Miscarriage Care and Facilities in Scotland: Scoping Report NHS Greater Glasgow and Clyde

Data on Miscarriages

Accurate assessment of the number of all miscarriages that occur in Scotland is not possible at present as only miscarriages that require hospital inpatient or day case treatment are recorded.

The Lancet Series on Miscarriage Care recommended that:

• miscarriage data are gathered and reported to facilitate comparison of rates among countries, to accelerate research, and to improve patient care and policy development; and
• every country reports annual aggregate miscarriage data, similarly to the reporting of stillbirth

The Scottish Government is currently working with Public Health Scotland to find ways to improve miscarriage data recording and to gather a more accurate picture of the number of miscarriages in Scotland. This will be used to facilitate comparison of rates among countries, to accelerate research, and to improve patient care and policy development

This scoping exercise found that miscarriage data is not collected in all sites or in all Health Boards in Scotland. While some data is collected in 11 of the 14 Health Boards, there is variation in what is being recorded as a miscarriage and this varies both across and within Health Boards.

Information technology used to collect miscarriage data

Across Scotland different IT systems are used by Health Boards to collect data about those accessing miscarriage care. BadgerNet Maternity is used by 11 out of 14 Health Boards to collect miscarriage data and Trakcare is used by 8 Health Boards to capture miscarriage data.

For NHS Greater Glasgow and Clyde data is collected via BadgerNet, Trakcare, through conversations with patients and paper records. Currently Princess Royal Maternity Hospital and the Royal Alexandra Hospital do not record any data related to miscarriage as detailed in Table 24.

Inverclyde Royal Hospital and the Queen Elizabeth University Hospital collect data including; the number of miscarriages, miscarriages as a proportion of pregnancies, gestation, maternal age, parity, ethnicity and SIMD. Similarly Vale of Leven District General Hospital collects the same data as Queen Elizabeth University Hospital and Inverclyde Royal Hospital excluding SIMD. All NHS Greater Glasgow and Clyde sites record a miscarriage as any loss reported by a women after a positive pregnancy test at home.