Maternal, Newborn and Infant programme: stillbirths and neonatal deaths in twin pregnancies

This report represents the findings of the fourth perinatal confidential enquiry carried out as part of the MBRRACE-UK programme of work and focuses on stillbirths and neonatal deaths in twin pregnancies.

The aims of the enquiry were to assess:

• adherence to clinical guidelines (Royal College of Obstetricians and Gynaecologists Green-top, Royal College of Anaesthetists, Royal College of Pathologists, National Institute for Health and Care Excellence and Sands);
• the standard of care provision throughout the care pathway encompassing all relevant specialties (obstetrics, midwifery, neonatology, anaesthetics and pathology);
• the role, availability and multidisciplinary working of bereavement teams;
• the role of placental pathology review and post-mortem.

The report finds:

• in just over half of pregnancies improvements in care were identified which may have made a difference to the outcome for the baby
• in two-thirds of pregnancies improvements in care were identified which may have made a difference to the outcome for the woman
• there was major sub-optimal antenatal care in half of pregnancies
• there was major sub-optimal follow-up care for three-quarters of women.

You can read the report by clicking on the link below.