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The UK Confidential Enquiry into Maternal Deaths has been in operation for more than 60 years, during which time maternal mortality rates have fallen 10-fold. The program includes two aspects, surveillance and confidential case review, providing different information to aid quality improvement in maternity care. The enquiry now also reviews the care of women with specific severe morbidities. Recommendations have very clearly led to improved outcomes for women, most notably shown in the very low mortality rate due to hypertensive and related disorders of pregnancy. Maternal cardiac disease and mental health problems remain the major areas still to be addressed.

Original publication




Journal article


Clin Obstet Gynecol

Publication Date





347 - 358


Clinical Audit, Female, Heart Diseases, Humans, Ireland, Maternal Death, Maternal Mortality, Mental Disorders, Postpartum Period, Pre-Eclampsia, Pregnancy, Pregnancy Complications, Prenatal Care, Public Health Surveillance, Quality Improvement, Sepsis, Suicide, United Kingdom