Freedom of Information

Title
Maternity neonatal deaths and stillbirths
Reference Number
RF23-394
Request Details
  1. Please provide the review process for each stillbirth recorded, e.g. X number of PMRTs, X number of SIIs, X number referred to HSIB. If relevant, please include the number that led to no review.
  2. Please provide the review process for each neonatal death, e.g. X number of SIIs, X number referred to the coroner. If relevant, please include the number that led to no review.
  3. Please provide the number of midwifery staffing red flags at your Trust annually between 2018 and 2022.
  4. Please provide the number of term stillbirths (>37 weeks) by year from 2018-2022

If you can provide within the 18 hours please also provide the below for years 2021 and 2022

  1. In any reviews done following a stillbirth please list how many times each of the following was a contributing factor, concluded from the investigation.
    a) Failing to monitor reduced foetal movements
    b) Wrongly interpreting test results during pregnancy
    c) Failing to act on test results which highlight a problem
    d) Failure to treat infections in the mother
    e) Poor staffing levels
    f) Failure to notice vital signs of distress

  2. In any reviews following a neonatal death, please list how many times each of the following was a contributing factor, concluded from the investigation.
    a) Failing to monitor reduced foetal movements
    b) Wrongly interpreting test results during pregnancy
    c) Failing to act on test results which highlight a problem
    d) Failure to treat infections in the mother
    e) Poor staffing levels
    f) Failure to notice vital signs of distress
    g) Failing in antenatal care
    h) Insufficient or inaccurate handovers
    i) Failing to recognise need for caesarean

Response
  • rf23-394-response.pdf
  • Date of Disclosure
    11/09/2023