Lack of national guidance for antenatal fetal monitoring
Royal College of Obstetricians and Gynaecologists received 2 coroners' reports about this hazard between 16 Feb 2015 and 24 Jun 2026.
They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.
No published response from Royal College of Obstetricians and Gynaecologists was found for the earlier reports.
The story, report by report
Spacing grows with the time between reports.
“Whilst Pennine Acute Hospitals NHS Trust has now established its own local guidelines based upon recent research conducted in Bristol, there are no national guidelines on how to interpret and/or classify antenatal (as opposed to intra-partum) CTG tracings.”
Original on judiciary.uk ↗ No published response from Royal College of Obstetricians and Gynaecologists was found for this report.
- 11 years 4 months laterClosely relatedConfidence 0.85 · higha different coroner
“National Guidance. There is no national guidance in the antenatal setting to establish when and in what circumstances fetal monitoring should be used especially when chorioamnionitis is suspected.”
Original on judiciary.uk ↗ Repeated from the earlier report:Nationalantenatal
The most recent report. A response may not be due or published yet.
- All reports to Royal College of Obstetricians and Gynaecologists
Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals.
2015 → 2026Nola-Reign Morgan11 years 4 months after Mohammed Yousaf · different coronerClosely relatedConfidence 0.85 · high
Closely relatedConfidence 0.85 · highBoth reports highlight the absence of national guidance concerning antenatal fetal monitoring/CTG interpretation. The earlier report focuses on classifying antenatal CTG tracings, while the later report addresses when fetal monitoring should be used, particularly with suspected chorioamnionitis.
Mohammed Yousaf · 16 Feb 2015
“Whilst Pennine Acute Hospitals NHS Trust has now established its own local guidelines based upon recent research conducted in Bristol, there are no national guidelines on how to interpret and/or classify antenatal (as opposed to intra-partum) CTG tracings.”
Original on judiciary.uk ↗ Nola-Reign Morgan · 24 Jun 2026
“National Guidance. There is no national guidance in the antenatal setting to establish when and in what circumstances fetal monitoring should be used especially when chorioamnionitis is suspected.”
Original on judiciary.uk ↗
No published response from Royal College of Obstetricians and Gynaecologists was found for this report.
No published response from Royal College of Obstetricians and Gynaecologists was found for this report. It is the most recent report, so a response may not be due or published yet.
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to Royal College of Obstetricians and Gynaecologists at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2015 → 2026 | 0.65 | 0.09 | Closely related · 0.85 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.