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<p>The Saving Babies’ Lives Care Bundle is undergoing review by an oversight group
consisting of nationally recognised experts, including representatives of the Royal
College of Obstetricians and Gynaecologists and the British Maternal Fetal Medicine
Society. The expert oversight group did note that twins and triplets are at a higher
risk of stillbirth and neonatal death compared with other populations.</p><p> </p><p>The
Maternity Transformation Programme is addressing safety in maternity services, including
reducing inequalities in outcomes regarding twin and multiple births through other
channels in addition to the Saving Babies’ Lives Care Bundle. The programme is supporting
Local Maternity Systems to implement best practice care by working with the National
Perinatal Epidemiology Unit, which has developed the Perinatal Mortality Review Tool
to support standardised perinatal mortality reviews across National Health Service
maternity and neonatal units in England, Scotland and Wales.</p><p> </p><p>All trusts
in England are now using the tool to identify the factors associated with stillbirth
and neonatal death, including within multiple pregnancies. Furthermore, NHS England
encourages Local Maternity Systems to follow National Institute for Health and Care
Excellence guidelines, including CG129 on the management of antenatal care for twin
and triplet pregnancies.</p>
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