MBRRACE UK @mbrrace Twitter profile

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@MuscleMaddie

@spoonunlocked

MBRRACE UK

@mbrrace

3 years

Latest data from @NPEU_UKOSS and @mbrrace showing the clear evidence of real world protection from #COVID #vaccine in pregnancy and the hazards in the unvaccinated. Vaccination recommended by @MidwivesRCM @RCObsGyn

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@mbrrace

1 year

Significant inequalities remain. #mbrrace infographic summary emphasises the missing voices of the women who have died, many of whom had multiple adversity and multi-morbidity.

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@mbrrace

2 years

Preventing maternal deaths - we are all part of the solution. Treat women who may become pregnant, are pregnant, or who have recently been pregnant the same as a non-pregnant person unless there is a very clear reason not to. #mbrrace infographic summary

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@mbrrace

1 year

Save the date! Virtual conference - Presenting MBRRACE-UK 'Saving Lives, Improving Mothers' Care' Report 2023 Thursday 12th October 2023 Virtual conference - Presenting MBRRACE-UK Perinatal Confidential Enquiry Report 2023 Thursday 14th December 2023 Bookings will open shortly

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@mbrrace

4 years

Key findings from the latest @mbrrace maternal report released today. Full report, lay summary and infographic available at

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@mbrrace

2 years

Inequalities in maternal mortality remain amongst women from different ethnic groups, and amongst women who live in affluent or deprived areas. Lay summary of findings available at

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@mbrrace

7 months

Latest @mbrrace maternal mortality and morbidity confidential enquiry report released today. State of the Nation reports, lay summary and compiled report with supplementary material available here

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@mbrrace

3 years

Key findings from the latest @mbrrace maternal report released today. Full report, executive summary, lay summary and infographic available at

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@mbrrace

4 months

Latest UK maternal mortality figures released today. The maternal death rate in 2020-22 was 13.41 per 100,000 maternities. This is significantly 53% higher than the rate of 8.79 deaths per 100,000 maternities in the previous three year period (2017-19).

Data Brief | MBRRACE-UK | NPEU

https://www.npeu.ox.ac.uk/administrator/index.php?option=com_menus&view=item&client_id=0&menutype=mbrrace-uk&layout=edit#attrib-metadata

www.npeu.ox.ac.uk

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@mbrrace

2 years

Latest @MBRRACE -UK Maternal report released today. Full report, infographic and lay summary available at

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@mbrrace

1 year

Latest @mbrrace maternal mortality and morbidity confidential enquiry report released today. Core report, lay summary and compiled report with supplementary materials available here

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@mbrrace

2 years

17 women died from covid-19 acquired during pregnancy or immediately postpartum between 16/05/2021 and 31/10/2021 (Delta period). In this period 96% of women admitted with symptomatic covid-19 in pregnancy were unvaccinated, showing strong protection from the vaccine @NPEU_UKOSS

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MBRRACE UK

@mbrrace

2 years

Infographic summary of the key findings from the @mbrrace perinatal mortality report concerning baby deaths in 2020. More details here

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@mbrrace

3 years

Our health and social care systems are not well organised to provide joined-up care for women with multiple health, social and other issues. With permission, we have adapted the @fivexmore six steps to help prevent women from falling through the gaps within and between systems.

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@mbrrace

3 years

There remains a 4x difference in maternal mortality rates amongst women from Black ethnic backgrounds and a 2x difference amongst women from Asian ethnic backgrounds compared to white women, emphasising the need for a continued focus on action to address these disparities.

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@mbrrace

4 years

Cardiac disease remains the leading causes of death up to six weeks after the end of pregnancy. Suicide is the second most common direct cause of women’s deaths during or up to six weeks after pregnancy and the leading cause from six weeks up to one year after pregnancy.

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@mbrrace

7 months

241 women died in the UK during pregnancy or up to 6 weeks after the end of pregnancy in 2019-2021 from causes related to or exacerbated by pregnancy among 2,066,997 women giving birth, a maternal mortality rate of 11.7 per 100,000

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MBRRACE UK

@mbrrace

7 months

Many of the findings of the @mbrrace maternal mortality report 2023 emphasise the need for equitable care for pregnant, recently pregnant and breastfeeding women

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@mbrrace

4 years

New report highlights that pregnant and postpartum women with COVID-19 must receive joint care from physicians, obstetricians and midwives, and that perinatal mental health services are essential to maternity care even in context of service changes due to COVID-19

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@mbrrace

5 years

Maternal suicide is the leading cause of late direct maternal death in the UK. Maternal mental health has to be #everyonesbusiness #WorldMentalHealthDay2019

Maternal Mental Health Alliance

@MMHAlliance

5 years

Around 1 in 5 women will develop a mental illness during pregnancy or within the 1st postnatal year. The human and economic cost of not treating perinatal mental illness is significant, which is why we want to make maternal mental health #everyonesbusiness . #WorldMentalHealthDay

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@mbrrace

2 years

Latest data from @mbrrace @NPEU_UKOSS @BPSUtweet showing worsening outcomes from covid-19 amongst pregnant women and their babies. This underpins new JCVI recommendation that pregnant women are considered an at risk group. Vaccination strongly protective against severe disease.

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@mbrrace

3 years

Latest maternal report 'Saving Lives, Improving Mothers' Care' findings from confidential enquiries into maternal deaths and morbidity 2016-18 released today. Available at

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@mbrrace

2 years

Baby deaths in the UK 2020: Some ethnic groups are much more affected by the higher rates of stillbirth associated with deprivation. @mbrrace @TIMMSleicester

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@mbrrace

3 years

Almost all of the women who died during or after pregnancy had multiple problems such as a mental or physical health diagnosis, older age, domestic abuse, living in a deprived area, or unemployment. More than half of the women who died were overweight or obese.

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@mbrrace

1 year

. @Marianfknight closes the day with thanks to all and a reminder of the lay summary - Key messages for women and families as well as health professionals

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MBRRACE UK

@mbrrace

3 years

Prof Jenny Kurinczuk: 'Maternal deaths from COVID-19 in the UK are uncommon, but this report highlights once again the importance of prevention of severe illness through vaccination. All pregnant and postpartum women are eligible to receive a COVID-19 vaccine in the UK.’

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MBRRACE UK

@mbrrace

1 year

Women were three times more likely to die by suicide during or up to six weeks after the end of pregnancy in 2020 compared to 2017 – 2019, 1.5 women per 100,000 giving birth.

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@mbrrace

3 years

New rapid MBRRACE-UK maternal report 2021: Learning from SARS-CoV-2-related and associated maternal deaths June 2020 - March 2021 in the UK released today. Available from

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@mbrrace

6 years

What needs to be done to prevent labour-related deaths of babies in the future? Key messages from the @mbrrace @TIMMSleicester intrapartum confidential enquiry

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@mbrrace

7 months

Significant inequalities in maternal mortality rates remain between women from different population groups

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@mbrrace

5 months

Latest @mbrrace perinatal confidential enquiry reports published today comparing the care of Asian, Black and White women whose babies died. Download the full report and recommendations: @TIMMSleicester @NPEU_Oxford

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@mbrrace

8 months

Babies of Black ethnicity now have the highest rates of both stillbirth and neonatal death. Mortality rates for babies of Black and Asian ethnicity remain higher than for babies of White ethnicity across all five deprivation quintiles.

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@mbrrace

4 years

Due to election purdah we are unable to release the @mbrrace maternal report today. Findings are embargoed until a new government is formed. There will be no tweeting of new results from today's dissemination event; we will tweet 'as live' when we are able to release the report.

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@mbrrace

3 years

'[It is a] misconception that actions to prevent maternal deaths can only take place within maternity services. Wider public health actions are equally important and I commend the authors’ of the report for ensuring this is an area of focus' @MaggieRae20

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@mbrrace

4 years

Save the Dates – 10th and 11th December for the 2020 virtual MBRRACE-UK Launch Meetings

MBRRACE-UK Conferences | MBRRACE-UK | NPEU

The National Perinatal Epidemiology Unit (NPEU) is a multidisciplinary research unit based at the University of Oxford. Our work involves running randomised controlled trials, national surveillance...

www.npeu.ox.ac.uk

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MBRRACE UK

@mbrrace

8 months

State of the Nation report on perinatal deaths in 2021 released today. Report, infographic, reference tables, and technical manual available at and via

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@mbrrace

4 months

@Marianfknight said "The UK maternal death rate has now returned to levels not seen for the past 20 years. The 2023 MBRRACE-UK maternal confidential enquiry identified clear examples of maternity systems under pressure and this rise in maternal mortality raises further concern."

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@mbrrace

5 years

Latest @mbrrace maternal Confidential Enquiry report will be published tomorrow at 10am. Live tweets from the dissemination and engagement event. Great programme of speakers including @MummysStar @nelson_piercy @Marianfknight @profsarakenyon

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@mbrrace

5 months

When examining the care of Black, Asian and White women whose babies died, high quality care was only found in a minority of the baby deaths which were reviewed. Many deaths may have been prevented with better care. @TIMMSleicester @NPEU_Oxford @mbrrace

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@mbrrace

8 months

Today’s report shows that perinatal mortality rates increased across the UK in 2021 after 7 years of year-on-year reduction. There were 3.54 stillbirths per 1,000 total births and 1.65 neonatal deaths per 1,000 live births in the UK in 2021. @NPEU_Oxford @timmsleicester

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@mbrrace

6 years

Pregnant women and those who are planning pregnancy should not discontinue their medication without consulting a specialist. @mbrrace morbidity enquiries show forward planning of care and optimising medication doses could make a major difference to women’s risk of complications.

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@mbrrace

7 years

On world #sepsis day a reminder of some key messages from the @mbrrace 2014 maternal report. New messages for sepsis care coming 7 December

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@mbrrace

2 years

Latest data from @mbrrace @NPEU_UKOSS @BPSUtweet showing worsening outcomes from covid-19 amongst pregnant women and their babies. This underpins new JCVI recommendation that pregnant women are considered an at risk group. Vaccination strongly protective against severe disease.

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@mbrrace

7 months

Please take a look at the fantastic programme for the @mbrrace 'Saving Lives, Improving Mothers' Care' virtual conference - 12 October 2023 Anyone with an interest in maternity care and safety is welcome to attend Book here:

MBRRACE-UK 'Saving Lives, Improving Mothers' Care' virtual conference 2023 | MBRRACE-UK | NPEU

The National Perinatal Epidemiology Unit (NPEU) is a multidisciplinary research unit based at the University of Oxford. Our work involves running randomised controlled trials, national surveillance...

www.npeu.ox.ac.uk

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@mbrrace

6 years

Key messages from today's @mbrrace @TIMMSleicester perinatal mortality surveillance report. Statistically significant decreases in both stillbirth and neonatal death rates for twins.

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@mbrrace

7 years

Remember red flags in maternal mental health week. #maternalMHmatters

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@mbrrace

6 years

MBRRACE-UK perinatal mortality surveillance report for births in 2016 released today. Full report, executive summary and infographic available here

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@mbrrace

5 years

Key messages from the @mbrrace maternal report released yesterday. In 2014-16, 9.8 women died during or up to six weeks after the end of pregnancy per 100,000 giving birth in the UK. Full report, lay summary and infographic at .

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@mbrrace

5 years

Maternal deaths due to sepsis identified in the Confidential Enquiry led to @NPEU_UKOSS maternal sepsis study which in turn led to the #ANODE trial showing that one dose of prophylactic antibiotic nearly halves maternal infection after forceps/ventouse

Prophylactic antibiotics in the prevention of infection after operative vaginal delivery (ANODE): a...

This trial shows benefit of a single dose of prophylactic antibiotic after operative vaginal birth and guidance from WHO and other national organisations should be changed to reflect this.

www.thelancet.com

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@mbrrace

3 years

The @mbrrace maternal report will be published on 14th January 2021. We will not be tweeting material from the report today but will tweet as live when it is released. We will tweet messages from other speakers and other reports. Looking forward to @josellwright and @fivexmore

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@mbrrace

5 years

Great to hear from @dunkleybent at #BetterBirths about the focus on BAME women and those in socially deprived areas in the NHS long term plan. Here is the @mbrrace data which shows the importance of this focus.

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@mbrrace

5 years

Policy research unit @NPEU_Oxford are undertaking a detailed analysis and confidential enquiry into maternal deaths among BAME women. Analysis will investigate causes and whether risk is lower in certain groups. Overall women born in and outside UK have no difference in risk.

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@mbrrace

5 months

Please take a look at the programme for the virtual conference presenting the @mbrrace Perinatal Confidential Enquiry Reports 2023 Anyone with an interest in maternity care and safety is welcome to attend Book here:

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@mbrrace

8 months

The report also highlights how wide #ethnicinequalities in perinatal mortality continue. Stillbirth and neonatal mortality rates for babies of Black ethnicity increased at a higher rate than for babies of Asian and White ethnicity.

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@mbrrace

3 years

Perinatal mortality report key findings 2/4: How does ethnicity, mother’s age and living in a deprived area affect baby deaths? @TIMMSleicester @mbrrace

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@mbrrace

2 years

New maternal assessors for @mbrrace needed! We need expertise in Obstetrics, Midwifery, Anaesthetics, Intensive Care, Infectious Diseases, Obstetric Medicine, Emergency Medicine, Psychiatry, Cardiology, or Neurology. Details here (scroll to the bottom)

MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the...

MBRRACE-UK is national collaborative programme of work involving the surveillance and investigation of maternal deaths, stillbirths and infant deaths, including the Confidential Enquiry in Maternal...

www.npeu.ox.ac.uk

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@mbrrace

5 months

The Perinatal Mortality Review Tool (PMRT) fifth annual report on learning from standardised reviews when babies die is also published today. Available at @TIMMSleicester @NPEU_Oxford @mbrrace

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@mbrrace

6 years

Latest maternal confidential enquiry report released today. In 2013-15, 8.8 women per 100,000 died during pregnancy or shortly after giving birth. There has been no significant change in the overall national maternal death rate. Report available at

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@mbrrace

6 years

Report from the @mbrrace @TIMMSleicester confidential enquiry into intrapartum stillbirth and intrapartum-related neonatal death released today. Full report, executive summary, infographic and lay summary available at

Reports | MBRRACE-UK | NPEU

The National Perinatal Epidemiology Unit (NPEU) is a multidisciplinary research unit based at the University of Oxford. Our work involves running randomised controlled trials, national surveillance...

www.npeu.ox.ac.uk

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@mbrrace

4 years

We are tweeting 'as live' from the @mbrrace maternal report dissemination meeting, now that the report has been published. Please disseminate widely to ensure the recommendations improve standards of care and save lives @birthrightsorg . Report available at

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@mbrrace

4 months

Thrombosis and thromboembolism was the leading cause of death in women who died in 2020-22 during pregnancy or within six weeks of their pregnancy ending. COVID-19 was the second most common cause of death, followed by heart disease and mental-health related causes.

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@mbrrace

2 years

Latest @mbrrace perinatal mortality report reporting on baby deaths in the UK in 2020 released today. Report, lay summary and supplementary materials available here

Reports | MBRRACE-UK | NPEU

The National Perinatal Epidemiology Unit (NPEU) is a multidisciplinary research unit based at the University of Oxford. Our work involves running randomised controlled trials, national surveillance...

www.npeu.ox.ac.uk

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@mbrrace

5 years

Latest @mbrrace Saving Lives, Improving Mothers' Care report published today. Report, lay summary and infographic available at . @HQIP

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@mbrrace

4 years

Cathy Head - 6 women who died from cardiac causes conceived following IVF. All had risk factors for cardiovascular disease but no evidence any had assessment of cardiovascular health prior to their assisted reproduction treatment. Guidance needed.

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@mbrrace

1 year

Nicki Pusey from HSIB describing an important new theme identified in the review of the care of babies with brain injury - prolonged induction. NICE NG107 emphasises discussing and agreeing a plan for further management with the woman if induction is unsuccessful

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@mbrrace

4 months

Thirty-eight women died from COVID-19. When deaths due to COVID-19 are excluded, the maternal death rate for 2020-22 (11.54 deaths per 100,000 maternities) remains 31% higher than the rate for 2017-19. Rate ratio 1.31, 95% confidence interval 1.08 – 1.60, p=0.005.

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@mbrrace

4 months

The maternal death rate for Black women in 2020-22 has decreased slightly from the rate in 2019-21 but Black women remain three times more likely to die compared to White women. The maternal death rate for Asian women remains two times higher than that of White women.

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@mbrrace

4 years

Cardiovascular disease remains the leading cause of maternal death in the UK - but three quarters of women who died were not known to have heart disease before pregnancy. A quarter died from ischaemic heart conditions emphasising importance of symptom awareness. @mbrrace

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@mbrrace

4 months

Women living in the most deprived areas still have a maternal death rate more than twice that of women living in the least deprived areas.

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@mbrrace

1 year

229 women died during or up to 6 weeks after the end of pregnancy in 2018-20 in the UK from causes related to or exacerbated by pregnancy among 2,101,829 women giving birth, a maternal mortality rate of 10.9 per 100,000. #mbrrace

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@mbrrace

7 months

33 women died directly due to COVID-19 during pregnancy or up to 6 weeks after the end of pregnancy. When these deaths directly due to COVID-19 are excluded, the maternal mortality rate in the UK in 2019-2021 was 10.1 women per 100,000 giving birth

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@mbrrace

3 years

Key learning from #PMRT standardised reviews #mbrrace

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@mbrrace

7 months

Allison Felker describes the characteristics of women who died, emphasising the contribution of cardiovascular causes, COVID-19 and thromboembolism. Maternal suicide remains the leading direct cause of death between 6 weeks and a year after the end of pregnancy.

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MBRRACE UK

@mbrrace

8 months

Late fetal loss, #stillbirth and neonatal mortality rates increased in almost all gestational age groups between 2020 and 2021, with the increase being greatest for stillbirth rates in the 28-31 weeks’ gestation group and neonatal death rates in the 24-27 weeks’ gestation group.

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@mbrrace

7 months

Roshni Patel highlighting key messages around prevention and management of haemorrhage - themes very similar from both the morbidity enquiry and when assessing the care of women who died from haemorrhage and AFE

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@mbrrace

5 years

Overall in UK there were 350 fewer stillborn babies in 2017 compared to 2013, 150 fewer babies died in the neonatal period in 2017 compared to 2013. @mbrrace @TIMMSleicester

MBRRACE UK

@mbrrace

5 years

Actions still needed to achieve government target in England to reduce neonatal deaths. Stillbirth reduction 18.5% over 7 years.

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@mbrrace

8 years

#threepsinapod poster from Rebecca Northridge @rcpsglasgow highlights actions to prevent indirect maternal death

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@mbrrace

3 years

Perinatal mortality report key findings 1/4: Mortality rates continue to fall. 3out of 4 babies who died were born before term @TIMMSleicester @mbrrace

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@mbrrace

3 years

. @Marianfknight 'It is unacceptable that women with COVID-19 do not receive the best quality of care simply because they are pregnant or recently pregnant. We must ensure that the cultural and structural biases around treatment in pregnancy and the postnatal period are tackled'

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@mbrrace

7 years

Key messages from the #mbrrace maternal report 2016

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@mbrrace

1 year

. @AndyCairnsNcl explaining why review of the deaths of women who died by suicide in 2020 have been expedited and included in this report @mbrrace

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@mbrrace

6 years

. @traceyjohnsto3 @BMFMSNews talking through the perinatal mortality review process and the perinatal mortality review tool. 153 of 154 units registered to use the tool and two thirds already reviewing babies care. Guidance and training info at

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@mbrrace

4 years

New report covers the lessons learned to inform care from rapid reviews of the care of women who died with SARS-CoV-2 infection or from mental health-related causes or domestic violence between March and May 2020.

Reports | MBRRACE-UK | NPEU

The National Perinatal Epidemiology Unit (NPEU) is a multidisciplinary research unit based at the University of Oxford. Our work involves running randomised controlled trials, national surveillance...

www.npeu.ox.ac.uk

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@mbrrace

5 months

Women’s ethnicity, nationality, and citizenship status was not always recorded well. When a woman’s first language wasn’t English and she needed an interpreter, this wasn’t always provided. @TIMMSleicester @NPEU_Oxford @mbrrace

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@mbrrace

2 years

Andrew Cairns and @roch61 reiterate that women who have lost pregnancies should not be excluded from care - there are a range of services including perinatal mental health services available. Each woman’s individual needs should be assessed and appropriate services involved

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@mbrrace

4 years

Final summary from the @mbrrace lay writing group - 'Mind the Gap'

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@mbrrace

4 years

With publication of the report today we will be tweeting key messages from the speakers at the dissemination event which took place on 19th November. Jenny Kurinczuk opened the event by thanking the more than 700 people who contribute to the report.

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@mbrrace

5 years

Save the Dates – 15th October (perinatal) and 19th November (maternal) for the 2019 MBRRACE-UK Launch Meetings

MBRRACE-UK Conferences | MBRRACE-UK | NPEU

The National Perinatal Epidemiology Unit (NPEU) is a multidisciplinary research unit based at the University of Oxford. Our work involves running randomised controlled trials, national surveillance...

www.npeu.ox.ac.uk

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@mbrrace

5 years

Discussion around caring for women with multiple vulnerabilities highlights importance of postnatal care and contraception and the fact that care should not stop at six weeks. GPs and health visitors essential.

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@mbrrace

4 years

Disparities in maternal mortality between different population groups remain. Maternal mortality 38/100,000 black women, 23/100,000 women of mixed ethnicity, 13/100,000 Asian women compared to 7/100,000 white women.

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@mbrrace

3 years

Perinatal mortality report key messages 3/4: Deaths due to problems with the placenta made up a third of all stillbirths. Almost half of neonatal deaths were babies who were born extremely early or who had congenital anomalies which were not compatible with life @TIMMSleicester

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@mbrrace

3 years

Ensure early senior involvement of the maternal medicine team for any pregnant or postpartum woman admitted with COVID-19, whatever her gestation and wherever in the hospital she receives care @RCPhysicians @RCObsGyn

Reports | MBRRACE-UK | NPEU

The National Perinatal Epidemiology Unit (NPEU) is a multidisciplinary research unit based at the University of Oxford. Our work involves running randomised controlled trials, national surveillance...

www.npeu.ox.ac.uk

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@mbrrace

6 years

Key messages on maternal mental health for women and families from @mbrrace maternal report.

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@mbrrace

4 years

Bernard Clarke - only 3 out of 22 women who died from cardiomyopathy had peripartum cardiomyopathy. Symptoms of heart failure often not recognised until late amongst women with cardiomyopathy - need to ensure persistent tachycardia is always investigated.

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@mbrrace

3 years

. @fivexmore describing their experiences and the start of the fivexmore campaign. Supporting Black mums all over the UK and amplifying their voices. Six steps for Black women

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MBRRACE UK

@mbrrace

1 year

Nine women died from COVID-19 died during or up six weeks after the end of their pregnancies in the UK. Excluding their deaths, 10.5 women died per 100,000 giving birth in the UK in 2018-20. Pandemic-related changes to services also contributed to some other maternal deaths.

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@mbrrace

1 year

. @CranfieldKatie and @obstetricmedic both emphasise the key message of ensuring that the appropriate Maternity Early Warning Score - MEWS - is used wherever in the hospital a pregnant woman receives care

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@mbrrace

3 years

Save the Dates – 13th October and 11th November for the 2021 virtual MBRRACE-UK Launch Meetings

MBRRACE-UK Conferences | MBRRACE-UK | NPEU

The National Perinatal Epidemiology Unit (NPEU) is a multidisciplinary research unit based at the University of Oxford. Our work involves running randomised controlled trials, national surveillance...

www.npeu.ox.ac.uk

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MBRRACE UK

@mbrrace

5 years

Roch Cantwell highlights again the importance of mental health red flags in pregnancy #MBRRACE2018 @MMHAlliance

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MBRRACE UK

@mbrrace

3 years

Cardiac disease remains the most common cause of maternal death, and thrombosis the next most frequent. There has been a statistically significant increase in maternal mortality due to Sudden Unexpected Death in Epilepsy (SUDEP).

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