Lucy Smith

Associate Professor

Lucy Smith


Consultation on MBRRACE-UK guidance for assessing signs of life for births before 24 weeks

Parents' experiences of losing a baby at 20 to 24 weeks of pregnancy - See our support resource for parents, family and clinicians


Department of Health Sciences
University of Leicester
Centre for Medicine
Leicester LE1 7RH

+44 (0)116 252 5418

Links to other pages ResearchGate

Follow @LucyK_Smith


As a health services researcher in the TIMMS group, I have a particular interest in improving the outcomes for pregnant women, parents and babies by combining the strengths of statistical analyses using routine data with qualitative studies of health professionals’ practice and parents’ experiences.

My main research interests are:



PhD Supervision

Julia Clark (2016-present): Understanding facilitators and barriers to the implementation of national clinical guidelines for reduced fetal movements

Ruth Matthews (2016-present): Extended perinatal mortality in the UK

Ridhi Agarwal (2015-present): Statistical Process Control methods to monitor extended perinatal mortality in the UK.

Robyn Lotto (2012-2015): Tackling inequalities in neonatal outcomes - an investigation of variation in care pathways following antenatal diagnosis of a severe fetal anomaly.



  1. Evans M, Draper E, Smith LK.Impact of socio-demographic and clinical factors on offer and parental consent to post-mortem following stillbirth or neonatal death: a UK population-based cohort study. Arch Dis Child Fetal Neonatal Ed 2020
  2. Mactier H, Bates SE, Johnston T, Lee-Davey C, Marlow N, Mulley K, Smith LK, To M, Wilkinson D. Perinatal management of extreme preterm birth before 27 weeks of gestation: a framework for practice, Arch Dis Child Fetal Neonatal Ed. 2020 doi: 10.1136/archdischild-2019-318402. [Epub ahead of print]
  3. Smith LK, Dickens J, Bender Atik R, Bevan C, Fisher J, Hinton L. Parents’ experiences of care following the loss of a baby at the margins between miscarriage, stillbirth and neonatal death: a UK qualitative study BJOG, 2020. In press
  4. Smith LK, Blondel B, Zeitlin J, the Euro-Peristat Scientific Committee. Producing valid statistics when legislation, culture, and medical practices differ for births at or before the threshold of survival: Report of a European workshop. BJOG. 2020 Feb;127(3):314-318. doi: 10.1111/1471-0528.15971. Epub 2019 Nov 6


  1. Best KE, Seaton SE, Draper ES, Field DJ, Kurinczuk JJ, Manktelow BN, Smith LK. Assessing the deprivation gap in stillbirths and neonatal deaths by cause of death: a national population-based study. Archives of Disease in Childhood - Fetal and Neonatal Edition. 2019:fetalneonatal-2018-316124.


  1. Lotto R, Smith LK, Armstrong N. Diagnosis of a severe congenital anomaly: A qualitative analysis of parental decision making and the implications for healthcare encounters. Health Expect. 2018 Jun;21(3):678-684. doi: 10.1111/hex.12664. Epub 2018 Feb 2.
  2. Norris T, Seaton SE, Manktelow BN, Baker PN, Kurinczuk JJ, Field D, Draper ES, Smith LK. Updated birth weight centiles for England and Wales. Arch Dis Child Fetal Neonatal Ed. 2018 Nov;103(6):F577-F582. doi: 10.1136/archdischild-2017-313452.
  3. Smith LK, Hindori-Mohangoo AD, Delnord M, Durox M, Szamotulska K, Macfarlane A, Alexander S, Barros H, Gissler M, Blondel B, Zeitlin J, Haidinger G, Alexander S, Kolarova R, Rodin U, Kyprianou T, Velebil P, Mortensen L, Sakkeus L, Gissler M, Blondel B, Heller G, Lack N, Antsaklis A, Berbik I, Sól Ólafsdóttir H, Bonham S, Cuttini M, Misins J, Isakova J, Wagener Y, Gatt M, Nijhuis J, Klungsøyr K, Szamotulska K, Barros H, Horga M, Cap J, Tul N, Bolúmar F, Gottvall K, Källén K, Berrut S, Riggenbach M, Macfarlane A. Quantifying the burden of stillbirths before 28 weeks of completed gestational age in high-income countries: a population-based study of 19 European countries. The Lancet. 2018;392(10158):1639-46.
  4. Smith LK, Morisaki N, Morken NH, Gissler M, Deb-Rinker P, Rouleau J, Hakansson S, Kramer MR, Kramer MS; An International Comparison of Death Classification at 22 to 25 Weeks' Gestational Age Pediatrics. 2018 Jul;142(1). doi: 10.1542/peds.2017-3324. Epub 2018 Jun 13.
  5. Smith LK, Matthews RJ, Field DJ. Decision-making at the limits of viability: recognising the influence of parental factors Arch Dis Child Fetal Neonatal Ed. 2018 May;103(3):F196-F197. doi: 10.1136/archdischild-2017-313702. Epub 2017 Oct 26.


  1. Delnord M, Hindori-Mohangoo AD, Smith LK, Szamotulska K, Richards JL, Deb-Rinker P, Rouleau J, Velebil P, Zile I, Sakkeus L, Gissler M, Morisaki N, Dolan SM, Kramer MR, Kramer MS, Zeitlin J; Euro-Peristat Scientific Committee. Variations in very preterm birth rates in 30 high-income countries: are valid international comparisons possible using routine data? BJOG. 2017 Apr;124(5):785-794. doi: 10.1111/1471-0528.14273. Epub 2016 Sep 10.
  2. Lotto RR, Smith LK, Armstrong N. Clinicians' perspectives of parental decision-making following diagnosis of a severe congenital anomaly: a qualitative study. BMJ Open 2017;7:e014716. doi:10.1136/ bmjopen-2016-014716
  3. Norris T, Manktelow BN, Smith LK, Draper ES. Causes and temporal changes in nationally collected stillbirth audit data in high-resource settings. Seminars in Fetal and Neonatal Medicine 2017. (Available online 16 February 2017)
  4. Smith LK. Ensuring the Comparability of Infant Mortality Rates: the Impact of the Management of Pre-Viable and Peri-Viable Births . Paediatric and Perinatal Epidemiology 2017 Sep;31(5):392-393. doi: 10.1111/ppe.12381. Epub 2017 Jul 7.
  5. Smith LK, Blondel B, Van Reempts, Draper ES, Manktelow BN, Barros H, Cuttini M, Zeitlin J, for the EPICE Research Group. Variability in the management and outcomes of extremely preterm births across five European countries: a population-based cohort study. Archives of Disease in Childhood Fetal & Neonatal Edition 2017 Sep;102(5):F400-F408. doi: 10.1136/archdischild-2016-312100. Epub 2017 Feb 23.


  1. Field D, Boyle E, Draper E, Evans A, Johnson S, Khan K, Manktelow B, Marlow N, Petrou S, Pritchard C, Seaton S, Smith LK . Towards reducing variations in infant mortality and morbidity: a population based approach. Programme Grants for Applied Research 2016:4(1).
  2. Field D, Deeming J, Smith LK . Moral distress: an inevitable part of neonatal and paediatric intensive care? Arch Dis Child. 2016 Aug;101(8):686-7. doi: 10.1136/archdischild-2015-310268. Epub 2016 Jun 23.
  3. Johnson S, Matthews R, Draper ES, Field DJ, Manktelow BN, Marlow N, Smith LK, Boyle EM. Eating difficulties in children born late and moderately preterm at 2 y of age: a prospective population-based cohort study. Am J Clin Nutr. 2016 Feb;103(2):406-14. doi: 10.3945/ajcn.115.121061. Epub 2015 Dec 30.
  4. Lotto R, Armstrong N, Smith LK. Care provision during termination of pregnancy following diagnosis of a severe congenital anomaly – a qualitative study of what is important to parents. Midwifery {E-Pub ahead of Print Oct 2016] DOI:
  5. Smith LK, Field D. J. Infants born at the limits of viability: how management decisions impact on parents and the NHS. Infant 2016; 12(1): 24-27.


  1. Boyle EM, Johnson S, Manktelow B, Seaton SE, Draper ES, Smith LK , Dorling J, Marlow N, Petrou S, Field DJ. Neonatal outcomes and delivery of care for infants born late preterm or moderately preterm: A prospective population-based study. Archives of Disease in Childhood Fetal & Neonatal Edition 2015. Published on-line 1 April 2015.
  2. Boyle P, Smith LK , Cooper NJ, Williams KS, O'Connor H. Women are funded more fairly in social science , Nature, 10 September 2015 DOI: 10.1038/525181a
  3. Budd JLS, Draper ES, Lotto RR, Berry LE, Smith LK. Socioeconomic inequalities in pregnancy outcome associated with Down Syndrome: a population based study. Arch Dis Child Fetal Neonatal Ed 2015;100:F400-F404 doi:10.1136/archdischild-2014-306985.
  4. Field D, Smith L, Manktelow B, McParland P, Draper ES. Interpretation of early life mortality rates. Archives of Disease in Childhood Fetal & Neonatal Edition 2015;100(2):F99-F100.
  5. Guy A, Seaton SE, Boyle EM, Draper ES, Field DJ, Manktelow BN, Marlow N, Smith LK , Johnson S.Infants born late/moderately preterm are at increased risk for a positive autism screen at 2 years of age. Journal of Pediatrics 2015;166(2):269-275.
  6. Johnson S, Evans TA, Draper ES, Field DJ, Manktelow BN, Marlow N, Matthews R, Petrou S, Seaton SE, Smith LK , Boyle EM. >. Neurodevelopmental outcomes following late and moderate prematurity: Population-based cohort study. Archives of Disease in Childhood Fetal & Neonatal Edition. Published on-line 1 April 2015.
  7. Khan KA, Petrou S, Dritaki M, Johnson SJ, Manktelow B, Draper ES, Smith LK, Seaton SE, Marlow N, Dorling J, Field DJ, Boyle EM. Economic costs associated with moderate and late preterm birth: A prospective population-based study. BJOG: An International Journal Obstetrics and Gynaecology. (In press)
  8. Smith LK, Draper ES, Evans TA, Field DJ, Johnson SJ, Manktelow BN, Seaton SE, Marlow N, Petrou S, Boyle EM. Understanding the impact of smoking, alcohol, drug-use and diet on late and moderately preterm birth: A population-based case cohort study. . Archives of Disease in Childhood Fetal & Neonatal Edition (In Press).


  1. Kurinczuk JJ, Draper ES, Field DJ, Bevan C, Brocklehurst P, Gray R, Kenyon S, Manktelow BN, Neilson JP, Redshaw M, Scott J, Shakespeare J, Smith LK , Knight M. Experiences with maternal and perinatal death reviews in the UK-the MBRRACE-UK programme. BJOG: an international journal of obstetrics & gynaecology;121:41-46.
  2. Johnson S, Seaton SE, Manktelow BN, Smith LK, Field D, Draper ES, Marlow N, Boyle EM. Telephone interviews and online questionnaires can be used to improve neurodevelopmental follow-up rates. BMC Research Notes 2014;7:219.
  3. Smith LK, Draper ES, Field D. Long-term outcome for the tiniest or most immature babies: survival rates. Seminars in Fetal and Neonatal Medicine 2014;19(2):72-77.
  4. Smith LK, Manktelow BN, Draper ES, Boyle EM, Johnson SJ, Field DJ. Trends in the incidence and mortality of multiple births by socioeconomic deprivation and maternal age in England: population-based cohort study. BMJ Open 2014;4(4):e004514-e004514.


  1. Bonet M, Smith LK, Pilkington H, Draper ES, Zeitlin J. Neighbourhood deprivation and very preterm birth in an English and French cohort. BMC Pregnancy and Childbirth 2013;13:97.
  2. Smith L, Draper ES, Manktelow BN, Pritchard C, Field DJ. Comparing regional infant death rates: the influence of preterm births < 24 weeks of gestation. . Archives of Disease in Childhood-Fetal and Neonatal Edition 2013;98(2):F103-F107.


  1. Seaton SE, Field DJ, Draper ES, Manktelow BN, Smith GCS, Springett A, Smith LK. Socioeconomic inequalities in the rate of stillbirths by cause: a population-based study. BMJ Open 2012;2(3):e001100.
  2. Rattihalli R., Smith L. , Field D. Prevention of preterm births: are we looking in the wrong place? The case for primary prevention. Archives of disease in childhood - fetal and neonatal edition 2012; 97(3): f160-f161.


  1. Smith LK, Budd JLS, Field DJ, Draper ES. Socioeconomic inequalities in outcome of pregnancy and neonatal mortality associated with congenital anomalies: population based study. BMJ 2011;343.


  1. Smith LK, Manktelow BN, Draper ES, Springett A, Field DJ. Nature of socioeconomic inequalities in neonatal mortality: population based study. BMJ 2010;341.
  2. Field DF, Smith LK. Neonatal outcomes in babies born out of hours BMJ 341

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