Understanding the risk of maternal and neonatal hyponatraemia
This case story is fictional but based on real events and lessons learnt through cases referred to NHS Resolution’s Early Notification scheme. We are sharing the experience to improve the quality of care provided to all patients, families and staff.
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Learning lessons in maternity from a recent Supreme Court ruling
This case story is based on real events and NHS Resolution is sharing the experience of those involved to help prevent a similar occurrence happening to patients, families and staff.
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Fetal surveillance
This case story is based on real events and NHS Resolution is sharing the experience of those involved to help prevent a similar occurrence happening to patients, families and staff.
Good practice management of the antenatal CTG
This case story is based on real events and NHS Resolution is sharing the experience of those involved to help prevent a similar occurrence happening to patients, families and staff.
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Latent phase of labour case
Care of mother and baby post-delivery delayed cord clamping and recognition of the deteriorating newborn
Intermittent auscultation (IA) of the fetal heart rate in the second stage of labour
This case story is fictional but is a reflection of cases submitted to the NHS Resolution Early Notification scheme. The purpose is to share the experience of those involved to help prevent similar occurrences happening to patients, families and staff. It should prompt organisations to …
Managing fetal heart rate monitoring
This case story highlights the importance of accurate fetal heart rate monitoring and timely escalation. Our case stories are based on real events. We are sharing the experience of those involved to help prevent a similar occurrence happening to patients and staff.
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