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Confidential Enquiry into Maternal and Child Health 

Confidential Enquiry into Maternal and Child Health
Confidential Enquiry into Maternal and Child Health

Sarah Harries

, Raman Sivasankar

, and Paul Clyburn

Page of

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date: 06 May 2021

Sarah Harries, Raman Sivasankar and Paul Clyburn

Introduction 32

Anaesthesia-related deaths 36

Direct deaths 38

Indirect deaths 42

In 1952, the system of local reporting of maternal deaths by Medical Officers of Health directly to the Ministry was replaced by an enhanced national system of regional and national assessment by clinicians. The first triennial report of these maternal deaths, covering the years 1952–1954, was published in 1957....

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