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A report is now published every year, which includes surveillance information as well as topic‐specific chapters, each of which appears on a triennial basis. Chapters are drafted by a writing committee including expert assessors from the four UK countries and Republic of Ireland and other relevant experts in the topic area, and discussed by the whole editorial panel, which includes epidemiologists. Once the final report is sent to the printers, any information linked to the identity of the women concerned is destroyed. The published report is available to the public, a fact that surprises doctors in countries that have a less open approach.

A challenge for any report is to ensure that people read it. Recent confidential reports have been entitled Saving Mothers’ Lives, Improving Mothers’ Care (and before that Why Mothers Die with an emotive cover picture) and launched with a conference. They were bestsellers in the Royal College of Obstetricians and Gynaecologists (RCOG) bookshop, partly because examination candidates knew that they were essential reading. Reports are now available free to download from the MBRRACE‐UK website, allowing for wider circulation; the link to the report is distributed through professional and voluntary organisations and the media on the day it is released. The report messages, however, increasingly need to be heard by other specialties and this is more difficult to achieve.