Investigation information and timescales July 2025
Letters
A letter to trusts re investigation information and timescales
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Briefing paper: Birthing outside of guidance
Briefing paper
We have identified ‘birthing outside of guidance’ as a national learning theme through our maternity investigations. Between September 2018 and December 2023 we have made recommendations relating to birthing outside of guidance 33 times.
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MNSI publishes British Intrapartum Care Society posters
Poster gallery
MNSI presents at the annual British Intrapartum Care Society (BICS) annual conference.
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MNSI publishes ISOM posters and abstracts
Poster gallery
MNSI is pleased to announce the publication of the abstracts submitted for the International Joint Congress of the International Society of Obstetric Medicine (ISOM) and the Society of Obstetric Medicine of Australia and New Zealand (SOMANZ), Sydney, October 2024.
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Neonatal collapse alongside skin-to-skin contact
National learning report
HSIB legacy publication
National learning report
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Maternity investigation programme year in review 2022/23
HSIB legacy publication
Summary of highlights, themes and future work.
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Maternity investigation programme year in review 2021/22
HSIB legacy publication
Summary of highlights, themes and future work.
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Maternity investigation programme year in review 2020/21
HSIB legacy publication
Summary of highlights, themes and future work.
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Briefing paper: Learning from resuscitative hysterotomy after out-of-hospital cardiac arrest
Briefing paper
The Maternity and Newborn Safety Investigations (MNSI) programme has published a new briefing paper sharing learning from investigations of resuscitative hysterotomy (RH) following out-of-hospital cardiac arrest in pregnancy. The paper is intended to support midwives, obstetricians, anaesthetists, …
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Annual publication of maternity safety investigation recommendations 2023 to 2024
Safety recommendations
MNSI publishes the safety recommendations from MNSI investigations completed in 2023/24.
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