baby’s brain development.

Domain (1) Promoting healthy lifestyles for all

Programme (1) Promoting healthy living

Potential project areas

– Determining why initiation and maintenance rates for breastfeeding remain so poor and the most effective interventions to improve them.
– Developing the evidence of efficacy for strategies and interventions that will have the greatest positive impact in pregnancy, childhood and amongst young people and families, specifically
to;

• optimise nutrition.
• overcome obesity and improve diet.
• improve the adoption of physical activity.
• address substance misuse.

Programme (2) Mitigating and preventing adversity

Potential project areas

– Understanding the prenatal/perinatal contributors to premature birth, in order to reduce premature birth and improve pre-term child health outcomes.
– Developing strategies to promote the importance and evaluate the uptake of vaccinations
across our community.
– Developing strategies to identify and support early interventions to address Adverse Childhood Experiences (ACEs), specifically to support;
– front-line staff (e.g. health and social care professionals, education providers).
– children and families experiencing ACEs.

Domain (2) Improving chronic conditions for all

Programme (3) Promoting positive mental health and wellbeing

Potential project area

– Determining key interventions that will have the greatest positive impact on the mental health and psychological wellbeing in pregnancy, childhood and amongst young people and families, specifically to;

• manage stress and anxiety.
• assess the impact of targeted early interventions in schools.
• develop the evidence base to tackle the link between poor mental health and social deprivation.

• Determining the most effective strategies to support the needs of children and young people with complex health care needs/disabilities.

Programme (4) Tackling chronic inflammatory and infection related disorders
Potential project areas

• Developing and evaluating the evidence base, specifically to;

• improve early referral, appropriate diagnosis and management for children and young people with inflammatory conditions.
• reduce the impact of respiratory disease for children and young people.
• reduce the lifelong health implications of cardio-respiratory disorders.
• Identifying individuals at increased risk of developing chronic disorders.

Domain (3) Implementing effective co-ordinated care for all

Programme (5) Developing co-ordinated care

Potential project areas

• Developing effective co-ordinated care for improving the health outcomes in pregnancy and for children and young people, specifically by;

• determining and evaluating the best methods (including, for example, Sure Start and Trailblazer sites) to foster partnerships across health and social care.
• supporting the development and evaluation of a robust digital informatic platform and surveillance system, seamlessly linking primary care and hospital data.
• refining and evaluating early intervention support and education for those children and families at risk.

High Greenwood Children’s fund 

In light of all our leaders (NHS and Academic) who we would want to work together to bring together outstanding applications, being understandably focused on leading the responses in teams to COVID-19, we have decided to postpone the Hugh Greenwood call for funding until later in the year.

Prof. Michael Beresford – Programme Director

Dr. Colin Morgan – Deputy Director

Dr. Carrie Hunt – Programme Manager

Tel: 07500 835435

 Email: Carianne.hunt@liverpool.ac.uk