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. Please note you will be prompted to register your details so you can receive updates. You may skip the registration process if you prefer.