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6.-March-2011-Saving-Mothers-Lives-reviewing-maternal-deaths-to-make-motherhood-safer-2006-2008

6.-March-2011-Saving-Mothers-Lives-reviewing-maternal-deaths-to-make-motherhood-safer-2006-2008

Volume 118, Supplement 1, March 2011BJOGAn International Journal ofObstetrics and GynaecologySaving MothersLivesReviewing maternal deaths to makemotherhood safer: 20062008March 2011The Eighth Report of the Confidential Enquiries into MaternalDeaths in the United KingdomCentre for Maternal and Child EnquiriesImproving the health of mothers, babies and children

  • Page 3 and 4: AcknowledgementsCentre for Maternal
  • Page 5 and 6: ContentsContentsAcknowledgementsFor
  • Page 7 and 8: ForewordForewordThe death of a moth
  • Page 9 and 10: ‘Top ten’ recommendations‘Top
  • Page 11 and 12: ‘Top ten’ recommendations• In
  • Page 13 and 14: ‘Top ten’ recommendationsThe un
  • Page 15 and 16: ‘Top ten’ recommendations8.3 Hi
  • Page 17 and 18: ‘Top ten’ recommendationsregard
  • Page 19 and 20: Back to basicsSome of the women who
  • Page 21 and 22: Back to basicsPre-eclamptic toxaemi
  • Page 23 and 24: Back to basicsDisclosure of interes
  • Page 25 and 26: Introduction: Aims, objectives and
  • Page 27 and 28: Introduction: Aims, objectives and
  • Page 29 and 30: Introduction: Aims, objectives and
  • Page 31 and 32: Introduction: Aims, objectives and
  • Page 33 and 34: Chapter 1: The women who died 2006-
  • Page 35 and 36: Chapter 1: The women who died 2006-
  • Page 37 and 38: Chapter 1: The women who died 2006-
  • Page 39 and 40: Chapter 1: The women who died 2006-
  • Page 41 and 42: Chapter 1: The women who died 2006-
  • Page 43 and 44: Chapter 1: The women who died 2006-
  • Page 45 and 46: Chapter 1: The women who died 2006-
  • Page 47 and 48: Chapter 1: The women who died 2006-
  • Page 49 and 50: Chapter 1: The women who died 2006-
  • Page 51 and 52: Chapter 1: The women who died 2006-
  • Page 53 and 54:

    Chapter 1: The women who died 2006-

  • Page 55 and 56:

    Chapter 1: The women who died 2006-

  • Page 57 and 58:

    Chapter 1: The women who died 2006-

  • Page 59 and 60:

    Chapter 2: Thrombosis and thromboem

  • Page 61 and 62:

    Chapter 2: Thrombosis and thromboem

  • Page 63 and 64:

    Chapter 2: Thrombosis and thromboem

  • Page 65 and 66:

    Chapter 2: Thrombosis and thromboem

  • Page 67 and 68:

    Chapter 2: Thrombosis and thromboem

  • Page 69 and 70:

    Chapter 3: Pre-eclampsia and eclamp

  • Page 71 and 72:

    Chapter 3: Pre-eclampsia and eclamp

  • Page 73 and 74:

    Chapter 4: HaemorrhageChapter 4: Ha

  • Page 75 and 76:

    Chapter 4: HaemorrhageOn a UK-wide

  • Page 77 and 78:

    Chapter 4: HaemorrhageA woman who d

  • Page 79 and 80:

    Chapter 5: Amniotic fluid embolismC

  • Page 81 and 82:

    Chapter 5: Amniotic fluid embolism4

  • Page 83 and 84:

    Chapter 6: Deaths in early pregnanc

  • Page 85 and 86:

    Chapter 6: Deaths in early pregnanc

  • Page 87 and 88:

    Chapter 7: SepsisChapter 7: SepsisA

  • Page 89 and 90:

    Chapter 7: SepsisTable 7.1. Direct

  • Page 91 and 92:

    Chapter 7: SepsisObstetric Surveill

  • Page 93 and 94:

    Chapter 7: Sepsisand managed effect

  • Page 95 and 96:

    Chapter 7: SepsisEarly treatmentAs

  • Page 97 and 98:

    Chapter 7: SepsisLaparotomy for sus

  • Page 99 and 100:

    Annex 7.1. A possible future approa

  • Page 101 and 102:

    Annex 7.1. A possible future approa

  • Page 103 and 104:

    Annex 7.1. A possible future approa

  • Page 105 and 106:

    Chapter 8: AnaesthesiaDeaths direct

  • Page 107 and 108:

    Chapter 8: AnaesthesiaTable 8.2. Ca

  • Page 109 and 110:

    Chapter 8: AnaesthesiaChronic illne

  • Page 111 and 112:

    Chapter 9: Cardiac diseaseChapter 9

  • Page 113 and 114:

    Chapter 9: Cardiac diseaseTable 9.2

  • Page 115 and 116:

    Chapter 9: Cardiac diseaseunderlyin

  • Page 117 and 118:

    Chapter 9: Cardiac diseasereturned

  • Page 119 and 120:

    Annex 9.1: Pathological overview of

  • Page 121 and 122:

    Chapter 10: Other Indirect deathsCh

  • Page 123 and 124:

    Chapter 10: Other Indirect deaths10

  • Page 125 and 126:

    Chapter 10: Other Indirect deathssh

  • Page 127 and 128:

    Chapter 10: Other Indirect deathssu

  • Page 129 and 130:

    Chapter 10: Other Indirect deathswo

  • Page 131 and 132:

    Chapter 10: Other Indirect deathsca

  • Page 133 and 134:

    Chapter 10: Other Indirect deathsNH

  • Page 135 and 136:

    Chapter 11: Deaths from psychiatric

  • Page 137 and 138:

    Chapter 11: Deaths from psychiatric

  • Page 139 and 140:

    Chapter 11: Deaths from psychiatric

  • Page 141 and 142:

    Chapter 11: Deaths from psychiatric

  • Page 143 and 144:

    Chapter 11: Deaths from psychiatric

  • Page 145 and 146:

    Chapter 12: Deaths apparently unrel

  • Page 147 and 148:

    Chapter 12: Deaths apparently unrel

  • Page 149 and 150:

    Annex 12.1. Domestic abuseTable 12.

  • Page 151 and 152:

    Chapter 13: MidwiferyChapter 13: Mi

  • Page 153 and 154:

    Chapter 13: Midwiferyrelating to su

  • Page 155 and 156:

    Chapter 13: Midwiferymidwife follow

  • Page 157 and 158:

    Chapter 13: MidwiferyBeware sepsisI

  • Page 159 and 160:

    Chapter 13: Midwiferyskilled in the

  • Page 161 and 162:

    Chapter 14: General practicesubstan

  • Page 163 and 164:

    Chapter 14: General practiceIf the

  • Page 165 and 166:

    Chapter 14: General practicePF 450

  • Page 167 and 168:

    Chapter 14: General practicethe mod

  • Page 169 and 170:

    Chapter 15: Emergency medicineChapt

  • Page 171 and 172:

    Chapter 15: Emergency medicineimpor

  • Page 173 and 174:

    Chapter 15: Emergency medicinein fa

  • Page 175 and 176:

    Chapter 16: Critical careChapter 16

  • Page 177 and 178:

    Chapter 16: Critical careand ventri

  • Page 179 and 180:

    Chapter 16: Critical careRespirator

  • Page 181 and 182:

    Chapter 16: Critical careavailable.

  • Page 183 and 184:

    Chapter 17: Pathology overviewChapt

  • Page 185 and 186:

    Chapter 17: Pathology overviewno hi

  • Page 187 and 188:

    Annex 17.1. The main clinico-tholog

  • Page 189 and 190:

    Annex 17.1. The main clinico-tholog

  • Page 191 and 192:

    Appendix 1: The method of Enquirype

  • Page 193 and 194:

    Appendix 2A: Summary of United King

  • Page 195 and 196:

    Appendix 2A: Summary of United King

  • Page 197 and 198:

    Appendix 2A: Summary of United King

  • Page 199 and 200:

    Appendix 2B: Summary of Scottish Co

  • Page 201 and 202:

    Appendix 3: Contributors to the Mat

  • Page 203 and 204:

    Appendix 3: Contributors to the Mat

  • Page 205:

    Appendix 4: CMACE GovernanceAppendi

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