Use of knowledge management to design a service delivery intervention and the research agenda

West MidlandsReproductive Health and Childbirth
Published Date: 1 Dec 2012

Use of knowledge management to design a service delivery intervention and the research agenda

Commissioners were concerned by the high rates of perinatal mortality and low birth weight in the Birmingham area. They consulted CLAHRC researchers to help with the refinement and evaluation of an intervention based on lay support.

  • Working with commissioners to develop an intervention
  • A systematic review of social support in pregnancy showed that existing evidence was based on women with medical risk and most interventions were delivered by professionals.
  • This and other searches indicated that a service using lay pregnancy outreach workers (POWs) in women with social risk was an unevaluated but plausible intervention.
  • The systematic review also confirmed that such an intervention was unlikely to yield a measurable effect on perinatal mortality or low birth weight. It might, however, increase antenatal care attendance and reduce postnatal depression (PND) which is known to affect child development.