According to the research, out of 204 investigations into stillbirths and neonatal deaths following full-term labour, 56% were considered ‘inadequate’.
The report is part of RCOG’s Each Baby Counts Initiative, which aims to halve the rate of stillbirths, neonatal deaths and severe brain injuries in babies by 2020.
RCOG’s report also suggested that 39% of investigations did not state areas of improvement for maternal care.
Commenting on the report, Director of Midwifery at the Royal College of Midwives (RCM), Louise Silverton, said: “This report clearly shows that improvements in the investigation process are needed.
“It is only through thorough investigation and implementation of recommendations that lessons can be learned from these tragic events. We must do everything possible to prevent them, and improve care and safety.”
It was also found that one in four parents were not told an investigation was in progress.
“Each one of these statistics is a tragic event, and means terrible loss and suffering for the parents. We must do all we can to reduce the chances of these occurring. This report shows that this is not the case and improvements are needed as a matter of urgency,” Louise Silverton added.
The full report can be found here:
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