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2 results

Why Mothers Died and How their Lives are Saved
  • The Story of Confidential Enquiries into Maternal Deaths
  • James Owen Drife, Gwyneth Lewis, James P Neilson, Marian Knight, Griselda Cooper, Roch Cantwell
  • Published online:
    05 April 2023
    Print publication:
    30 March 2023
  • One of the most dramatic changes to women's lives in the twentieth century was the advent of safe childbirth, reducing the maternal mortality rate from 1 in 400 births to 1 in 10,000 in just 80 years. The impetus behind this change was the Confidential Enquiries into Maternal Death (CEMD), now the world's longest running self-audit of a healthcare service. Here, leading authors in the CEMD tell the story of the pioneering clinicians behind the push for improvements, who received little recognition for their work despite its far-reaching consequences. One by one, the leading causes of maternal death were identified and resolved, from sepsis to safe abortions and more recently psychiatric illness and social and ethnic disparities in healthcare. Global maternal mortality is still too high; this valuable book shows how significant advances in maternal healthcare are possible when clinicians, politicians and the public work together.

  • CHAPTER 10 - Intrapartum care for women assessed as low risk in labour

  • Edited by Tahir Mahmood, Philip Owen, Sabaratnam Arulkumaran, Charnjit Dhillon
  • Book:
    Models of Care in Maternity Services
    Published online:
    05 July 2014
    Print publication:
    01 November 2010, pp 91-99

  • Summary

    This chapter explores how policies, current standards and practices can be integrated to improve women's access and promote confidence and trust in the services provided as well as having a maternity workforce which use resources effectively. For safety and quality of care, protocols and care pathways are recommended, but midwives and obstetricians need to remember that each woman's care is individual and her journey through the labour is dynamic. The professionals agree that each organisation should have locally agreed clinical guidelines for midwifery-led labour care for low-risk women. Service planning has to support both low-risk and high-risk labour care pathways with equity. Any birth environment should have a monitoring tool for staffing levels. There are many sources recommending audits on labour care and outcomes: Royal College of Midwives (RCM) birth centre standards, Safer Childbirth, and Standards for Maternity Care.