Timing and source of the episodes of significant and major suboptimal care identified
| Suboptimal care | CESDI deaths | Neonatal encephalopathy cases | |||
|---|---|---|---|---|---|
| Timing | Source | n | % | n | % |
| CESDI, Confidential Enquiries into Stillbirths and Deaths in Infancy. | |||||
| Antepartum | Professional | 23 | 14 | 20 | 16 |
| Patient/family | 3 | 2 | 1 | 1 | |
| Intrapartum | Professional | 93 | 57 | 64 | 53 |
| Patient/family | 2 | 1 | 0 | – | |
| Lack of human resources | 1 | 1 | 2 | 2 | |
| Lack of equipment | 2 | 1 | 0 | – | |
| Other | 3 | 2 | 0 | – | |
| Postpartum | Professional | 35 | 22 | 33 | 27 |
| Lack of human resources | 0 | – | 1 | 1 | |
| Lack of equipment | 0 | – | 1 | 1 | |
| Other | 1 | 1 | 0 | – | |
| All stages | 163 | 100 | 122 | 100 | |