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26 Moreover, prompt assessment and management of shoulder dystocia and preparation to maximise the efficiency of shoulder dystocia manoeuvres are critical. We thank Claire Coleman, Postgraduate Medical Centre Librarian, Wycombe Hospital, for help with the systematic literature search. ""Cardiac disease is a leading AC220 manufacturer cause of maternal deaths in the developed world and is responsible for one-fifth of all maternal deaths in the UK. The aim of this study was to estimate the incidence of myocardial infarction in pregnancy and up to 1?week postpartum in the UK and to describe risk factors, management and outcomes. Twenty-five cases of myocardial infarction in pregnancy were reported, giving an estimated incidence of 0.7 per 100000 maternities (95% confidence interval [CI] 0.5�C1.1), which may represent an underestimate of the true incidence. Many risk factors identified were both recognisable and modifiable. Maternal age (adjusted odds ratio [aOR] 1.3 for every 1-year increase, 95% CI 1.2�C1.4, PCompound C nmr 3.1, 95% CI 1.3�C7.5, P = 0.014), hypertension (aOR 8.1, 95% CI 1.5�C42.3, P = 0.018), twin pregnancy (aOR 11.3, 95% CI 2.9�C44.6, P = 0.002) and pre-eclampsia (aOR 4.5, 95% CI 1.2�C17.2, P = 0.038) were all independently associated with myocardial infarction in pregnancy. Fifteen women (60%) underwent coronary angiography: 9 (60%) had coronary atherosclerosis, 3 (21%) had coronary artery dissection, 1 (7%) had a coronary thrombus, and 2 (13%) had normal coronary arteries. No women died. Management of myocardial infarction in pregnancy was highly variable, indicating a clear need for further information regarding the safety and outcomes of different interventions. The addition of pregnancy status as a compulsory field in cardiac audit databases would enable routine collection of this information. Bush N, Nelson-Piercy C, Spark P, Kurinczuk JJ, Brocklehurst P, Knight M. Myocardial infarction in pregnancy and postpartum in the UK. Eur J Cardiovasc Prev Rehabil 2011. [Epub ahead of print.] Ergoloid Women continue to die unnecessarily during or after pregnancy in the developed world. The aim of this analysis was to compare women with severe maternal morbidity, identified through UKOSS, with women who died from the same conditions, identified from the UK Confidential Enquiries into Maternal Deaths between 2003 and 2008. Women were included if they had eclampsia, antenatal pulmonary embolism, amniotic fluid embolism, acute fatty liver of pregnancy or antenatal stroke. The women who died were older (age 35+ years, aOR 2.36, 95% CI 1.22�C4.56) and more likely to be black (aOR 2.38, 95% CI 1.15�C4.92) and unemployed or in routine or manual occupations (aOR 2.19, 95% CI 1.03�C4.68). We also observed an association with obesity (body mass index ��30?kg/m2, aOR 2.