Future CEMACH work




Stillbirths 1994–2004

CEMACH has conducted a trend analysis of the risk factors associated with stillbirths between 1994–2004. This work was conducted in response to the increase in stillbirth rate seen from 2001 to 2002, which has been sustained since. A summary report containing the primary findings of this analysis will be available on the CEMACH website (www.cemach.org.uk) in early 2006.




Why Mothers Die, reports on confidential enquiries into maternal deaths

CEMACH continues its enquiry into every maternal death in the UK. The next report, to be issued in late 2007, will cover the years 2003–2005. The report will, for the first time, include specific chapters on primary care and emergency medicine.




Maternal deaths due to psychiatric causes

Due to issues identified in previous reports on confidential enquiries into maternal deaths, Why Mothers Die 1997–1999 and 2000–2002, CEMACH is conducting a detailed panel-based enquiry into all maternal deaths due to suicide or substance misuse between 2003 and 2005. The enquiry will consider issues such as the effectiveness of interprofessional communication and the availability of appropriate services to meet the postpartum needs of women with mental health problems. The report of this work is expected in 2008.




Diabetes in pregnancy

The CEMACH diabetes in pregnancy programme is expected to conclude early in 2007, with the publication of the enquiry report containing the results of an audit of over 500 pregnancies to women with diabetes. Resources permitting, we also plan to submit a number of articles for publication in appropriate specialist journals, providing analyses from our diabetes in pregnancy database.




Child Death Review

CEMACH is conducting an enquiry into all deaths of children from 28 days to 18 years of age in a number of regions in England, Wales and Northern Ireland. The intention of this pilot study is to identify the issues associated with identifying avoidable factors in childhood mortality using the enquiry approach, with a view to extending the work nationally. A report is expected in 2008.




‘BEADI’ project

The BLISS funded trial for the Effect of Active Dissemination of Information will assess whether an active strategy for dissemination of information has an impact on local policy and care of premature neonates. Facilitations and potential barriers to dissemination of information and implementation of recommendations at a hospital level will also be explored.




New maternal enquiry topic

CEMACH is evaluating topics for an in-depth national enquiry into a major issue arising from Why Mothers Die. Three topics have been shortlisted (barriers to care, maternal obesity and obstetric haemorrhage). A decision is expected by June 2006. The study will include morbidity as well as mortality and may include perinatal as well as maternal outcomes.




Local reviews following a maternal death

CEMACH is considering whether to carry out a study of local investigations following a maternal death. This would be intended to enable the enquiry to advise on the standards that might be expected from NHS providers in carrying out their own reviews of maternal deaths. It would also assist CEMACH in assessing the issues to address in any local feedback mechanisms that may be introduced as part of the national enquiry.




Further information

Further information on CEMACH's plans for future work can be obtained from Richard Congdon, Chief Executive; email: richard.congdon@cemach.org.uk or Jana Kovar, National Projects Manager, email: jana.kovar@cemach.org.uk.