MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK

MBRRACE-UK: Saving Lives, Improving Mothers’ Care

Lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2015–17

MBRRACE-UK is pleased to announce the publication of the MBRRACE-UK: Saving Lives Improving Mothers’ Care report for 2019. This report covers the lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into maternal deaths and morbidity 2015-17.

The full report, the lay summary and infographic can be downloaded on the report page.

MBRRACE-UK Signs of Life Working Group Consultation

The MBRRACE-UK Signs of Life working group have launched a consultation relating to the development of UK guidance to support health professionals in the assessment of signs of life for spontaneous births before 24+0 weeks of gestational age where active survival-focused care is not appropriate.

This guidance aims to reduce the confusion and distress experienced by parents by helping doctors and midwives with the assessment of newborn babies who are born before 24 weeks of pregnancy. The guidance also aims to increase the consistency of the registration of births and deaths. This is a distressing and sensitive topic and may be upsetting, particularly for those affected by the loss of a baby.

The draft guidance that is being published for consultation has been developed by the working group in consultation with many stakeholders and we appreciate the expertise and views they have provided. We are now undertaking this consultation to seek a wider range of views on the content of the draft guidance to ensure that the guidance is clear, comprehensive and useful for its intended readers.

We wish to hear from a wide range of people, including but not limited to: health professionals, government representatives, charities and organisations that work with women and parents, and would be grateful if you could share this email with anyone you think may be interested. We are interested in individual views but parents will also be consulted through parent advocacy groups. Parents who have been affected by this issue may be interested in sharing their views but may find it upsetting and support is available from the Stillbirth and neonatal death charity, Sands, the Miscarriage Association, and Antenatal Results and Choices.

The consultation will run for a period of 12 weeks from 16 December 2019, closing on 9 March 2020, and is available at: https://leicester.onlinesurveys.ac.uk/signs-of-life . If you have any questions about the consultation, please do not hesitate to contact lucy.smith@le.ac.uk.

With thanks and kind regards,

The MBRRACE-UK Signs of Life Working Group

MBRRACE-UK Perinatal Mortality Surveillance Report

UK Perinatal Deaths for Births from January to December 2017

MBRRACE-UK is pleased to announce the publication of the MBRRACE-UK Perinatal Mortality Surveillance Report for Births in 2017. The full report, the summary report, a four page over-view, infographic and Excel versions of the tables in the report can be downloadedon the reports page.

THIS IS NOT THE MBRRACE-UK ONLINE REPORTING SYSTEM. IF YOU WISH TO REPORT A CASE PLEASE GO TO: www.mbrrace.ox.ac.uk

'MBRRACE-UK' is the collaboration appointed by the Healthcare Quality Improvement Partnership (HQIP) to run the national Maternal, Newborn and Infant clinical Outcome Review Programme (MNI-CORP) which continues the national programme of work conducting surveillance and investigating the causes of maternal deaths, stillbirths and infant deaths.

The aim of the MNI-CORP MBRRACE-UK programme is to provide robust national information to support the delivery of safe, equitable, high quality, patient-centred maternal, newborn and infant health services.

MBRRACE-UK achieves this by:

The scope MNI-CORP is a national programme which encompasses England, Wales, Scotland, Northern Ireland, Jersey, Guernsey and the Isle of Man

Duration of the programme: MBRRACE-UK were commissioned to run the programme from May 2012 to March 2017; following a further competitive re-commissioning round the programme has been extended to run until 30th September 2021.

Funding: The MNI-CORP programme is commissioned by HQIP on behalf of NHS England, NHS Wales, the Health and Social Care Division of the Scottish government, the Department of Health, Social Services and Public Safety, Northern Ireland (DHSSPS), the States of Jersey, Guernsey, and the Isle of Man.

Notifications of maternal deaths should be made by ringing the Oxford MBRRACE-UK office on 01865 289715.

Reporting of stillbirths, perinatal deaths and infant deaths is via the MBRRACE-UK online reporting system available here: www.mbrrace.ox.ac.uk. Guidelines for using the system can be downloaded here: MBRRACE online data entry guidebook (release April 2013 v101) .

Units are asked to review their access to the internet to ensure that the web browser they are using meets the specifications required to enter data via the MBRRACE-UK system; older versions of software are not suitable as they do not meet NHS data security requirements. Please view the IT specification page to check this for your Unit.

Please also view the MBRRACE-UK IT deployment page which outlines more information about the deployment of the MBRRACE-UK data collection system and may be helpful for IT staff in Units.

Information about why we are collecting non-anonymised information and details about the approvals we have to collect this information is provided on the 'Why we need identifiers' page.

The topics selected for future confidential enquiries are available on the Topics page.

Please also see our Frequently Asked Questions page.

Assessors for the Confidential Enquiries into Maternal and Infant Deaths

With the exception of a small number of specific specialties we have recruited most assessors for the Confidential Enquiries into Maternal Death and the current perinatal confidential enquiry. Any future positions will be advertised here.

Contact details