| Welcome to our first fortnightly current awareness update covering child and maternal health topics including mental health. From now on, we will be producing a current awareness update twice a month covering all child and maternal topics including mental health. We think that this better reflects the way in which the physical and mental health of children, young people and families is often interlinked and the importance of taking a holistic approach. The mid-month update will include policy and government reports, guides and reports as well as tools and data. Our end of month update will also list research (journal articles) as well as the resources above. News and events will no longer be included. Finding information about child and maternal health data on .GOV.UK PHE has moved content for the National Child and Maternal Health Intelligence Network to GOV.UK. GOV.UK makes it simpler, clearer and faster to find information. A new guidance page for health professionals has been developed for child and maternal health data and intelligence and has links to the various resources available in this field. In addition, the child and maternal health section on PHE's Fingertips tool brings together data items and profiles for this topic, including child health profiles. You don't need to do anything or worry about information being lost. Your favourites, bookmarks and saved links will still take you to the information you're looking for. You'll automatically be redirected to our revised content on GOV.UK or to the National Archives, where we have archived copies of the old websites. We are continually adding more guidance and statistics and you will see additional content added from the network over coming months. For the attention of midwives: help to shape healthy weight gain interventions for pregnant women If you are a practicing midwife, we would welcome your perspectives on healthy weight gain during pregnancy. We are keen to understand how you as midwives can be best supported to provide brief advice on healthy weight gain to pregnant women. Please take a few minutes to complete the Public Health England questionnaire before Wednesday 26 July and encourage other midwifes who you think might be interested in responding to do so too. Health Visitor Service Delivery Metrics: 2016/17 Quarter 3 (April 2017 release, published June 2017) Health visitor service delivery metrics were published on 14 June 2017 for 2016/17 Quarter 3 at a local authority resident level. The data was submitted by local authorities on a voluntary basis via the interim reporting system. The metrics currently cover the antenatal check, new birth visit, the 6-8 week review, the 12 month assessment and the 2- 2½ year assessment. Information is presented at a local authority, PHE and England level. Breastfeeding statistics: 2016/17 Quarter 3 (April 2017 release) Breastfeeding at 6 to 8 weeks after birth: 2016 to 2017 (including Q3, April 2017 update) update gives the number and proportion of infants who have been fully, partially or not at all breastfed at 6 to 8 weeks after birth. Public Health England collected the data through an interim reporting system set up to collect health visiting activity data at a local authority resident level. Data was submitted by local authorities on a voluntary basis. Information is presented at local authority of residence, PHE Centre and England level. For the attention of specialist providers of data collection services: call to tender from Public Health England Public Health England would like to draw your attention to an opportunity that Public Health England (PHE) is currently advertising with regards to joining a Framework of Specialist Providers in Data Collection Services. To be able to apply, you will need to register your organisation on our Bravo e-Tendering Portal at https://phe.bravosolution.co.uk This is free of charge and a one-off requirement and once registered please navigate to Project number 3537 or ITT 2864 . The closing date for bids is midday on 31-07-2017. Should you need any assistance or support, there is a help desk facility provided by Bravo in case of any difficulty: 0800 368 4850 Option 1.
This eBulletin includes links to content from a range of different organisations. We do not accept responsibility for the availability, reliability or content of the items included in this eBulletin and do not necessarily endorse the views expressed within them. Learning more about what keeps young people safe and well. This issue of Public Health England's Health Matters focuses on key findings from three new reports which focus on what some of the key factors are in protecting the mental wellbeing of 11-15 year olds. The three reports look at young people's experiences of cyber-bullying, the wellbeing of adolescent girls, and self-harm. They're based on new analysis of the Health Behaviour in School-age Children (HBSC) Survey and the reports will help all those supporting young people to be better placed to keep them safe and well. They also look at three main areas of young's people's lives - family, school and local neighbourhood - and identify what can help to protect against poor mental wellbeing. The blog highlights a range of other resources to support evidence based action to promote and protect children's emotional wellbeing. Gathering feedback from families following the death of their baby. A resource to support professionals in maternity care This Maternity Bereavement Experience Measure (MBEM) questionnaire and supporting resource was created collaboratively by Sands (the Stillbirth and neonatal death charity), NHS England and the London Maternity Clinical Network. The questionnaire is designed to seek feedback from bereaved parents where a baby or babies have died during pregnancy or shortly after birth. It is grounded on clear research methodology and was tested with bereaved families, in order to ensure it will effectively and sensitively capture the experiences of bereaved parents. The wider resource offers practical suggestions on how to apply the questionnaire locally in order to improve local bereavement care. It should enable commissioners and providers to collect and understand women's insight from all communities, cultures and ethnic groups to help explore where local improvements may be needed. Good practice points: Childhood cancer – spotting the signs & symptoms These Good Practice Points, written by Dr Jennifer Kelly, GP and founder of the Grace Kelly Ladybird Trust for childhood cancer and awareness, support health visitors by giving them information about the possible signs and symptoms of cancer in children. Flu vaccines for children This is a quick reference guide from Public Health England on the childhood flu vaccines for winter 2017 to 2018. Two types of flu vaccine are available for children in 2017 to 2018: the 'live' nasal spray vaccine and the inactivated injected flu vaccine. This chart indicates which vaccine children should get and who is eligible. Smile4Life in north west England This case study from Public Health England gives an overview of the Smile4Life programme which was developed in partnership with local authorities and aims to reduce tooth decay in children in Lancashire and Cumbria. The approach focuses on sustained behaviour change, supported across the health and social care systems, involving everyone who has a role in the development of children and young people (CYP). The interventions are informed by Delivering Better Oral Health: an evidence based toolkit for prevention. Child dental health This edition of Public Health England's Health Matters, a resource for local authorities and health professionals, brings together the important facts and figures on child dental health and evidence of effective interventions to prevent tooth decay in children under five. This resource outlines how health professional, councils and partners can help prevent tooth decay in children under 5 as part of ensuring every child has the best start in life. Healthy teeth, happy smiles! Leicester city council This case study from Public Health England gives an overview of Leicester's Healthy Teeth, Happy Smiles!, an early intervention programme from birth to improve the oral health of preschool children. The programme is part of the city's first Oral Health Promotion Strategy for preschool children (2014 to 2017). The strategy adopts a population and targeted approach to improving oral health and ensures a mixture of evidence-based dental public health interventions. Leicester also established the Oral Health Promotion Service which is based in neighbourhoods. The service has developed multi-agency oral health training packages aimed at all frontline health, care and education staff. Improving lives: Helping workless families - evidence base This research is the evidence base that supports the Department for Work and Pensions' 'Improving Lives: Helping Workless Families' publication. The analysis and research pack sets out the comprehensive evidence base that supports Improving Lives: Helping Workless Families. Part 1 describes the evidence behind some of the issues associated with worklessness, how these disadvantages are often interrelated, and how they impact on children's outcomes. Part 2 sets out the 9 national indicators (7 non-statutory and 2 statutory) which the DWP are using to track progress in tackling the disadvantages that affect families and children's outcomes, as shown in our evidence and analysis. These will replace the indicators reported on in the former social justice outcomes framework. The evidence resource on multiple disadvantages in families and its impact on children provides an overview of important milestones of child development from pre-conception to early adulthood, and explores how child development is influenced by multiple disadvantages affecting workless families. Improving lives: Helping workless families This policy paper from the Department for Work and Pensions sets out proposals to improve outcomes for children who grow up in workless families and face multiple disadvantages. The DWP sets out plans to improve the support given to workless families and their children, so that they can overcome the complex problems they face. The proposals outlined in this paper include:- launching the next phase of the Troubled Families Programme, which will place a greater emphasis on helping parents with complex needs into work, a new programme to reduce parental conflict by providing access to proven support for the most disadvantaged families, whether parents are together or separated, enhancing the role of Jobcentre Plus in working with local partners in a more joined-up way, to identify people with complex needs at the right time and better address their needs, greater support to help those with drug and alcohol dependencies into work, by implementing recommendations from Dame Carol Black's review of employment and drug and alcohol dependency. Health behaviour in school age children (HBSC): data analysis Public Health England's analysis of the recent HBSC survey data explores the rising trend in poorer emotional wellbeing of young people. The series of 3 reports focus on self-harm, cyberbullying and the emotional wellbeing of adolescent girls. These reports examine the data and explore what protective factors may exist in a young person's life which may be linked to their mental health outcomes, ranging from personal attributes, family, school, peer and wider community context. Reports include, Intentional self-harm in adolescence: an analysis of data from the HBSC survey for England, 2014, Intentional self-harm in adolescence: an analysis of data from the HBSC survey for England, 2014 and Cyberbullying: an analysis of data from the HBSC survey for England, 2014.
Social mobility barometer poll: half of Brits believe background determines success This report from the Social Mobility Commission gives findings from a YouGov survey of 4,723 adults and fieldwork carried out in March 2017 looking at public attitudes to social mobility in the UK. The report looks at: how people's backgrounds affect their futures, whether people's lives are improving, prospects for future generations and geographical differences in social mobility. The barometer poll exposes pessimism among young people and stark geographical divide. The hidden half: bringing postnatal mental illness out of hiding This report from the National Childbirth Trust (NCT) reveals that half (50%) of mothers experienced mental health problems at some time during pregnancy or within the first year of their child's birth. These can include postnatal depression, anxiety, obsessive compulsive disorder (OCD), post-traumatic stress disorder (PTSD) and postpartum psychosis. Nearly half (42%) of new mothers' mental health problems did not get picked up by a doctor or other health professional. The research also highlights how the six-week postnatal check-up is failing to pick up mental health issues in mothers. The routine health check, six weeks after a baby's birth, is a vital opportunity to uncover any physical and mental health problems for women and babies. The NCT is calling for an improvement to the six-week postnatal check-up to reduce the number of mothers who don't get diagnosed and treated properly. They say that extra funding would go a long way to reduce the pressure GPs face in supporting new mums. How safe are our children? 2017 This report from the NSPCC compiles and analyses the most robust and up-to-date child protection data that exists across the 4 nations in the UK for 2017. The report sets out 20 different indicators. Each indicator looks at the question of 'how safe are our children?' from a different perspective. They also include historic data, to help track progress over time. Key findings as follows: In recent years there has been an increase in emotional abuse as a reason for children being on a child protection plan or register in England and Wales, and increasing numbers of contacts to the NSPCC helpline about the issue. There has been an increase in public reporting of child abuse. In 2016/17 the NSPCC helpline responded to its highest ever number of contacts. There have also been increases in police-recorded child sexual offences and indecent image offences across the UK and increases in child cruelty and neglect offences in all UK nations except Scotland. The last decade has also seen increased numbers of children on child protection plans and registers and increased numbers of looked after children in the UK. But, without a new survey of child maltreatment prevalence we lack a clear picture of the extent of child abuse and neglect today. The NSPCC are calling on the UK Government to commission a new UK-wide study. Each baby counts: 2015 summary report This summary report from the Royal College of Obstetricians and Gynaecologists' (RCOG) Each Baby Counts initiative gives a detailed analysis of all stillbirths, neonatal deaths and brain injuries that occurred during childbirth in 2015 and identifies key clinical actions needed to improve the quality of care and prevent future cases. These clinical actions include: improving fetal monitoring; enhancing neonatal care; and reducing human factors by understanding 'situational awareness' to ensure the safe management of complex clinical decisions. The analysis finds that 76 per cent of cases which underwent local review might have had a different outcome with different care.
UK perinatal mortality surveillance report – UK perinatal deaths for births from January to December 2015 This report shows that the stillbirth rate in the UK has reduced by almost 8% over the period 2013 to 2015. The Government ambition is to halve the rates of stillbirth and neonatal death in England by 2030 and these findings indicate that things are moving in the right direction. Led by the MBRRACE-UK collaborators based in the Department of Health Sciences at the University of Leicester, the report focuses on rates of stillbirth and neonatal death across the UK for babies born at 24 weeks of gestation or more. In 2015 the stillbirth rate was 3.87 per 1,000 total births, a fall from 4.20 in 2013. Nevertheless, despite this reduction UK stillbirth rates still remain high compared to many similar European countries and there remains significant variation across the UK that is not solely explained by some of the important factors that influence the rate of death such as poverty, mothers age, multiple birth and ethnicity. A healthy state of mind: improving young people's mental fitness This report from Localis, an independent cross-party think tank, argues for reform of the mental health system to provide greater support for the majority of young people who will not receive treatment from specialist child and adolescent mental health services (CAMHS) whilst ensuring that those in desperate need of clinical intervention receive immediate help. The report focuses on overcoming barriers around first point of contact and access to services, the role of non-mental health professionals in helping young people with their mental fitness, the benefit for services of encouraging young people to have resilience, agency and independence and settings where non-mental health professionals interact with young people – primarily primary care and education but also social services where there are high levels of state interaction. Hidden costs: The mental health impact of a cancer diagnosis on young people This report from CLIC Sargent, a cancer charity for children and young people reveals the impact of a cancer diagnosis on young people's mental health, as well as their physical health. The findings, based on responses from 149 young cancer patients, reveal that 79% felt cancer has had a serious impact on their emotional wellbeing. The report recommends that access to evidence-based mental health interventions for young cancer patients should be part of the treatment pathway if needed, and provided consistently across the UK. Furthermore, information about appropriate services needs to be provided to young people early on in the treatment journey so that they can make informed decisions about what, if any, support they need to access. Building the future: Children and sustainable development goals in rich countries This report from UNICEF's Office of Research – Innocenti, offers an assessment of child well-being in the context of sustainable development across 41 countries of the European Union (EU) and the Organisation for Economic Co-operation and Development (OECD). It focuses on those goals and targets with most direct relevance to the well-being of children in high-income settings looking at income, education, health and life satisfaction. Further child and maternal health data can be found on Public Health England's Fingertips tool. The child and maternal health section brings together a range of publicly available data, information, tools and resources. Find guidance on using these statistics and other intelligence resources to help you make decisions about the planning and provision of child and maternal health services on.GOV.UK.
Monitor of engagement with the natural environment survey: developing a method to measure nature connection across the English population (adults and children) (NECR233) The Monitor of Engagement with the Natural Environment Survey (MENE) was established in 2009 to provide a comprehensive dataset on people's relationship with the natural environment, capturing data from a representative sample of the English adult population on an annual basis, allowing trends to be monitored. MENE asks questions on people's attitudes to the natural environment and about their participation in environmental activities, including their visits to natural environments. More recently, questions about children's visits to the natural environment have also been included in the survey (Hunt et al. 2016.)
Mental health services monthly statistics, final: March 2017 This series from NHS Digital includes updated statistics concerning children and young people's mental health services. This update also includes an explanatory analysis report on women in contact with mental health, learning disabilities and autism services during the perinatal period.
Statistics on smoking, England 2017 This statistical report from NHS Digital presents a range of information on smoking which is drawn together from a variety of sources. The report aims to present a broad picture of health issues relating to smoking in England and covers topics such as smoking prevalence, habits, behaviours and attitudes among adults and school children, smoking-related ill health and mortality and smoking-related costs. The report's section specifically on children from page 26-30 gives smoking prevalence over time, by age, ethnicity and local authority. Findings are also given on influences and dependence and use of e-cigarettes. Statistics on women's smoking status at time of delivery: England - Quarter 4, Jan to Mar 2017 Results and trends from the women's smoking status at time of delivery (SATOD) data collection in England produced by NHS Digital. The results provide a measure of the prevalence of smoking among pregnant women at Clinical Commissioning Group (CCG) and region levels. In 2016/17 10.5 per cent of pregnant women were known to be smokers at the time of delivery. This compares to 10.6 per cent for the previous year (2015/16), and is down from 15.1 per cent in 2006/07. This is the second consecutive year that the proportion has been below the national ambition of 11 per cent.
The full versions of some of these resources may only be available with a paid subscription. Contact your local library service or Athens account administrator to see if you are able to access them through your organisation.
Academic Pediatrics: Peer victimisation and academic performance in primary school children This study aimed to quantify the cross-sectional associations between peer victimisation and academic performance in a large population sample of children.
The study concluded that children who were physically victimised were six to nine months behind their peers on measures of academic performance. There are growing reasons for education systems to invest in the prevention of bullying and promotion of positive peer relationships from the earliest years of school. Journal of Pediatric Nursing: "Mission Impossible"; the mothering of a child with type 1 diabetes – from the perspective of mothers experiencing burnout The purpose of this research was to explore how mothers experiencing burnout describe their mothering of a child with type 1 diabetes mellitus (T1DM), with a focus on their experienced need for control and self-esteem.
The study concluded that in addition to monitoring the health of the child with T1DM, it is important for clinicians to pay attention to how mothers experience their daily life in order to support those who are at risk of developing burnout, as well as those who are experiencing burnout. The wellbeing of the mother could influence the wellbeing of the child, as well as the entire family. Further research on perceived parental responsibility, gender differences, psychosocial factors, and burnout is needed. Archive of Disease in Childhood: Screen time is associated with adiposity and insulin resistance in children Researchers examined associations between self-reported screen time and type 2 diabetes (T2D) risk markers in children.
The research concluded that strong graded associations between screen time, adiposity and insulin resistance suggest that reducing screen time could facilitate early T2D prevention. While these observations are of considerable public health interest, evidence from randomised controlled trials is needed to suggest causality. BJOG: Advanced maternal age increases the risk of very preterm birth, irrespective of parity: a population-based register study The objective of this study was to investigate whether advanced maternal age is associated with preterm birth, irrespective of parity.
The study concluded that advanced maternal age is associated with an increased risk of preterm birth, irrespective of parity, especially very preterm birth. Women aged 35 years and older, expecting their first, second, or third births, should be regarded as a risk group for very preterm birth. BJOG: Serious maternal complications in relation to severe pre-eclampsia: a retrospective cohort study of the impact of hospital volume Researchers examined rates of serious maternal complications in relation to severe pre-eclampsia based on the delivering hospital's annualised volume.
The study concluded that while the risks of serious maternal complications in relation to severe pre-eclampsia was similar across hospital delivery volume categories, deaths showed lower rates in large delivery volume hospitals than in smaller volume hospitals. The risk of complications was increased in hospitals with low compared with high severe pre-eclampsia rates. Maternal & Child Nutrition: Should women be advised to use calcium supplements during pregnancy? A decision analysis Researchers aimed to predict the impact of advising pregnant women to use calcium supplements (1,000 mg/day) on the number of cases of pre-eclampsia prevented and related health care costs. By use of a decision-analytic model, we assessed the expected impact of advising calcium supplementation to either (1) all pregnant women, (2) women at high risk of developing pre-eclampsia, or (3) women with a low dietary calcium intake compared with current care.
The study concluded that advising pregnant women to use calcium supplements can be expected to cause substantial reductions in the incidence of pre-eclampsia as well as related health care costs. It appears most efficient to advise calcium supplementation to all pregnant women, not subgroups only. BMC Public Health: He's just content to sit: a qualitative study of mothers' perceptions of infant obesity and physical activity The purpose of this study was to explore the perceptions of mothers of normal weight infants and overweight infants about their infant's weight and physical activity.
This research concluded that efforts are needed by healthcare professionals and other public health professionals to inform mothers about the dangers of increased weight during infancy as well as the importance of interacting with infants to promote physical activity. Journal of Pediatric Nursing: Parents' underestimations of child weight: Implications for obesity prevention This study examined the factors that predicted parents' underestimation of child weight status.
The study found that although 45.1% of children were overweight/obese, only 7.5% of parents chose this weight status; 80% of parents underestimated the weight of their normal weight children, 96% of parents underestimated their overweight children, and 72% of parents underestimated their obese children. Parents were more likely to underestimate weight of older children and those under 81st percentile of BMI. No other predictors were significant. Parent underestimation of child weight status appears to be a widespread phenomenon in this sample, regardless of race, ethnicity, income, education, and health literacy. The consistent underestimation of child weight suggests that parents' misperception of weight status represents a critical pathway for intervention. Methods to improve parents' perception of child weight need be developed and tested. BMC Pregnancy and Childbirth: Survey of maternal sleep practices in late pregnancy in a multi-ethnic sample in South Auckland, New Zealand The Auckland Stillbirth study demonstrated a two-fold increased risk of late stillbirth for women who did not go to sleep on their left side. Two further studies have confirmed an increased risk of late stillbirth with supine sleep position. As sleep position is modifiable, we surveyed self-reported late pregnancy sleep position, knowledge about sleep position, and views about changing going-to-sleep position.
This study concluded that maternal going-to-sleep position in the last week was side-lying in 91% of participants. The majority had received advice to sleep on their side or avoid supine sleep position. Sleeping on the left-hand side of the bed was associated with going-to-sleep on the left side. Most non-left sleepers reported their sleeping position could be modified to the left side suggesting a public health intervention about sleep position is likely to be feasible in other multi-ethnic communities. BMJ: Risk of major congenital malformations in relation to maternal overweight and obesity severity: cohort study of 1.2 million singletons This research estimated the risks of major congenital malformations in the offspring of mothers who are underweight (body mass index (BMI) <18.5), overweight (BMI 25 to <30), or in obesity classes I (BMI 30 to <35), II (35 to <40), or III (≥40) compared with offspring of normal weight mothers (BMI 18.5 to <25) in early pregnancy.
The study concluded that risks of any major congenital malformation and several subgroups of organ specific malformations progressively increased with maternal overweight and increasing severity of obesity. For women who are planning pregnancy, efforts should be encouraged to reduce adiposity in those with a BMI above the normal range. PLOS ONE: Risk factors for exclusive breastfeeding lasting less than two months—Identifying women in need of targeted breastfeeding support The aim of this study was to investigate factors associated with exclusive breastfeeding lasting less than two months postpartum.
Factors associated with shorter exclusive breastfeeding duration were determined. Identification of women experiencing emotional distress during pregnancy, as well as scrutiny of caregiving routines on cesarean section need to be addressed, in order to give individual targeted breastfeeding support and promote longer breastfeeding duration. The New England Journal of Medicine: Health effects of overweight and obesity The objective of this study was to investigate to global trends and disease burden of obesity. Researchers assessed the trends in the prevalence of overweight and obesity among children and adults between 1980 and 2015. Using the Global Burden of Disease study data and methods, researchers quantified the burden of disease related to high body-mass index (BMI), according to age, sex, cause, and BMI in 195 countries between 1990 and 2015. The study investigated the prevalence of overweight and obesity among children under 20 years and analysed which countries prevalence of child obesity was highest. This research was led by the Institute for Health Metrics and Evaluation (IMHE), based at the University of Washington in Seattle.
The study concluded that the rapid increase in the prevalence and disease burden of elevated BMI highlights the need for continued focus on surveillance of BMI and identification, implementation, and evaluation of evidence-based interventions to address this problem. Mental health services data set version 3 NHS Digital are seeking feedback on the proposed changes to the Mental Health Services Data Set (MHSDS). The Mental Health Services Data Set (MHSDS) contains record-level data about the care of children, young people and adults who are in contact with mental health, learning disabilities or autism spectrum disorder services. This consultation closes on 16 July 2017. | 
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