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Confidential Enquiries into Maternal Deaths: 50 years of closing the loop
Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China
E-mail: warwick@cuhk.edu.hk
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The publication of Why Mothers Die 200020021 marks the 50th birthday of what has been the longest running and most successful medical audit in history. The first Report on Confidential Enquiries into Maternal Deaths covered maternal deaths in England and Wales for the years 19521954,2 although the system on which it was based had first been established in 1928 in response to concerns about the high rate of maternal mortality at the time. Since then it has grown and developed. In 19851987 the report was extended to cover all four countries in the UK,3 and the current report was produced for the first time under the auspices of the Confidential Enquiry into Maternal and Child Health (CEMACH), an independent body primarily funded by the National Institute of Clinical Excellence (NICE). During the evolution of the report, the range of professions represented by advisors and assessors has been steadily expanded; an
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