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The UK has a well-established programme of Confidential Enquiries into Maternal Deaths and a national system for research into near-miss maternal morbidities, the UK Obstetric Surveillance System. The addition of a programme of near-miss case reviews, the Confidential Enquiries into Maternal Morbidity, permits a complete examination of the incidence, risk factors, care and outcomes of the severest complications in pregnancy, and enables the lessons learnt to improve future care to be identified more quickly. This in turn allows for more rapid inclusion of recommendations into national guidance and hence the potential of better health for both women and babies.

Original publication




Journal article



Publication Date



121 Suppl 4


112 - 116


Case reviews, confidential enquiry, near miss, severe maternal morbidity, Cause of Death, Confidentiality, Female, Humans, Maternal Mortality, Medical Audit, Pregnancy, Pregnancy Complications, Sepsis, United Kingdom