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

Reports | Published: 14 Jan 2021

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.

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