Senior midwife Donna Ockenden investigated stillbirths, neonatal and maternal deaths, and babies or mothers who suffered brain damage and other injuries
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Presenting some of her findings, Ockenden said her team found “significant or major concerns in care where different or better care may have made a difference to the outcome” in the following cases:
21% of cases where mothers died,
26% of cases where mothers experienced a major obstetric haemorrhage,
36% of cases where a mother had an unplanned admission to intensive care,
20% of cases involving a mother’s care when a baby was stillborn.
















