Over a Million Pounds to be Spent to Half Stillbirths and Maternity Incidents at NHS Hospital

It’s just so heartwarming to read on the Derby Telegraph website that more than a million pounds is going to be injected into Derby and Burton hospitals with this intention of halving the number of stillbirth and maternity incidents.

There were apparently 16 stillbirths at the Royal Derby hospital last year with the same amount in 2017 and more than double – 37 – in 2016. Last year, that’s 16 lives lost. The pattern of 16 families lives torn apart. Lives changed. Forever.

Of course, Derby and Burton hospitals proposal is part of a wider picture. The NHS has a long term plan to improve maternity care with the reduction of stillbirths and neonatal deaths – “Saving Babies Lives”.

In addition, the RCOG have also plans to tackle the high stillbirth rates with “Every Baby Counts” (see earlier blogs
https://stillbirthclaims.com/baby-counts-rcog-initiative/ and
https://stillbirthclaims.com/each-baby-counts-2018-progress-report-2/

In line with the mission of “Saving Babies Lives”, the University Hospitals of Derby and Burton NHS Foundation Trust (UHDB) says there is an aim to halve stillbirths, maternal mortality, neonatal mortality and serious brain injury in newborn babies by 2025.

Nearly a year ago, the Perinatal Institute found that 19 baby deaths at the Royal Derby between 2013 and 2016 “might” or should” have been preventable.

I genuinely commend the UHBD for allocating budget to the cause of saving babies lives in reducing stillbirth and neonatal death. One cannot underestimate the effects that a stillbirth or neonatal death can have on a family (I sadly know this first hand) and to read that a Trust is prioritising this is amazing. Hopefully more Trusts will follow suit.

For more information see: https://www.derbytelegraph.co.uk/news/local-news/more-million-spent-halve-stillbirths-2870697

If you or a loved one would like to discuss a stillbirth compensation claim or neonatal death compensation claim, please do not hesitate to contact Amy, a specialist stillbirth claims solicitor and medical negligence expert. You can call Amy on 020 8209 0166 or email her at abennett@gadllp.co.uk

Improving the Quality of Care after a Stillbirth or Neonatal Death

The National Bereavement Care Pathway (“NBCP”) are seeking to improve the quality and consistency of bereavement care in NHS trusts following a stillbirth or neonatal death or other baby loss.

Launched in 2017, the NBCP seeks to increase the quality of, and reduce the inequity in, the bereavement care provided by healthcare professionals after the loss of a baby or pregnancy at any gestation. 

The five pathways in total include:

  1. Miscarried (including molar pregnancy and ectopic)
  2. Termination of Pregnancy for Fetal Abnormality (TOPFA)
  3. Stillbirth
  4. Neonatal death
  5. Sudden Unexpected Death of an Infant

Following a ‘call for evidence’, draft pathways were created on the basis of good practice across the country. As a result, 32 healthcare settings in England have piloted the pathway over the past two years and have seen real changes for parents and professionals in their trusts. Following the outcome of the independent evaluations, the NBCP is being rolled out across England.

For more information see https://nbcpathway.org.uk/about-nbcp/national-bereavement-care-pathway-background-project

During Prime Minister’s Questions in Westminster on 15 May, the Prime Minister, in responding to a question from Antoinette Sandbach MP regarding the NBCP evaluation report released on 10 May, recognised the support that the NBCP provides to bereaved parents and urged all NHS Trusts to adopt the pathway. 

The evaluation of the NCBP can be found here: https://nbcpathway.org.uk/sites/default/files/2019-05/NBCP%20wave%20two%20evaluation%20report%207%20May%202019_0.pdf

Minister for Mental Health, Jackie Doyle-Price, had the following to say about the NCBP evaluation:

“Every stillbirth or baby loss is a tragedy and we remain absolutely committed to supporting parents through this difficult time.

This independent evaluation shows that National Bereavement Care Pathway has already helped to strengthen the support for many bereaved families across the country, but there is more to do and I would urge all NHS Trusts to adopt this approach to ensure all care surrounding baby loss meets these consistent standards.

Through our Long Term Plan for the NHS we are also accelerating action to halve the number of stillbirths and neonatal deaths over the next five years and improving access to perinatal mental health care for mothers and their partners.”

POSTED ONMAY 14, 2019EDIT”HOSPITAL UNDER REVIEW – STILLBIRTHS AND NEONATAL DEATHS”

Hospital Under Review – Stillbirths and Neonatal Deaths

I’m both sad and frustrated to be sat at my desk writing this blog. Another hospital under review. Another hospital not affording a reasonable standard of care to mothers and babies. Another hospital not meeting national targets.

Shrewsbury and Telford Hospital Trust has received its fourth warning in eight months according to an article recently published in the Daily Mail.

The Care Quality commission (CQC) has issued a section 31 warning which means that the Trust faces closure if changes are not made.

Apparently, the most recent warning concerned a lack of staff in A&E particularly paediatricians.

An independent review is being conducted after 250 cases of poor maternity care at Shrewsbury and Telford Hospital Trust over the last 20 years. The review started in April 2017 following which many more families came forward over stillbirth, neonatal and child deaths.

It emerged that a failure to properly monitor heart rates played a contributory factor in five deaths whilst another two were found to be suspicious. Legal action taken and Inquests resulted in the finding that seven deaths were avoidable.

An investigation by the Trust found that two babies died from oxygen starvation to the brain ‘contributed to by delay in recognising deterioration in the foetal heart traces and the missed opportunities for earlier delivery’. 

In September 2018 the West Midlands Quality Review Service warned Shrewsbury and Telford Hospital Trust about its lack of trained staff in paediatric resuscitation. 

The report noted that paediatric staff were only available ‘9am to 10pm Monday to Friday and 12 noon to 10pm on Saturdays and Sundays’. 

‘Reviewers considered that a child could arrive and need resuscitation after 10pm and that a member of staff with appropriate competences to lead the resuscitation might not be available.’

Shrewsbury and Telford Hospital Trust attribute the lack of available staff due to a strain on the service with a rise in patients. As a result, the Trust has approved spending of over £1 million for additional staffing in an attempt to combat the problem.

I don’t understand how poor care can get so out of hand but looking at the situation with a my positive eyes, I sincerely hope that the extra staff employed will greatly improve the care given and that all those families get the answers that they are striving for.

For more information please see https://www.dailymail.co.uk/health/article-7014485/Scandal-hit-NHS-trust-centre-baby-deaths-review-receives-warning.html

If you or a loved one would like to discuss a stillbirth compensation claim or neonatal death compensation claim, please do not hesitate to contact Amy, a specialist stillbirth claims solicitor and medical negligence expert. You can call Amy on 020 8209 0166 or email her at abennett@gadllp.co.uk

Hospital Under Review – Stillbirths and Neonatal Deaths

I’m both sad and frustrated to be sat at my desk writing this blog. Another hospital under review. Another hospital not affording a reasonable standard of care to mothers and babies. Another hospital not meeting national targets.

Shrewsbury and Telford Hospital Trust has received its fourth warning in eight months according to an article recently published in the Daily Mail.

The Care Quality commission (CQC) has issued a section 31 warning which means that the Trust faces closure if changes are not made.

Apparently, the most recent warning concerned a lack of staff in A&E particularly paediatricians.

An independent review is being conducted after 250 cases of poor maternity care at Shrewsbury and Telford Hospital Trust over the last 20 years. The review started in April 2017 following which many more families came forward over stillbirth, neonatal and child deaths.

It emerged that a failure to properly monitor heart rates played a contributory factor in five deaths whilst another two were found to be suspicious. Legal action taken and Inquests resulted in the finding that seven deaths were avoidable.

An investigation by the Trust found that two babies died from oxygen starvation to the brain ‘contributed to by delay in recognising deterioration in the foetal heart traces and the missed opportunities for earlier delivery’. 

In September 2018 the West Midlands Quality Review Service warned Shrewsbury and Telford Hospital Trust about its lack of trained staff in paediatric resuscitation. 

The report noted that paediatric staff were only available ‘9am to 10pm Monday to Friday and 12 noon to 10pm on Saturdays and Sundays’. 

‘Reviewers considered that a child could arrive and need resuscitation after 10pm and that a member of staff with appropriate competences to lead the resuscitation might not be available.’

Shrewsbury and Telford Hospital Trust attribute the lack of available staff due to a strain on the service with a rise in patients. As a result, the Trust has approved spending of over £1 million for additional staffing in an attempt to combat the problem.

I don’t understand how poor care can get so out of hand but looking at the situation with a my positive eyes, I sincerely hope that the extra staff employed will greatly improve the care given and that all those families get the answers that they are striving for.

For more information please see https://www.dailymail.co.uk/health/article-7014485/Scandal-hit-NHS-trust-centre-baby-deaths-review-receives-warning.html

If you or a loved one would like to discuss a stillbirth compensation claim or neonatal death compensation claim, please do not hesitate to contact Amy, a specialist stillbirth claims solicitor and medical negligence expert. You can call Amy on 020 8209 0166 or email her at abennett@gadllp.co.uk.

NHS Pledge to Give Mothers Continuity of Care with Same Midwife – a Reduction in Stillbirth?

The NHS have promised to spend £40 million on providing women with the same midwife throughout their pregnancy.

As a result of this pledge, it is anticipated that maternity deaths will be reduced by a massive 50 per cent.

Currently, it isn’t uncommon for a woman to see different midwives throughout her pregnancy, both during the antenatal period, during labour and during the post-natal period. Not only would continuity of care mean that a woman would no longer have to keep repeating her story, it would, in my opinion, lead to better care. This is in respect of the measuring of a woman’s bump, the method of which is said to differ from midwife to midwife.

The government anticipates that over a third of women should benefit from the new plans by March next year, rising to more than half by 2021.

In addition to reducing maternal deaths, this new proposal also aims to reduce our stillbirth and neonatal death rate.

The new funding will be used to reduce the rates of stillbirth, neonatal death, maternal death and brain injury during birth by 20 per cent by the end of 2020/21, and 50 per cent by 2025.

I think that this is a really big step in helping to improve our maternity care. The cost is massive but I hope that the intended benefit in reducing maternal death, stillbirth, neonatal death and brain injury is realised quickly.

For more information please see https://www.telegraph.co.uk/news/2019/05/05/expectant-mothers-given-midwife-throughout-pregnancy-40million/?WT.mc_id=tmg_share_em

If you or a loved one would like to discuss a stillbirth compensation claim or neonatal death compensation claim, please do not hesitate to contact Amy, a specialist stillbirth claims solicitor and medical negligence expert. You can call Amy on 020 8209 0166 or email her at abennett@gadllp.co.uk.

Stillbirth isn’t Hereditary According to Scientists

Following a study of 26,000 mothers and daughters, no link was found between a mothers’ history of stillbirth and their daughters. Previous evidence had suggested that placental insufficiency was hereditary.

Personally, its very reassuring to read that stillbirth isn’t hereditary. I very occassionally think about what i’d do if my own daughters went on to suffer the heartbreak that I had to endure. It’s comforting to read that a genetic link has not been found to be a cause of stillbirth. I’m hoping that this will keep any anxiety at bay.

The University of Aberdeen ran the research project which was conducted in Scotland. No link was established between a mothers’ history of stillbirth and stillbirth in their daughters.

It’s so good to read about this study, to know that money is being given to Universities for research into stillbirth and neonatal death. It’s very hard for anybody wanting to carry out research into stillbirth or neonatal death to get the project off the ground due to a lack of available funding.

More studies please! The more research that is carried out, the more we can better understand stillbirth and neonatal death and the better positioned we will be to lower or stillbirth and neonatal death rate.

If you or a loved one would like to discuss a stillbirth compensation claim or neonatal death compensation claim, please do not hesitate to contact Amy, a specialist stillbirth claims solicitor and medical negligence expert. You can call Amy on 020 8209 0166 or email her at abennett@gadllp.co.uk.



Each Baby Counts: 2018 Progress Report

“Each Baby Counts” is the Royal College of Obstetrician and Gynaecologist’s (“RCOG”) national quality improvement programme to reduce the number of babies who die or are left severely disabled as a result of incidents occurring during labour (see earlier blog). The key findings of the Report are as follows:

Of the nearly 700,000 babies born in 2016, 1,123 babies fulfilled the Each Baby Counts criteria. There were 124 stillbirths, 145 babies who died early and 854 babies who sustained severe brain injuries during labour at term (babies born after 37 completed weeks of gestation). • The number of incidents where different care might have led to a different outcome still remains too high, with 71% babies who might have had a different outcome with different care. • For the babies reported to Each Baby Counts, the reviewers concluded that there was rarely one single cause of the stillbirth, early neonatal death or brain injury. The report identified an average of seven critical contributory factors for each baby where different care might have had made a difference to the outcome. • In almost half (45%) of these affected babies, guidelines and best practice were not followed. Reasons for not following guidelines included gaps in training, lack of recognition of problems, heavy workload, staffing levels and local guidelines not being based on best available evidence. Amy Bennett, medical negligence Solicitor who acts on behalf of numerous bereaved families, believes that “The Each Baby Counts project is a significant step towards the recognition of the unacceptable high levels of avoidable stillbirth, neonatal death and brain damage cases as well as recognition of the life changing effects losing a baby or raising a severely brain damaged baby can have on a family. The findings of the 2018 Progress Report do not look promising at all in terms of meeting the targets set but time will tell.

If you or a family member or friend would like to discuss your potential stillbirth, neonatal death or brain damage claim, please contact specialist Stillbirth and Neonatal claim solicitor Amy Bennett on 0208 209 9712. Alternatively, you can e-mail Amy at abennett@gadlegal.co.uk or fill out our online contact form and she will contact you directly. Please see the “Contact Me” section for more information.

Welsh Hospital in Special Measures Following Review – Increase in Stillbirth and Neonatal Death

An independent review of Cwm Taf maternity services describes it as “under extreme pressure and “dysfunctional”.

Special measures have been put in place prompted by concerns over the death of babies. There were 25 reported serious incidents including eight stillbirths and five neonatal deaths between January 2016 and September 2018.

According to the BBC website, the independent review found that the suspicions and concerns raised by women were not taken seriously whilst there was “little evidence of effective clinical leadership at any level”.

“Many women had felt something was wrong with their baby or tried to convey the level of pain they were experiencing but they were ignored or patronised, and no action was taken, with tragic outcomes including stillbirth and neonatal death of their babies,” the report said.

The BBC reported that further cases should be looked at – going back to 2010 – to “determine the extent of the under-reporting” of issues and to provide assurance to the health board. The review found 11 areas of immediate concern at the Royal Glamorgan Hospital in Llantrisant and Prince Charles in Merthyr Tydfil, including:

  • Often no consultant obstetrician on the labour ward, and difficult to contact
  • Not enough midwives, putting them under “extreme pressure”
  • Consultants were not always available out of hours – and would take 45 minutes to get in
  • “Fragmented” consultant cover while their roster arrangements were “complex and inflexible”
  • High numbers of locum staff at all levels
  • Staff not aware of guidelines, protocols, triggers and escalations
  • “Punitive culture” within the service and staff felt senior management did not listen to their concerns, which they had “voiced repeatedly over a long period of time”

The reference to the lack of Consultant care was something I discussed earlier today in my previous blog: https://stillbirthclaims.com/giving-birth-at-night-or-during-the-weekend-an-increase-in-stillbirth-and-neo-natal-death-compensation-claims/

There had also been 67 stillbirths going back to 2010 which had not been reported for inclusion in statistics for a national database.

It’s very saddening to read this review but equally, reassuring that safeguards are in place to ensure that concerns are investigated (even if it takes time to get to this point).

What happens going forward for now remains to be seen. I hope the families get the answers to questions they want to know and that going forward, the number of stillborn and neonatal death babies reduces and care to women being of the standard that one would expect in a first world country in the 21st century.

If you or a loved one would like to discuss a stillbirth compensation claim or neonatal death compensation claim, please do not hesitate to contact Amy, a specialist stillbirth claims solicitor and medical negligence expert. You can call Amy on 020 8209 0166 or email her at abennett@gadllp.co.uk.

Giving Birth at Night or During the Weekend – an increase in stillbirth and neo-natal death compensation claims?

Here is a link I posted on the Gregory Abrams Davidson’s website recently. I thought I would share it on here too because of its relevance:


http://blog.gadllp.co.uk/giving-birth-at-night-or-during-the-weekend-an-increase-in-medical-negligence-and-compensation-claims/?preview=true

If you would like to discuss a potential stillbirth or neonatal death claim with me, please do not hesitate to contact me via phone (DD 020 8209 2653) or email (abennett@gadlegal.co.uk).

If you or a loved one would like to discuss a stillbirth compensation claim or neonatal death compensation claim, please do not hesitate to contact Amy, a specialist stillbirth claims solicitor and medical negligence expert. You can call Amy on 020 8209 0166 or email her at abennett@gadllp.co.uk.

My Appearance in Women’s Health Magazine – My Experience of Stillbirth

I was honoured and privileged to have been asked by Nikki Osman, a journalist at Women’s Health to feature in an article she was writing about stillbirth and its effect on women.

It’s always difficult to recount the stillbirth of Arella but it’s equally cathartic, to honour her memory and ensure that her little life wasn’t lost in vein.

I have copied the information relating to me below but the full article can be found here: https://www.womenshealthmag.com/uk/health/female-health/a26644423/stillbirth-stories/

Before I experienced stillbirth: I’ve always thought of myself as an empathetic person. As a medical negligence solicitor, I dealt with some tragic cases, including stillbirth claims. I’d listened as women told me their stories, I’d cried tears for their babies and I’d read psychiatric reports that laid bare the trauma of losing your child.

I thought I had some grasp of how painful that could be. One of the first things I thought, lying in a hospital bed a week before my due date, hearing that my baby had died, was, ‘Oh, I’m one of those women now.’ It turns out you can never know that pain until you’ve lived it. 

We chose not to find out if we were having a boy or a girl – it didn’t matter to us, we just wanted a healthy baby. I spent a few months feeling nervous, but at the 20-week scan, we were told our baby was healthy and I began to relax.

We’d just moved into our new house and my due date was three months before my 30th birthday. We bought a pram, got the nursery ready, and on a Friday in June, I started my maternity leave.

What happened: The following Thursday – a week before my due date – I had a routine hospital appointment. My mum came with me, and she was at my side when the midwife said she couldn’t find a heartbeat.

I looked at my mum, she looked back at me, and I knew. I called my husband Jonathan and told him to come to the hospital. He told me later he left everything on his desk and ran out the door. He didn’t even close his computer.

People say they’ve had the worst birth ever because the epidural failed or the labour went on for hours. I had to give birth to a child I would never know, on a ward filled with the sound of babies crying. We tried to drown them out with music, but it didn’t work, and it was torture.

She was a she, and she was born around 10pm. We named her Arella. They asked me if I wanted to hold her, but I said no. I didn’t want to know what it was like to hold a dead baby.

I regret that now, but you make the best decision you can at the time. Shortly after, I started to haemorrhage. There were times in the months that followed when I wished I’d bled to death in that hospital bed.


My life after stillbirth: My world became a dark place. I’d get out of bed each morning, but I was going through the motions. My best friends were pregnant, so were both my sisters-in-law, and I couldn’t bear to see them – or anyone else. Jonathan went back to work after a week, but he was hurting.

Men aren’t affected physically, so they’re just expected to get on with it. But he’d lost a child, too, and on top of that he had to watch his wife fall apart.

My very best friends were amazing, because I gave them the tools to be amazing. I’d send emails saying what I needed and what I didn’t. I didn’t want to hear well-meaning platitudes that I’d have another child, that this wasn’t meant to be or that someone understood what I was going through because they’d had a miscarriage.

It’s misconceptions like these that make the grief so much harder to bear. You’re not just grieving for the baby you didn’t bring home. You’re grieving the child, teenager, person they will never grow up to be; you’re grieving the memory of giving birth to death.

What I wanted to hear after stillbirth: What saved me, I think, was Jane, a bereavement midwife specialising in grief who was assigned to me by the hospital. From the first day she arrived in my life, she changed it for the better.

She got me at a time when I felt like no one got me. She understood that my desire to become a mother hadn’t died with my daughter, and she instilled faith in me that I would go on to have more children without diminishing Arella’s memory.

Some days, she helped me to normalise my feelings of anger at the world and envy towards other mothers; others she just held my hand while I cried.

I love her for giving me faith in the future at the time when I needed it most, because she was right. I went on to have three healthy children – children Jane delivered – and they are the most precious things in my life.

My life now: Since going back to work, I’ve specialised in medical negligence in stillbirth, which means it’s my job to make sure that if the NHS trust involved is at fault for a baby’s death, it is held to account. I can’t imagine what it’s like to lose a baby because of someone’s negligence, but I know how to word the letters and what it means when someone uses your child’s name.

My life is so busy now for the best reasons. I don’t dwell on the pain of what I went through, but it doesn’t go away either.

I’ve got another child who’s not with me, and I feel it. I don’t go down the road of ‘what if’, I don’t sign her name on birthday cards, and if a stranger asks how many children I have, I don’t say four. It’s too sad, too uncomfortable. But I do have four children, and only three are at home with me.

If you or a loved one would like to discuss a stillbirth compensation claim or neonatal death compensation claim, please do not hesitate to contact Amy, a specialist stillbirth claims solicitor and medical negligence expert. You can call Amy on 020 8209 0166 or email her at abennett@gadllp.co.uk.

Stillbirth Rate Could be Reduced if Better Care was Given to Twins and Triplets

A research project funded by the Department of Health has revealed that women pregnant with twins and triplets are not all receiving the care that they should be afforded.

Apparently, this poor care is resulting in 100 stillbirths a year. This is shocking to read!

Experts have also found that a failure to adhere to the national guidelines is also leading (in addition to stillbirths) to 630 unnecessary C-Sections and 1,300 infant admissions to Neo-Natal intensive care each year.

It’s logical to read that those maternity units who followed the national NHS guidelines had improved outcomes for twins and triplets and for their mothers.

What is the recommended guidance for women carrying multiple babies? In 2013, the NICE guidelines recommended the following: 1) extra scans. 2) Being cared for by health professionals who specialise in multiple births. 3) Drawing up a detailed care plan. 4) Having a detailed strategy with how to deal with a premature birth.

The Twins and Multiple Births Association (TAMBA) used the term “pot luck” to describe what level of care an expectant mother would receive. It really is saddening to read that some hospitals don’t even follow the NICE guidelines. The NHS just shouldn’t offer a postcode lottery service. There should be standardisation throughout with every woman receiving the same level of care. Multiple births are known to be high risk in nature. Therefore, to not put the suggested measures in place really is appalling.

TAMBA concluded that if all maternity units adhered to the NICE guidelines, our stillbirth rate would drop 70 per cent for multiple birth pregnancies. This would save 100 babies lives a year. It would also save the NHS £8 million an year. If there’s truth to the cliche that money talks, you’d think that this would be a wake up call for the NHS.

If you or a loved one would like to discuss a stillbirth compensation claim or neonatal death compensation claim, please do not hesitate to contact Amy, a specialist stillbirth claims solicitor and medical negligence expert. You can call Amy on 020 8209 0166 or email her at abennett@gadllp.co.uk.