MBRRACE-UK Perinatal Mortality Surveillance
UK perinatal deaths for births from 1 January 2021 to 31 December 2021
State of the Nation Report
Acknowledgements
It is with grateful thanks that the MBRRACE-UK collaboration would like to acknowledge the contribution of the many healthcare professionals and staff from the health service and other organisations who were involved in the notification of perinatal deaths and the provision of data. Without the generous contribution of their time and expertise it would not have been possible to produce this report.
We would particularly like to thank all MBRRACE-UK reporters and other staff in NHS Trusts, Health Boards and Health and Social Care Trusts across the UK, and those from the Crown Dependencies, whose contribution made it possible to carry out this surveillance.
Members of the MBRRACE-UK collaboration
- Jenny Kurinczuk, Professor of Perinatal Epidemiology, Director, National Perinatal Epidemiology Unit, National Programme Lead for MBRRACE-UK, University of Oxford
- Marian Knight, Professor of Maternal and Child Population Health, NIHR Research Professor and Honorary Consultant in Public Health, Maternal Programme Lead for MBRRACE-UK, University of Oxford
- Elizabeth Draper, Professor of Perinatal and Paediatric Epidemiology, Perinatal Programme Co-lead for MBRRACE-UK, University of Leicester
- Charlotte Bevan, Senior Research and Prevention Officer, Sands
- Alan Fenton, Consultant Neonatal Paediatrician, The Newcastle upon Tyne Hospitals NHS Foundation Trust
- Sara Kenyon, Professor in Evidence Based Maternity Care, University of Birmingham
- Rohit Kotnis, General Practitioner, Oxford
- Bradley Manktelow, Professor of Medical Statistics, University of Leicester
- Roshni Patel, Consultant in Maternal Medicine and Obstetrics, Chelsea and Westminster Hospital NHS Foundation Trust
- Janet Scott, Head of Research and Prevention, Sands
- Lucy Smith, Professor of Perinatal Health, University of Leicester
Members of the Leicester-based MBRRACE-UK team
- Caroline Ellershaw, Administrative Support
- Tina Evans, Clinical Advisor
- Ian Gallimore, Project Team Leader
- Ruth Matthews, Research Associate
- Georgie Page, Administrative Support
- Martin Perkins, Programmer
Members of the Oxford-based MBRRACE-UK team
- Rachel Smith, Programme Manager
- Kate De Blanger, Events Coordinator
- Jane Forrester-Barker, Data Coordinator
- Hatty Goddard, Programme Assistant
- Miguel Neves, Programmer
- Scott Redpath, C# Developer and Data Manager
- Jemima Roberts, Data Coordinator
- Shalimar Sahota, Data Assistant
- Ella Sawtell, Administrative Assistant
- Oliver Shaw, Administrative Assistant
- Peter Smith, Programmer
- Events Coordination Support: Dagmar Hutt
Office for National Statistics
- Anne Baker, Alex Howland
NHS Digital
- Oliver Smith and the Data Applications Team
National Records of Scotland
- Julie Ramsay, Jack Reid
Information Services Division Scotland, NHS National Services Scotland
- Kirsten Monteath
Northern Ireland Maternal and Child Health, NSC Public Health Agency
- Sinead Magill, Amy Watson
Health and Social Services Department, States of Guernsey
- Kerrie Romeril, Sheeza Shakil
Health Intelligence Unit, Public Health Services, Jersey
- Keri Jervis
The Maternal, Newborn and Infant Clinical Outcome Review Independent Advisory Group
- Matthew Jolly, National Clinical Director for Maternity Review and Women’s Health, NHS England (IAG Chair)
- Carol Beattie, Senior Medical Officer, Department of Health, Northern Ireland
- Sarah Corcoran, Team Leader, Maternal and Infant Health, Scottish Government
- Jacqueline Dunkley-Bent, Chief Midwifery Officer, Nursing Directorate, NHS England and NHS Improvement
- Becky Gunn, Chair of the Royal College of Obstetricians and Gynaecologists Women’s Network
- Karen Jewell, Nursing Officer for Maternity and Early Years, Welsh Government
- Corinne Love, Senior Medical Officer, Maternity and Women’s Health, Scottish Government
- Eddie Morris, Consultant, Obstetrics and Gynaecology, Norfolk and Norwich University Hospital,
- President, Royal College of Obstetricians and Gynaecologists
- Karen Todd, Head of Maternity and Neonatal, NHS Quality and Safety Investigations, Department of Health and Social Care, England
- Zeenath Uddin, Head of Quality and Standards, Royal College of Midwives
- Michele Upton, Head of Maternity and Neonatal Safety, NHS England and NHS Improvement
- David Williams, Consultant Obstetric Physician, University College Hospital, London
Healthcare Quality Improvement Partnership
- Tina Strack, Associate Director for Quality and Development, National Clinical Audit and Patient Outcomes Programme
- Vivien Dunne, Project Manager
MBRRACE-UK Third Sector Stakeholder Group and Representatives
- Katrina Alcock, MBF
- Beverly Beech, AIMS for Better Births
- Charlotte Bevan, Sands
- Jane Brewin, Tommy’s
- Ann Chalmers, CBUK
- Jenny Chambers, ICP Support
- Debbi Chippington Derrick, AIMS for Better Births
- Jo Dagustun, AIMS for Better Births
- Jane Denton, MBF
- Elizabeth Duff, NCT
- Ian Evans, CAPT
- Jane Fisher, ARC
- Jane Gorringe, Twins Trust
- Marcus Green, APEC
- Clea Harmer, Sands
- Michelle Hemmington, Campaign for Safer Births
- Caroline Lee Davey, BLISS
- Nicky Lyon, Campaign for Safer Births
- Therese McAlorum, CBUK
- Amy McCarthy, Twins Trust
- Sarah McMullen, NCT
- Ashley Martin, ROSPA
- Mehali Patel, Sands
- Nilushka Perera, Best Beginnings
- Jane Plumb, GBS Support
- Jessica Reeves, Sands
- Janet Scott, Sands
- Fiona Spargo-Mabbs, DSM Foundation
- Claire Storey, ISA
- Liz Thomas, AvMA
- Cheryl Titherly, ARC
- Maureen Treadwell, BTA
- Nathalie Turville, Elizabeth Bryan Multiple Births Centre
- Jenny Ward, Lullaby Trust
MBRRACE-UK Royal College and Professional Association Stakeholder Group and Representatives
- Carmel Bagness - Royal College of Nursing
- Sanjeev Deshpandi - British Association of Perinatal Medicine
- Anita Dougall - Royal College of Obstetricians and Gynaecologists
- Pamela Boyd - Royal College of Nursing
- Denise Evans - Neonatal Nurses Association
- Mervi Jokinen - Royal College of Midwives
- Tamas Martan - British and Irish Paediatric Pathology Association
- Surabhi Nanda - British Maternal Fetal Medicine Society
- Marcia Philbin - Royal College of Paediatrics and Child Health
- Felicity Plaat - Obstetric Anaesthetists Association and Royal College of Anaesthetists
- Elena Pollina - British and Irish Paediatric Pathology Association
- Shammi Ramlakhan - Royal College of Emergency Medicine
- Rachel Scanlan - Royal College of Midwives
- Trudi Seneviratne - Royal College of Psychiatrists
- Clare Wade - Royal College of Physicians
- Melissa Whitworth - British Maternal Fetal Medicine Society
- Rachel Winch - Royal College of Paediatrics and Child Health