<u>Chapter 1</u><br>Introduction<br>Local national and international trends in perinatal and infant mortality<br>History of the Confidential Enquiries <br>Work of CESDI, CEMD, and CNST<br>Past programmes of the confidential Enquiries<br>Future programmes.<br><br><u>Chapter 2</u><br>Introduction<br>Antenatal care<br>Trends in stillbirths within England Wales and Northern Ireland<br>The antenatal stillbirth Confidential Enquiries<br>Suboptimal factors<br>Recommendations<br>Paediatric Post mortems<br><br><u>Chapter 3</u><br>Introduction<br>Intrapartum care<br>The intrapartum Confidential Enquiries. <br>Suboptimal factors<br>Recommendations<br><br><u>Chapter 4</u><br>Introduction<br>Neonatal care<br>Survival rates of premature babies<br>Project 27 - 28 Confidential Enquiries<br>Suboptimal factors<br>Recommendations<br><br><br><u>Chapter 5</u><br>Introduction<br>Rare adverse advents in maternity care<br>Ruptured uterus<br>Shoulder dystocia<br>Breech birth<br>Home birth<br>Suboptimal factors<br>Recommendations<br><br><u>Chapter 6</u><br>Introduction<br>Sudden Unexplained deaths in Infancy<br>SUDI Confidential Enquiries<br>Suboptimal factors<br>Recommendations<br><br><u>Chapter 7</u><br>Introduction<br>Confidential Enquiries into maternal deaths<br>Recurrent themes<br>Suboptimal factors<br>Recommendations<br><br><u>Chapter 8</u><br>Introduction<br>Changing practice<br>Clinical negligence scheme for trusts<br>Clinical governance<br>Organisational change<br>Changing practice<br><br><u>Chapter 9</u><br>Conclusion<br>Summary and statistics