NHS Resolution – Maternity Litigation
NHS Resolution has published its latest annual reports which details the types and value of litigation claims. Again, the highest value of claims relate to obstetrics where claims account for 10% of the volume of claims but an estimated 50% of the total value. This is a slight increase on the estimated value from 2017/18 of 48%.
The reports outlines that in 2018/19 the cost of harm was approximately £9 billion of which around 60% (£5.4 billion) related to obstetrics. For every baby born in England hospitals pay out about £1100 in indemnity costs.
NHS Resolution has attempted to address the high rates of maternity claims through research, early notification and financial incentives for best practice. With attempts at identifying maternity incidents, sharing learning and providing earlier support to families.
The report provides more details - https://resolution.nhs.uk/wp-content/uploads/2019/07/NHS-Resolution-Annual-Report-2018-19.pdf
Conjoined twins separated
Pakistani conjoined twins Safa and Marwa have been separated during surgery at London Great Ormond Street hospital. The twins who were joined at the head were separated in a procedure that took 50 hours and involved a team of 100 staff. The separation process for the twins took place over 4 months and they have now returned home.
Patient Safety Network – Maternal Safety
The patient safety network has produced a guide to maternal safety. The resource summarizes the key issues facing mothers in the US, Statistics around who is at most risk, factors contributing to maternity related deaths and education and resource guides available to support pregnant women.
Organisational interventions to reduce cesarean sections
A systematic review has been published looking at organisation interventions and the impact on rates of cesarean birth. The study identified several interventions that impacted the cesarean section rates:
‘women allocated to midwife-led models of care implemented across pregnancy, labour, birth, and the postnatal period were, on average, less likely to experience CS (overall), planned CS, and episiotomy compared with women allocated to routine care.’
First live birth after deceased donor uterine transplant
A baby has been born at Cleveland clinic in the US after the mother received a uterus transplant from a deceased donor. The mother is part of a trial at the clinic where they are using wombs from donors who have recently died. This reduces the risk of harm a living donor would face if donating their uterus.