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HSIB legacy publication National learning report Safety improvement example Annual review Posters Safety recommendations Stakeholder bulletin Annual report Briefing

Briefing: Birthing outside of guidance

Briefing

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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Learning from maternal death investigations during the first wave of the COVID-19 pandemic

National learning report

HSIB legacy publication

National learning report.
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East Kent Hospitals University NHS Foundation Trust: HSIB summary report

HSIB legacy publication

A summary of the investigations undertaken with East Kent Hospitals University NHS Foundation Trust.
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Assessment of risk during the maternity pathway

National learning report

HSIB legacy publication

National learning report.
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Intrapartum stillbirth: learning from maternity safety investigations that occurred during the COVID-19 pandemic 1 April to 30 June 2020

National learning report

HSIB legacy publication

National learning report.
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Severe brain injury, early neonatal death and intrapartum stillbirth associated with larger babies and shoulder dystocia

National learning report

HSIB legacy publication

National learning report.
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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 investigations glossary of terms

HSIB legacy publication

An explanation of the clinical terms used in our reports, in plain language.
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Maternity investigation programme year in review 2022/23

HSIB legacy publication

Annual review

Summary of highlights, themes and future work.
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Maternity investigation programme year in review 2021/22

HSIB legacy publication

Annual review

Summary of highlights, themes and future work.
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