Centre for Maternal and Child Enquiries Mission Statement
Acknowledgements
Foreword
‘Top ten’ recommendations
Back to basics
Introduction: Aims, objectives and definitions used in this Report
Chapter 1: The women who died 2006-2008
Chapter 2: Thrombosis and thromboembolism
Chapter 3: Pre-eclampsia and eclampsia
Chapter 4: Haemorrhage
Chapter 5: Amniotic fluid embolism
Chapter 6: Deaths in early pregnancy
Chapter 7: Sepsis
Annex 7.1. A possible future approach to case definitions
Chapter 8: Anaesthesia
Chapter 9: Cardiac disease
Annex 9.1. Pathological overview of cardiac deaths including sudden adult/arrhythmic death syndrome (SADS)
Chapter 10: Other Indirect deaths
Chapter 11: Deaths from psychiatric causes
Chapter 12: Deaths apparently unrelated to pregnancy from Coincidental and Late causes including domestic abuse
Annex 12.1. Domestic abuse
Chapter 13: Midwifery
Chapter 14: General practice
Chapter 15: Emergency medicine
Chapter 16: Critical care
Chapter 17: Pathology overview
Annex 17.1. The main clinico-pathologies encountered at autopsy in maternal death and specific pathological scenarios (Adapted from Royal College of Pathologists: Guidelines on Autopsy Practice. Scenario 5: Maternal Death. May 2010.)
Appendix 1: The method of Enquiry
Appendix 2A: Summary of United Kingdom Obstetric Surveillance System (UKOSS) Report on near-miss studies
Appendix 2B: Summary of Scottish Confidential Audit of Severe Maternal Morbidity Report 2008
Appendix 3: Contributors to the Maternal Death Enquiry for the triennium 2006-08 and CMACE personnel
Appendix 4: CMACE Governance