1. Intrapartum Care and Communication

2. Quality of care

3. Mode of delivery

4. Complications of birth

5. Place of birth

6. Place of birth

7. Vignette – inappropriate risk assessment

8. Capacity issues

9. Equipment issues

10. Capacity issues – good practice

11. Delay in expediting birth

12. Reasons for delay

13. Vignette – delay in induction of labour

14. Failure to recognise a problem

15. Uterine rupture

16. Vignette - uterine rupture with cessation of contractions

17. Communication, leadership and supervision

18. Communication, team working and leadership

19. Vignette – good team communication

20. Categorisation of Caesarean section

21. Categorisation of Caesarean section

22. Key findings - 1

23. Key findings - 2

24. Conclusions