The fourth annual MBRRACE perinatal mortality surveillance report has been published relating to the deaths of babies born in 2016. Mortality rates are stabilised and adjusted to allow for small numbers and for case-mix. The headlines are as follows:
- There has been an overall decline in stillbirth, neonatal mortality and extended perinatal mortality during this period.
- Although neonatal mortality has gradually declined from 1.84 to 1.72 per 1000 livebirths, stillbirth and extended perinatal mortality have not changed significantly in the past year.
- The survey showed wide variation in extended perinatal mortality and in neonatal mortality between units with a similar level of service provision in the UK.
- There has been a marked drop in stillbirth and neonatal mortality rates in twin pregnancies.
- The report identifies that 90% of maternity units have started using the Perinatal Mortality Review Tool and recommends that cases should be notified using this tool as soon as possible after a death.
- A recommendation is made that a national forum be convened to develop benchmarks for stillbirth and neonatal death rates.