Hunt To Pledge Independent Investigations For Families Who Endure Stillbirth

'These important changes will help us to make that promise in the future.'

Independent investigations will be offered to grieving families who have to endure the trauma of stillbirth or life-changing injuries to their babies, the Health Secretary will announce today [28 November]. 

Jeremy Hunt will also reveal he will look into enabling, for the first time, full-term stillbirths to be investigated by coroners, as he delivers a major speech focusing on maternity safety.

And in a bid to save more than 4,000 lives, he will also outline how the Government wants to halve the rate of stillbirths, neonatal and maternal deaths and severe birth-related brain injuries by 2025. 

The Health Secretary will say: “The tragic death or life-changing injury of a baby is something no parent should have to bear, but one thing that can help in these agonising circumstances is getting honest answers quickly from an independent investigator. 

“Too many families have been denied this in the past, adding unnecessarily to the pain of their loss.

“Countless mothers and fathers who have suffered like this say that the most important outcome for them is making sure lessons are learnt so that no-one else has to endure the same heartbreak.

“These important changes will help us to make ‎that promise in the future.”

As part of the pledge to help grieving parents, the Healthcare Safety Investigation Branch established earlier this year will have hundreds of cases of stillbirth, early neonatal death and severe brain injury referred to it.

The Department of Health said this NHS safety investigator, led by experts, will standardise investigations of cases of unexplained severe brain injury, intrapartum stillbirths, early neonatal deaths and maternal deaths in England, sharing findings to prevent future tragedies.

Mr Hunt will also highlight his plans for the Government to work with the Welsh government and other stakeholders as it looks closely into giving coroners powers to conduct investigations into stillbirths.

Currently, coroners can only investigate the deaths of babies who show signs of life after being born, and not the deaths of full-term babies who died prior to or during birth.

All proposals to change the law would be subject to public consultation, the Department of Health said.

Dr Clea Harmer, chief executive of Sands, a stillbirth and neonatal death charity, welcomed the announcement of independent investigations and said it is a step change which could potentially save more babies’ lives.

“For too long, parents have not been consulted and lessons have not been learned despite research repeatedly finding that many deaths are preventable and are related to the quality of care mothers and babies receive,” Dr Harmer said.

“Parents must be assured of a high-quality investigation, with their voices at the heart of any review into the death of their baby.

“This will require leadership at each trust and health board to commit to learning from every death in an open and honest way, and NHS staff must have the support, training and time to conduct reviews rigorously.”

The package of measures set to be announced will also include plans to reduce the national preterm birth rate from 8% to 6% – around 10,000 fewer premature babies per year from 2025.

Jane Brewin, chief executive of charity Tommy’s, welcomed the Government’s target to reduce the number of premature births.

Added to the target to reduce stillbirth, she said this “puts maternity safety and the wellbeing of parents and their babies at the forefront of what parents can expect from a world-leading NHS”.

“I know that parents will be happy to hear that this Government places such a high priority on giving babies the best start in life and we look forward to playing our part to make this ambition a reality,” she said. 

Before You Go

How To Help A Friend Through Miscarriage
Send Flowers(01 of15)
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While not everyone is as open to talking about their feelings as I am, I think everyone loves to receive a bright bouquet of flowers –- it’s a nice way to say that you’re there for her, and you care, without forcing her to talk about her feelings. (credit:Getty)
Share Your Story(02 of15)
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If you’ve gone through a similar experience, share your story with your grieving friend. While it’s unfortunate that miscarriage is so common, your friend can take comfort in not being alone. Knowing that others in their own network of friends have experienced the same thing makes it easier to work through the grieving process. (credit:Getty)
Pamper Her(03 of15)
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There’s no better time for your friend to focus on taking care of themselves. A restful body will help to heal the mind. Gift your friend with a massage or a pedicure so she is forced to take time out to enjoy a little pampering. And if you can, join her! (credit:Getty)
Don’t Try To Tell Her That It'll All Be OK(04 of15)
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Unfortunately, there isn’t really anything you can do to reassure your friend that they’ll feel better in a few weeks or months. It’s a grieving process –- one that affects everyone differently. All that you can do is lend an ear, hold a hand and wait it out with them. (credit:Getty)
Don't Pry(05 of15)
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While you may be wondering what the doctors discovered or if your friend is going to try again -- wait for your friend to share those details with you. Don’t try to pry it out of her. She might not be ready to discuss the details with you yet, but if you let her know that you’re there for her and available if she wants to talk, then she will come to you when she's ready. (credit:Getty)
(06 of15)
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1. Your fertility is mostly determined by genetics, which influences how many eggs you are born with. Doctors believe that the number of eggs you have at birth determines the length of time you will remain fertile. At birth, women have about two million eggs in their ovaries. For every egg ovulated during your reproductive life, about 1,000 eggs undergo programmed cell death. Other things, such as smoking cigarettes and certain types of chemotherapy, can accelerate egg cell death and promote an earlier menopause.
(07 of15)
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2. Regular menstrual cycles are a sign of regular ovulation.Most women have regular cycles lasting between 24 and 35 days. This is usually a sign of regular, predictable ovulation. Women who do not ovulate regularly have irregular menstrual cycles. Those who do not ovulate at all may have a genetic condition called polycystic ovarian syndrome (PCOS).
(08 of15)
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3. Basal temperature charting does not predict ovulation.An older method of tracking ovulation involves taking your oral body temperature each morning before getting out of bed. This is called basal body temperature. This method is used to spot a rise in basal temperature, which is a sign that progesterone is being produced. The main problem with using this method is that your temperature rises after ovulation has already occurred. This makes it more difficult to time intercourse at an optimal time for conception. A better method is to use over-the-counter urine ovulation predictor test kits such as Clearblue Easy. These kits test for the hormone that prompts ovulation, which is called luteinizing hormone (LH).
(09 of15)
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4. Most women with blocked fallopian tubes are completely unaware they may have had a prior pelvic infection.About 10 percent of infertility cases are due to tubal disease, either complete blockage or pelvic scarring causing tubal malfunction. One major cause of tubal disease is a prior pelvic infection from a sexually transmitted disease such as chlamydia. These infections can cause so few symptoms that you may be completely unaware your tubes are affected. This is why fertility physicians will order a dye test of the tubes, called a hysterosalpingogram (HSG), if you have been trying and failing to conceive for 6 months or longer.
(10 of15)
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5. In most cases, stress does not cause infertility. Except in rare cases of extreme physical or emotional distress, women will keep ovulating regularly. Conceiving while on vacation is likely less about relaxation than about coincidence and good timing of sex.
(11 of15)
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6. By age 44, most women are infertile, even if they are still ovulating regularly. Even with significant fertility treatment, rates of conception are very low after age 43. Most women who conceive in their mid-40's with fertility treatment are using donated eggs from younger women.
(12 of15)
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7. Having fathered a pregnancy in the past does not guarantee fertility. Sperm counts can change quite a bit with time, so never assume that a prior pregnancy guarantees fertile sperm. Obtaining a semen analysis is the only way to be sure the sperm are still healthy!
(13 of15)
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8. For the most part, diet has little or nothing to do with fertility. Despite popular press, there is little scientific data showing that a particular diet or food promotes fertility. One limited study did suggest a Mediterranean diet with olive oil, fish and legumes may help promote fertility.
(14 of15)
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9. Vitamin D may improve results of fertility treatments. A recent study from the University of Southern California suggested that women who were undergoing fertility treatments, but had low vitamin D levels, might have lower rates of conception. This vitamin is also essential during pregnancy. At Pacific Fertility Center, we recommend our patients take 2,000-4,000 IU per day.
(15 of15)
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10. Being either underweight or overweight is clearly linked with lowered levels of fertility. The evidence in recent years is that obesity is clearly linked with a longer time to conception. Having a body mass index less than 18 or over 32 is associated with problems ovulating and conceiving, as well as problems during pregnancy.