FoI Number
2024-474
Subject
Multiple Births
Date Received
06/11/2024
Request and Response

I would like to make a freedom of information request for information about multiple births (twins, triplets and higher order multiples) in the NHS Shetland area from 2013-2023 inclusive.

Figures provided below are for all NHS Shetland registered patients. This therefore includes for example those who give birth in NHS Grampian.

We would like to receive six tables:

  1. Births registered per year from 2013-2023 inclusive by year for each order of multiples – twins, triplets, quadruplets, higher order multiples, as well as total resident births (live and still).

Year

1 Birth

2 Births

Total

2013

235

<5

 

2014

250

<5

 

2015

225

<5

 

2016

250

<5

 

2017

209

<5

 

2018

202

5

207

2019

185

<5

 

2020

170

<5

 

2021

188

<5

 

2022

209

<5

 

2023

156

5

161

Where we have given <5 answers or removed yearly totals, this is because NHS Shetland considers that providing more specific information carries a high risk of identifying individuals and/or disclosing highly sensitive information about individuals. As such and in accordance with FOISA s 16(1), NHS Shetland confirms that it holds the information requested but that it is exempt from disclosure under FOISA s 38(1)(b) as read with s 38 (2A) as the information constitutes personal data and disclosure would breach the confidentiality of the data subjects.

  1. Births registered from a multiple maternity per year from 2013-2023 inclusive, broken down by the 4-digit Postcode sector of the mother’s residence at time of birth.

The figure provided is for the number of births i.e. twins count as 2.

Year

ZE10

ZE29

Total

2013

0

6

6

2014

<5

6

 

2015

<5

<5

 

2016

<5

0

 

2017

<5

<5

 

2018

<5

6

 

2019

<5

0

 

2020

<5

<5

 

2021

<5

<5

 

2022

<5

<5

 

2023

6

<5

 

Where we have given <5 answers or removed yearly totals, this is because NHS Shetland considers that providing more specific information carries a high risk of identifying individuals and/or disclosing highly sensitive information about individuals. As such and in accordance with FOISA s 16(1), NHS Shetland confirms that it holds the information requested but that it is exempt from disclosure under FOISA s 38(1)(b) as read with s 38 (2A) as the information constitutes personal data and disclosure would breach the confidentiality of the data subjects.

  1. Births registered from a multiple maternity per year from 2013-2023 inclusive, broken down by hospital of birth.

Year

Queen Elizabeth

University Hospital

Aberdeen Maternity

Hospital

Ninewells

Hospital

Forth Valley

Royal Hospital

Gilbert Bain

Hospital

2013

0

<5

0

0

0

2014

0

<5

0

0

0

2015

0

<5

0

0

0

2016

0

<5

0

0

0

2017

0

<5

<5

0

0

2018

<5

<5

0

0

0

2019

0

<5

0

0

0

2020

0

<5

0

0

0

2021

0

<5

0

<5

<5

2022

0

<5

0

0

0

2023

0

<5

0

<5

0

Where we have given <5 answers or removed yearly totals, this is because NHS Shetland considers that providing more specific information carries a high risk of identifying individuals and/or disclosing highly sensitive information about individuals. As such and in accordance with FOISA s 16(1), NHS Shetland confirms that it holds the information requested but that it is exempt from disclosure under FOISA s 38(1)(b) as read with s 38 (2A) as the information constitutes personal data and disclosure would breach the confidentiality of the data subjects.

  1. Multiple birth pregnancies resulting in an emergency C-section per year from 2013-2023 inclusive, broken down by hospital of birth.

Year

Queen Elizabeth

University Hospital

Aberdeen Maternity

Hospital

Ninewells

Hospital

Forth Valley

Royal Hospital

Gilbert Bain

Hospital

2013

0

<5

0

0

0

2014

0

<5

0

0

0

2015

0

<5

0

0

0

2016

0

0

0

0

0

2017

0

<5

<5

0

0

2018

<5

<5

0

0

0

2019

0

0

0

0

0

2020

0

<5

0

0

0

2021

0

0

0

<5

<5

2022

0

<5

0

0

0

2023

0

<5

0

0

0

Where we have given <5 answers or removed yearly totals, this is because NHS Shetland considers that providing more specific information carries a high risk of identifying individuals and/or disclosing highly sensitive information about individuals. As such and in accordance with FOISA s 16(1), NHS Shetland confirms that it holds the information requested but that it is exempt from disclosure under FOISA s 38(1)(b) as read with s 38 (2A) as the information constitutes personal data and disclosure would breach the confidentiality of the data subjects.

  1. Multiple birth neonatal deaths (number of babies) per year from 2013-2023 inclusive, broken down by hospital of birth.

Due to the small numbers involved, the highly sensitive nature of the information requested and the small population of Shetland, we are unable to provide any information, even redacted, in response to this question. NHS Shetland considers that any information carries a high risk of identifying individuals and/or disclosing highly sensitive information about individuals. As such and in accordance with FOISA s 16(1), NHS Shetland confirms that it holds the information requested but that it is exempt from disclosure under FOISA s 38(1)(b) as read with s 38 (2A) as the information constitutes personal data and disclosure would breach the confidentiality of the data subjects.

  1. Multiple birth neonatal admissions (number of babies admitted to a neonatal unit for their care) per year from 2013-2023 inclusive, broken down by hospital of birth.

Year

Aberdeen Maternity

Hospital

Ninewells

Hospital

Forth Valley

Royal Hospital

Gilbert Bain

Hospital

2013

<5

0

0

0

2014

<5

0

0

0

2015

0

0

0

0

2016

<5

0

0

0

2017

<5

<5

0

0

2018

<5

0

0

0

2019

0

0

0

0

2020

<5

0

0

0

2021

<5

0

<5

<5

2022

<5

0

0

0

2023

<5

0

0

0

Where we have given <5 answers or removed yearly totals, this is because NHS Shetland considers that providing more specific information carries a high risk of identifying individuals and/or disclosing highly sensitive information about individuals. As such and in accordance with FOISA s 16(1), NHS Shetland confirms that it holds the information requested but that it is exempt from disclosure under FOISA s 38(1)(b) as read with s 38 (2A) as the information constitutes personal data and disclosure would breach the confidentiality of the data subjects.

  1. Please also confirm if current antenatal care for multiple pregnancies (in 2024 and going forward) is delivered by “a core team of named specialist obstetricians, specialist midwives and sonographers, all of whom have experience and knowledge of managing twin and triplet pregnancies”, in accordance with NICE guideline NG137.

NHS Shetland ante natal care is provided by a small team, locally.  They are supported by specialists from NHS Grampian.

  1. Finally, how many perinatal mortality reviews involving multiple births were conducted from 2020-2023 inclusive and what changes have been made as a result of them?

Zero