Call for topic proposals for the ‘maternal morbidity’ confidential enquiry in 2019 – now open
In addition to carrying out confidential enquiries into maternal deaths, we are undertaking confidential enquiries into a rolling programme of selected maternal morbidity topics.
We would like to invite proposals from individuals and organisations for the maternal morbidity confidential enquiry which will run during 2019 and report in 2020. This invitation will be open from now until 31st December 2017.
Any topic can be proposed provided that it is a topic suitable for investigation using the confidential enquiry methodology.
Topic proposals must be submitted by completing the topic proposal form and emailing the completed form to:
Please complete one form per new topic. We welcome multiple proposals from the same organisations and individuals.
This is a new topic proposal round and so topics which were unsuccessful in any previous round will not be considered in this round unless they are resubmitted; suitability of a topic for confidential enquiry is key and a number of topics were not able to be selected previously because they did not meet this criterion. A number of people proposed topics which require epidemiological studies to address and were therefore not suitable topics for a confidential enquiry. A number of people proposed topics which require epidemiological studies to address and were therefore not suitable topics for a confidential enquiry.
The closing date for submission of topic proposals is 31st December 2017.
The selection process from the topics proposed will follow the three stage HQIP topic selection protocol . The final topic choice will be made by the MBRRACE-UK Independent Advisory Group.
Confidential enquiry methodology
A confidential enquiry is a systematic process of multi-disciplinary, anonymous review of all or a sample of defined cases occurring in a defined geographical area during a defined period of time. Where the numbers of a specific type of condition are few, for example maternal deaths, it is possible and generally necessary to review all the cases. Where numbers are large it is usual to take a sample of cases for review. The review can take place either by individual or paired reviewers or during a panel process. Comparisons of care are made against guidelines or best practice where guidelines have not been developed. The review aim is to assess the quality of care provided in each case so as to inform future practice and improvements in care which may make a difference to future outcomes.
Proposals which describe a research project to estimate the incidence and prevalence of a condition, to investigate risk factors and described the management of a condition are generally not suitable topics for a confidential enquiry.
To aid in the development of a topic proposal which is more likely to succeed, we have provided a sample of a proposal form where the topic was selected .
We have also provided a sample of a topic proposal form where the topic was NOT selected .
The programme of topics and the timetable for the confidential enquiries is as follows:
|Confidential enquiry topic||Start date||Publication date|
|Maternal – serious maternal morbidity topics:|
|Severe maternal sepsis||2013||Dec 2014|
|Admission with post-partum psychosis in women with a history of bipolar disorder or previous post-partum psychosis||2014||Dec 2017|
|Women with artificial heart valves||2015||Dec 2016|
|Women with severe epilepsy||2016||Dec 2017|
|Massive obstetric haemorrhage including cases where a peripartum hysterectomy was performed||2017||2018|
|Breast cancer in Pregnancy||2018||2019|
|Perinatal – mortality and serious infant morbidity:|
|Congenital diaphragmatic hernia||2013||Dec 2014|
|Antepartum stillbirth in term normally formed infants||2014||Nov 2015|
|Intrapartum stillbirths and intrapartum related neonatal deaths (up to 28 days after birth)||2016||2017|
|Multiple births (topic to be focused further)||2018||2019|