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Safety spotlight: HbA1c testing in women with sickle cell trait

Laboratory tests for glycosylated haemoglobin (HbA1c) can underestimate past glycaemia in people with haemoglobin variants, such as those with sickle cell trait. This is because there is an increased…
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Maternal Care Bundle safety spotlights

We welcome the publication of the Maternal Care Bundle by NHS England and are delighted to have been a key contributor in its development. A series of safety spotlights follow.
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Safety spotlight: Late diagnosis of breech presentation

MNSI has completed a number of investigations where there has been a late diagnosis, in established labour, of a baby being in breech presentation during an induction of labour.
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Pregnancy consultation

Safety factors surrounding effective communication throughout the pregnancy journey

In this blog, MNSI highlights the safety factors that work well, identifies where there are barriers to effective communication and recognises the work that is taking place to overcome them.
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Maternity year in review cover 2022-23

Maternity Investigation Programme Year in Review 2022/23

During 2022/23 the maternity programme completed 702 reports and made more than 1,380 safety recommendations, with families remaining central to the work we undertake.
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Public defibrillator

Issues with access to public defibrillators

Sharon Perkins, Maternity Investigator, takes a closer look at the use of community public access defibrillators, often known as (CPADs).
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Midwife with woman in labour

International Day of the Midwife 2023

This blog post was published when our programme was part of the Healthcare Safety Investigation Branch (HSIB). Find out about HSIB legacy.
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Web_MNSI_May_25

International Day of the Midwife 2025

Midwives have a critically important role in the safety of women / birthing people, and their babies. In celebration of International Day of the Midwife 2025, Katherine Hawes, Deputy Director at the …
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Doula gives back massage

Understanding the doula’s role in maternity safety investigations

In this blog, we review doula involvement in maternity cases referred to us for safety investigations.
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Houses of Parliament

Maternity investigations programme to be hosted by Care Quality Commission

It has been announced via a Written Ministerial Statement that the Healthcare Safety Investigation Branch’s (HSIB’s) maternity programme will be hosted later this year by the Care Quality Commission …
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Pregnancy bump

Risk assessments during the maternity care pathway

Following the publication of our national learning report on the same topic, Sonia Barnfield looks at risk assessments during the maternity care pathway.
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Antenatal appointment

National learning report highlights risks associated with ‘incomplete’ maternal risk assessments

Our latest learning report emphasises that maternity risk assessments can be inconsistent and do not support changes in pregnant women/person’s circumstances during the ‘maternity pathway’ (pregnancy…
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