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Thematic analysis 1: Can all Each Baby Counts outcomes be avoided?

Each Baby Counts reviewers assessed the care of babies reported and considered that, in a number of instances, different care might not have changed the outcome. We do however acknowledge that there are still important lessons to be learned from these babies’ reviews.

 

Each Baby Counts reviewers identified 171 out of 727 (24%) babies for whom different care might not have changed the outcome (Figure 9).

 

Of the 171 babies, 131 had a severe brain injury, 19 were stillborn and 21 died in the first week of life.

 

A total of 22 of the 171 babies (13%) were not monitored during labour, because in 14 babies there was no heartbeat detectable on arrival, in 2 babies a bradycardia was detected using ultrasound scanning on arrival after the fetal heart could not be heard and in 5 babies the critical event occurred before arrival at the birthing unit. For one baby, information on the fetal monitoring method used is missing.

 

Of the 149 babies who were monitored during labour, 71% were monitored with CTG and 29% had intermittent auscultation.

 Each Baby Counts 2015 report figure 9

Figure 9. Stage of labour and number of babies for whom different care might not have changed the outcome