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Saving Lives, Improving Mothers’ Care

Maternal, Newborn and Infant Clinical Outcome Review Programme Saving Lives, Improving Mothers' Care Lessons learned to inform maternity care from the UK. and Ireland confidential Enquiries into Maternal Deaths and Morbidity 2017-19. November 2021. Maternal, Newborn and Infant Clinical Outcome Review Programme Saving Lives, Improving Mothers' Care Lessons learned to inform maternity care from the UK and Ireland confidential Enquiries into Maternal Deaths and Morbidity 2017-19. Marian Knight, Kathryn Bunch, Derek Tuffnell, Roshni Patel, Judy Shakespeare, Rohit Kotnis, Sara Kenyon, Jennifer J Kurinczuk (Eds.). November 2021 . Funding The Maternal, Newborn and Infant Clinical Outcome Review Programme, delivered by MBRRACE-UK, is commis- sioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP). HQIP is led by a consortium of the Academy of Medical Royal Colleges, the Royal College of Nursing, and National Voices.

Confidential Enquiry chapter. This report can be read as a single document; each chapter is also designed to be read as a standalone report as, although the whole report is relevant to maternity staff, service providers and policy-makers, there are specific clini-cians and service providers for whom only single chapters are pertinent.

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Saving Lives, Improving Mothers’ Care

www.npeu.ox.ac.uk

This report, the sixth MBRRACE-UK annual report of the Confidential Enquiry into Maternal Deaths and Morbidity, includes surveillance data on women who died during or up to one year after pregnancy between 2015 and 2017 in the UK. In addition, it also includes Confidential Enquiries into the care of women who died between 2015 and 2017

  Into, Maternal, Death, Confidential, Enquiries, Confidential enquiries into, Into maternal deaths

Saving Lives, Improving Mothers’ Care

www.npeu.ox.ac.uk

The report also includes a Morbidity Confidential Enquiry into the care of women who gave birth aged over 45 years. Surveillance information is included for 495 women who died during or up to one year after the end of pregnancy between 2017 and 2019. The care of 37 women who gave birth aged over 45 years was reviewed in depth for the

  Report, Confidential, Morbidity, Morbidity confidential

Saving Lives, Improving Mothers’ Care

www.npeu.ox.ac.uk

Anaesthesia 5. Morbidity from pulmonary embolism 6. Haemorrhage and amniotic fluid embolism 7. Sepsis. Methods Maternal deaths are reported to MBRRACE-UK, NIMACH or to MDE Ireland by the staff caring for the women concerned, or through other sources including coroners, procurators fiscal and media reports. In addition, identifi-

  Fluid, Amniotic, Anaesthesia, Embolism, Amniotic fluid embolism

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