Currently, stillbirths, neonatal deaths and brain injuries occurring due to incidents in labour are investigated at a local level. The Each baby counts project team will, for the first time, bring together the results of these local investigations to understand the bigger picture and share the lessons learned.
From 2015, they began collecting and analysing data from all UK units to identify lessons learned to improve future care. They will then be able to make recommendations on how to improve practice at a national level.
This page brings together all of the information and resource
The STROBE study, published in BMC Pregnancy and Childbirth, will help establish understanding of the effectiveness of locally-delivered simulation training for operative vaginal birth. Robust evidence supporting the effectiveness of such an approach would add weight to the argument supporting regular, local training for junior obstetricians in operative vaginal birth.
The web page includes resources on:
Improving the proportion of smoke-free pregnancy.
Optimisation and stabilisation of the very preterm infant.
Detection and management of diabetes in pregnancy.
Early recognition and management of deterioration of mother or baby.
The Government should immediately issue a fulsome apology on behalf of the healthcare system to the families affected by Primodos, sodium valproate and pelvic mesh.
The appointment of a Patient Safety Commissioner who would be an independent public leader with a statutory responsibility. The Commissioner would champion the value of listening to patients and promoting users’ perspectives in seeking improvements to patient safety around the use of medicines and medical devices.
A new independent Redress Agency for those harmed by medicines and medical devices sho
Human factors and behaviour:
Each Baby Counts has demonstrated that human factors are recurrent themes that need to be urgently addressed at a systemic level.
Research is required to establish how to operationalise learning from this report into practice with improved clinical outcomes.
Workload and workforce challenges:
Develop and fund an appropriate tool to record current workload and anticipate the obstetric care required for the population.
This tool should complement the midwifery acuity tools currently implemented nationally.