The UK Confidential Enquiry into Maternal Deaths has been in operation for more than 60 years, during which time maternal mortality rates have fallen 10-fold. The program includes two aspects, surveillance and confidential case review, providing different information to aid quality improvement in maternity care. The enquiry now also reviews the care of women with specific severe morbidities. Recommendations have very clearly led to improved outcomes for women, most notably shown in the very low mortality rate due to hypertensive and related disorders of pregnancy. Maternal cardiac disease and mental health problems remain the major areas still to be addressed.
*National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford
†Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK
The Maternal, Newborn and Infant Clinical Outcome Review Programme, delivered by MBRRACE-UK, is commissioned by the Healthcare Quality Improvement Partnership (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 (DHSSPS), Northern Ireland, the States of Jersey, Guernsey and the Isle of Man.The views expressed in this publication are those of the author(s) and not necessarily those of the NHS, the Department of Health or other funders.The authors declare that they have nothing to disclose.
Correspondence: Marian Knight, FFPH, Nuffield Department of Population Health, National Perinatal Epidemiology Unit, University of Oxford, Oxford, UK. E-mail: firstname.lastname@example.org