NHS Resolution publish annual figures – Greatest value of claims for Obstetrics
NHS Resolution has published its annual report for the period of 2017/2018. In total the value of payments was £2.2 billion.
Focusing specifically on maternity claims it is reported that only 10% of clinical claims relate to obstetrics however they accounted for 48% of the total value of new claims reported, a value of £2.1 billion. The value for claims relating to cerebral palsy and brain damage continues to rise despite the number of claims falling by 20.
It is estimated that the projected costs of obstetric payments to be made in 2018/19 could be £735.7 million.
NHS resolution is working on a number of initiatives to help improve care in maternity including informing the development of Rapid Resolution and Redress, a thematic review of cerebral palsy cases, incentivising safer care in maternity, further development of the Early Notification scheme and work to support the Getting it Right First Time (GIRFT) team at NHS Improvement.
The full report is available here with maternity information beginning on page 74.
Australian stillbirth rates – 56% reduction in road deaths but stillbirth rates remain unchanged
Data from 1996 to 2015 has shown that over the period road deaths have reduced by 56% but the rate of still births remains unchanged with twice as many stillborn compared to the number of people dying on the road.
Six babies are stillborn in Australia each day a rate that has remained relatively unchanged for a number of years. This article looks into why there is such limited awareness and draws on the work being conducted in the UK that has the potential to be applied across all higher income countries.
Cochrane Review – Vaginal preparation with antiseptic solution before caesarean section for preventing postoperative infections
The results of a Cochrane review into the use of antiseptic solution to prepare the vagina before caesarean section have been published. 11 randomised controlled studies were included involving 3403 women undergoing caesarean section. The study conclude:
‘Vaginal preparation with povidone-iodine or chlorhexidine solution compared to saline or not cleansing immediately before cesarean delivery probably reduces the risk of post-cesarean endometritis. Subgroup analysis could not rule out larger reductions in endometritis with antiseptics in women who were in labor or in women whose membranes had ruptured when antiseptics were used.’
It suggested that it was a simple, inexpensive way of lowering a women's chance of developing infection following caesarean section. Full review available here.