Article Text

Download PDFPDF
Death in pregnancy: a call for neurological action
  1. John Paul Leach
  1. Correspondence to Dr John Paul Leach, Department of Neurology, Institute of Neurosciences, Southern General Hospital, Glasgow, G51 4TF, UK; jpleach246{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

The death of a woman who is pregnant is doubly tragic, resulting in loss of two lives or, at a terrible minimum, the risks of prematurity or a motherless upbringing. In the UK, regular audits of maternal and neonatal mortality over 60 years have aimed to minimise the risk to mothers and babies. The most recent was published in late 2014 from the Maternal, Newborn and Infant Clinical Outcome Review Programme produced by MBRRACE-UK (Mothers and Babies: Reducing Risks through Audits and Confidential Enquiries across the UK). These data highlight the need for changing the structures of care or pregnant women with pre-existing neurological conditions as well as those with neurological complications of pregnancy.

The confidential enquiries into maternal mortality began in 1952, initially just for England and Wales, with later versions including Scotland and latterly the Republic of Ireland. The most recent report covers the 3 years from 2009. The process involves classification (table 1) and expert assessors’ scrutiny of maternal deaths. Any deficiencies in care identified are rated on whether or not they affected outcome.

View this table:
Table 1

Definitions pertaining to maternal deaths

Ascertainment rates and data collection rates are now exceptionally high, the …

View Full Text


  • Twitter Follow John Paul Leach at @jpleach246

  • Correction notice This article has been corrected since it was published Online First. The provenance and peer review statement has been corrected.

  • Competing interests None.

  • Provenance and peer review Commissioned; externally peer reviewed. This paper was reviewed by Ley Sander, London, UK.

Linked Articles

  • Editors' commentary
    Phil Smith Geraint N Fuller

Other content recommended for you