Three quarters of neonatal deaths and injuries may have had a different outcome, had the baby received different medical care

Each Baby Counts is the Royal College of Obstetricians and Gynaecology's national quality improvement programme. By 2020, it aims to reduce by 50% the 500 and 800 babies who currently die or are left severely disabled every year in the UK, not because they are born too soon or too small, or have a congenital abnormality, but because something goes wrong during labour.

The RCOG's Each Baby Counts Inquiry examined 1,136 cases of neonatal death and disability, comprising stillbirths (126), neonatal deaths (156) and brain injuries (854) in NHS maternity units in 2015. 

It concluded that a significant factor was the accurate assessment of foetal wellbeing, including the interpretation of fetal heart rate on CTG traces.

The report recommended that:

an assessment of the foetal monitoring is carried out on admission for labour of all low risk mothers;

staff should receive annual training on the interpretation of CTG foetal heart rate traces;

all activity within the delivery suite must be overseen by a senior member of staff; and

parents should be informed of, and invited to contribute to, any local review by a trust.

Prof Lesley Regan, President of the RCOG said "The fact that a quarter of reports are still of such poor quality that we are unable to draw conclusions about the quality of care provided is unacceptable and must be improved as a matter of urgency".

The results of poor neonatal care can be absolutely devastating. Please contact Blackburn & Co., Solicitors, (01305 858050) if you have been affected by any of these issues and you would like to discuss whether we might be able to help.

For further information on RCOG's Each Baby Counts Inquiry, please see

For BBC article on this subject, please see


Call today to speak with one of our specialist Lawyers.

Fill out the form to get in touch or call us on 01305 858050

We offer an initial free consultation with no obligation to proceed.