This rather lengthy 171 page report was published in October.

It provides an analysis of various clinical situations that have led to maternity claims.

Attached to the report are 19 information sheets to assist with learning and training. They cover the following topics

  1. Anaesthetic issues
  2. Antenatal care
  3. Antenatal investigations
  4. Bladder
  5. Caesarean Section
  6. Cerebral Palsy
  7. CTG interpretation
  8. Drug error
  9. Management of labour
  10. Maternal death
  11. Midwifery care
  12. Operative vaginal delivery
  13. Perineal trauma
  14. Postpartum haemorrhage
  15. Psychological harm
  16. Retained swabs
  17. Shoulder dystocia
  18. Stillbirth
  19. Uterine rupture

The report contains more detailed studies on topics at numbers 3, 7, 13 and 19.