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Safety Spotlight: Interpretation services during an obstetric emergency

Safety spotlight

MNSI found that telephone interpretation during an obstetric emergency failed to convey the urgency of the situation, which delayed the baby’s birth and raised concerns about informed consent.
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Safety Spotlight: Migrant women’s experience of NHS care

Safety spotlight

MNSI has found that migrant women do not always understand how NHS maternity care works, and translation tools in maternity apps do not always work on their devices.
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Safety Spotlight: Caring for pregnant women admitted to non-maternity hospital wards

Safety spotlight

Safety prompts to consider when caring for pregnant women admitted to non-maternity hospital wards
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Maternal Care Bundle safety spotlights

Safety spotlight

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: Investigations into equipment and technology used for continuous fetal heart rate monitoring

Safety spotlight

MNSI has completed Investigations into equipment and technology used for continuous fetal heart rate monitoring.
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Safety spotlight: Late diagnosis of breech presentation

Safety spotlight

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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Safety Spotlight: Therapeutic cooling practices

Safety spotlight

Our investigations into therapeutic cooling practices have identified areas of learning in relation to passive cooling.
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Safety Spotlight: Exchange blood transfusion

Safety spotlight

A baby received an exchange blood transfusion. This is a specialist and complex procedure with associated risks (and is now infrequently performed in most neonatal units).
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Safety Spotlight: Delayed escalation in abnormal CTGs

Safety spotlight

MNSI has completed a number of investigations in which time limits, as described in national guidance, have delayed categorisation of CTG recordings, resulting in delays in escalation.
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Safety Spotlight: Deaths from Anaphylaxis

Safety spotlight

MNSI is aware of maternal deaths from anaphylaxis.
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