1. Lessons to be learned and key areas for action from the 2015 Perinatal Confidential Enquiry

2. Key areas for action

4. Key Findings

5. Key findings

6. Key areas for action - ANC

7. Key areas for action - ANC

8. Key areas for action - ANC

10. Key findings

11. Key findings

12. Key findings

13. Key areas for action – care following SB

14. Key areas for action – care following SB

16. Key findings

17. Key findings

18. Key Findings

19. Key areas for action – care after birth

20. Key areas for action – care after birth

22. Key findings

23. Key findings

24. Key findings

25. Key findings

26. Key areas for action – follow-up care and review

27. Key areas for action – follow-up care and review

29. Key findings

30. Key findings

31. Key areas for action – pathology & histology

33. Key findings

34. Key findings

35. Key areas for action – communication