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References

 

The complete list of references as found in the printed report

 

The TOBY Xe Study. Study Handbook. Version 2; 2012
https://www.npeu.ox.ac.uk/downloads/files/toby-xe/protocol/TOBY-Xe-Study-Handbook-Version-2.pdf

 

Each Baby Counts online reporting platform
http://www.medscinet.net/eachbabycounts

 

Royal College of Obstetricians and Gynaecologists. Each Baby Counts Training Manual for Reviewers. London: RCOG; 2016.

 

Neonatal Data Analysis Unit: Neonatal Data
http://www.imperial.ac.uk/neonatal-data-analysis-unit/neonatal-data

 

BadgerNet Neonatal
http://www.clevermed.com/badgernet/badgernet-neonatal

 

Manktelow BN, Smith LK, Prunet C, Smith PW, Boby T, Hyman-Taylor P, et al., on behalf of the MBRRACE-UK Collaboration. MBRRACE-UK Perinatal Mortality Surveillance Report, UK Perinatal Deaths for Births from January to December 2015. Leicester: The Infant Mortality and Morbidity Studies, Department of Health Sciences, University of Leicester; 2017.

 

Sands. Principles of Bereavement Care
https://www.uk-sands.org/professionals/principles-bereavement-care

 

National Institute of Clinical Excellence (NICE). Inducing Labour. NICE Clinical Guideline 70. London: NICE; 2008
https://www.nice.org.uk/guidance/cg70

 

Royal College of Obstetricians and Gynaecologists (RCOG). Antepartum Haemorrhage. Green-top Guideline No. 63. London: RCOG; 2011 (update 2014)
https://www.rcog.org.uk/globalassets/documents/guidelines/gtg_63.pdf

 

National Institute of Clinical Excellence (NICE). Intrapartum Care for Healthy Women and Babies. NICE Clinical Guideline 190. London: NICE; 2014 (update 2017)
https://www.nice.org.uk/guidance/cg190

 

Royal College of Obstetricians and Gynaecologists (RCOG). Shoulder Dystocia. Green-top Guideline No. 42.London: RCOG; 2005 (update 2017)
https://www.rcog.org.uk/globalassets/documents/guidelines/gtg_42.pdf

 

Royal College of Obstetricians and Gynaecologists (RCOG). Shoulder Dystocia (Greentop guideline No. 42). London. RCOG; 2005 (update 2017). Available from https://www.rcog.org.uk/globalassets/documents/guidelines/gtg_42.pdf [Accessed on 6 October 2017]

 

National Institute of Clinical Excellence (NICE). Clinical Guideline CG190. Intrapartum care for healthy women and babies. London. NICE. December 2014, last updated: February 2017. Available from: https://www.nice.org.uk/guidance/cg190 [Accessed on 6 October 2017]

 

Herlenius E, Kuhn P. Sudden unexpected postnatal collapse of newborn infants: a review of cases, definitions, risks, and preventive measures. Transl Stroke Res 2013;4(2):236–47.

 

Weber MA, Ashworth MT, Risdon RA, Brooke I, Malone M, Sebire NJ. Sudden unexpected neonatal death in the first week of life: autopsy findings from a specialist centre. J Matern Fetal Neonatal Med 2009;22(5):398–404.

 

Eric Herlenius, Pierre Kuhn. Sudden Unexpected Postnatal Collapse of Newborn Infants: A Review of Cases, Definitions, Risks, and Preventive Measures. Translational Stroke Research 2013; 4(2): 236–247. Available from: doi: 10.1007/s12975-013-0255-4 [Accessed on 6 October 2017]

 

National Institute of Clinical Excellence (NICE). Clinical Guideline CG190. Intrapartum care for healthy women and babies. London. NICE. December 2014, last updated: February 2017. Available from: https://www.nice.org.uk/guidance/cg190 [Accessed on 6 October 2017]

 

National Institute of Clinical Excellence (NICE). Clinical Guideline CG190. Intrapartum care for healthy women and babies. London. NICE. December 2014, last updated: February 2017. Available from: https://www.nice.org.uk/guidance/cg190 [Accessed on 6 October 2017]

 

National Institute of Clinical Excellence (NICE). Clinical Guideline CG190. Intrapartum care for healthy women and babies. London. NICE. December 2014, last updated: February 2017. Available from: https://www.nice.org.uk/guidance/cg190 [Accessed on 6 October 2017]

 

National Institute of Clinical Excellence (NICE). Clinical Guideline CG190. Intrapartum care for healthy women and babies. London. NICE. December 2014, last updated: February 2017. Available from: https://www.nice.org.uk/guidance/cg190 [Accessed on 6 October 2017]

 

Munro J, Jokinen M. Evidence Based Guidelines for Midwifery-Led Care in Labour. Intermittent Auscultation. London: The Royal College of Midwives; 2012
https://www.rcm.org.uk/sites/default/files/Intermittent%20Auscultation%20(IA)_0.pdf

 

National Institute of Clinical Excellence (NICE). Clinical Guideline CG190. Intrapartum care for healthy women and babies. London. NICE. December 2014, last updated: February 2017. Available from: https://www.nice.org.uk/guidance/cg190 [Accessed on 6 October 2017]

 

Draycott TJ, Sibanda T, Owen L, Akande V, Winter C, Reading S, et al. Does training in obstetric emergencies improve neonatal outcome? BJOG 2006;113(2):177–82

 

Fitzpatrick T, Holt LA. A ‘buddy’ approach to CTG. Midwives 2008;11(5):40–1.

 

Maternal and Child Health Research Consortium. Confidential Enquiry into Stillbirths and Deaths in Infancy: 4th Annual Report, 1 January–31 December 1995. London: Maternal and Child Health Research Consortium; 1997

 

INFANT Collaborative Group. Computerised interpretation of fetal heart rate during labour (INFANT): a randomised controlled trial. Lancet 2017;389(10080):1719–29

 

e-learning for Healthcare: About the Fetal Monitoring Programme
http://www.e-lfh.org.uk/programmes/electronic-fetal-monitoring

 

Advanced Life Support in Obstetrics
http://www.also-uk.com

 

Advanced Life Support Group: Managing Medical and Obstetric Emergencies and Trauma (mMOET)
http://www.alsg.org/uk/MOET

 

O’Connor D. Saving Babies’ Lives: A Care Bundle for Reducing Stillbirth. London: NHS England; 2016
https://www.england.nhs.uk/wp-content/uploads/2016/03/saving-babies-lives-car-bundl.pdf

 

Knight M, Kenyon S, Brocklehurst P, Neilson J, Shakespeare J, Kurinczuk JJ (eds) on behalf of MBRRACE-UK. Saving Lives, Improving Mothers’ Care - Lessons Learned to Inform Future Maternity Care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2009–12. Oxford: National Perinatal Epidemiology Unit, University of Oxford; 2014.

 

Kirkup B. The Report of the Morecambe Bay Investigation. London: The Stationery Office; 2015.

 

Jackson KS, Hayes K, Hinshaw K. The relevance of non-technical skills in obstetrics and gynaecology. TOG 2013;15(4):269–74.

 

Flin R, O’Connor P, Crichton M. Safety at the Sharp End: A Guide to Non-Technical Skills. Boca Raton, FL: CRC Press; 2008.

 

Endsley MR. Toward a theory of situation awareness in dynamic systems. Human Factors 1995;37(1):32–64.

 

Flin R. Safety at the sharp end. Hampshire: Ashgate Publishing Ltd; 2008.

 

Flin R. Safety at the sharp end. Hampshire: Ashgate Publishing Ltd; 2008.

 

Reason J. Managing the Risks of Organizational Accidents. Aldershot: Ashgate Publishing; 1997.

 

Wachter JK, Yorio PL. Human performance tools: engaging workers as the best defense against errors and error precursors. Professional Safety 2013;58(2):54–64
http://miningquiz.com/pdf/Behavior_Based_Safety/Human_Performance_Tools_Article.pdf

 

Sandi C. Stress and cognition. WIREs Cognitive Science 2013;4(3):245–61.

 

Williamson AM, Feyer AM. Moderate sleep deprivation produces impairments in cognitive and motor performance equivalent to legally prescribed levels of alcohol intoxication. Occup Environ Med 2000;57(10):649–55.

 

Haig KM, Sutton S, Whittington J. SBAR: a shared mental model for improving communication between clinicians. Jt Comm J Qual Patient Saf 2006;32(3):167–75.

 

Goldenhar LM, Brady PW, Sutcliffe KM, Muething SE. Huddling for high reliability and situation awareness. BMJ Qual Saf 2013;22(11):899–906.

 

Royal College of Paediatrics and Child Health: Situational Awareness for Everyone (S.A.F.E) Resource Pack
http://www.rcpch.ac.uk/safe-resource

 

Royal College of Paediatrics and Child Health (RCPCH) on behalf of the NNAP Project Board. National Neonatal Audit Programme 2016 Annual Report on 2015 Data. London: RCPCH; 2016
http://www.rcpch.ac.uk/system/files/protected/page/NNAP%202016%20Annual%20Report%20on%202015%20data%20-%20For%20NNAP%20website.pdf

 

Haig KM, Sutton S, Whittington J. SBAR: a shared mental model for improving communication between clinicians. Jt Comm J Qual Patient Saf 2006;32(3):167–75.

 

Wyllie J, Bruinenberg J, Roehr CC, Rüdiger M, Trevisanuto D, Urlesberger B. European Resuscitation Council Guidelines for Resuscitation 2015: Section 7. Resuscitation and support of transition of babies at birth. Resuscitation 2015; 95: 249–63
http://ercguidelines.elsevierresource.com/european-resuscitation-council-guidelines-resuscitation-2015-section-7-resuscitation-and-support

 

Wyllie J, Bruinenberg J, Roehr CC, Rudiger M, Trevisanuto D, Urlesberger B European Resuscitation Council Guidelines for Resuscitation 2015 Section 7. Resuscitation and support of transition of babies at birth. Resuscitation 2015; 95: 249-263. Available at: http://ercguidelines.elsevierresource.com/european-resuscitation-council-guidelines-resuscitation-2015-section-7-resuscitation-and-support [Accessed on 6 October 2017]

 

Wyllie J, Bruinenberg J, Roehr CC, Rudiger M, Trevisanuto D, Urlesberger B European Resuscitation Council Guidelines for Resuscitation 2015 Section 7. Resuscitation and support of transition of babies at birth. Resuscitation 2015; 95: 249-263. Available at: http://ercguidelines.elsevierresource.com/european-resuscitation-council-guidelines-resuscitation-2015-section-7-resuscitation-and-support [Accessed on 6 October 2017]

 

Wyllie J, Bruinenberg J, Roehr CC, Rudiger M, Trevisanuto D, Urlesberger B European Resuscitation Council Guidelines for Resuscitation 2015 Section 7. Resuscitation and support of transition of babies at birth. Resuscitation 2015; 95: 249-263. Available at: http://ercguidelines.elsevierresource.com/european-resuscitation-council-guidelines-resuscitation-2015-section-7-resuscitation-and-support [Accessed on 6 October 2017]

 

Resuscitation Council (UK). NLS – Newborn Life Support
https://www.resus.org.uk/information-on-courses/newborn-life-support

 

PRactical Obstetric Multi-Professional Training
http://www.promptmaternity.org

 

The TOBY Xe Study. Study Handbook. Version 2; 2012
https://www.npeu.ox.ac.uk/downloads/files/toby-xe/protocol/TOBY-Xe-Study-Handbook-Version-2.pdf