MNSI Publications | Reports and Findings

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Annual publication of MNSI safety recommendations 2024-25

25 September 2025

Safety recommendations

MNSI publishes the safety recommendations from MNSI investigations completed in 2024/25.

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Annual publication of maternity safety investigation recommendations

20 November 2024

Safety recommendations

MNSI publishes the safety recommendations from MNSI investigations completed in 2023/24.

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Factors affecting the delivery of safe care in midwifery units

8 May 2024

National learning report

National learning report.

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

25 February 2021

National learning report

HSIB legacy publication

National learning report.

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Assessment of risk during the maternity pathway

2 March 2023

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

16 September 2021

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

4 February 2021

National learning report

HSIB legacy publication

National learning report.

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Neonatal collapse alongside skin-to-skin contact

13 August 2020

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

26 March 2020

National learning report

HSIB legacy publication

National learning report covering the period between April 2018 and December 2019.

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Publications

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Annual publication of MNSI safety recommendations 2024-25

Annual publication of maternity safety investigation recommendations

Factors affecting the delivery of safe care in midwifery units

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

Assessment of risk during the maternity pathway

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

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

Neonatal collapse alongside skin-to-skin contact

Summary of themes arising from the Healthcare Safety Investigation Branch maternity programme

Severe brain injury, early neonatal death and intrapartum stillbirth associated with group B streptococcus infection