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Briefing: Learning from resuscitative hysterotomy after out-of-hospital cardiac arrest

Briefing

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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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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Factors affecting the delivery of safe care in midwifery units

National learning report

National learning report.
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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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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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Summary of themes arising from the Healthcare Safety Investigation Branch maternity programme

National learning report

HSIB legacy publication

National learning report covering the period between April 2018 and December 2019.
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Severe brain injury, early neonatal death and intrapartum stillbirth associated with group B streptococcus infection

National learning report

HSIB legacy publication

National learning report.
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