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To ensure confidentiality, the information is kept under lock and key before digitising and storage on a secure server. All records are anonymised and reviewed by expert assessors, who are senior clinicians in obstetrics, midwifery, anaesthetics, pathology, perinatal psychiatry, medicine, cardiology, neurology, infectious diseases, emergency medicine, general practice and intensive care. They look for emerging patterns and lessons for clinical colleagues, managers and politicians. Public health messages are particularly important and denominator data are obtained from the Office for National Statistics (ONS) or equivalents in the devolved nations and Republic of Ireland.