BMJ 1995;311:747 (16 September)

Letters

Babies' deaths linked to suboptimal care

EDITOR,--Charles D A Wolfe makes several important points in his critique of the confidential inquiries into stillbirths and deaths in infancy, not least on the issue of interobserver variability between regional panels.1 As chairs of the regional confidential inquiry panels in the former Northern region, we wish to defend the inquiry system as currently applied to "intrapartum deaths" fulfilling the criteria for 1994 (those babies dying in utero during labour or in the first 27 completed days of life, weighing 1500 g or more at birth, and with no severe or life threatening congenital abnormality).

We have had no difficulty in recruiting members to the panels, and all have agreed to sit on second and further panels. Several clinicians have made positive statements about the educational value of membership of the panels, and others have stated an aim to change practice in their units as a result of cases and . . . [Full text of this article]


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