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This report would not be possible without the dedication and commitment of health professionals throughout the UK and Ireland.In particular, we would like to thank the dedicated assessors who review each individual woman's death in order to identify actions to improve care in the future.This work is carried out without remuneration and in the assessors own time, because of their commitment to continuous quality improvement.It behoves health service provider organisations including hospitals, health boards, executives and trusts to continue to recognise the importance of this work at both a national and local level and allow assessors dedicated time for it to continue.We therefore welcome the findings in the report that will ultimately help improve outcomes for mothers and their families across the UK and Ireland.
Marian Knight (Wed,) studied this question.