Translate the text from English to Welsh.



 
This is the first report from the Independent Maternity Services Oversight Panel’s (IMSOP) Clinical Review Programme, looking at the care provided by the maternity and neonatal services at the former Cwm Taf University Health Board.


The Programme covers the review of around 160 pregnancies which occurred between 1 January 2016 and 30 September 2018\. These are grouped into three areas:


* maternal morbidity and mortality – including mothers who needed admission to intensive care
* babies who sadly were stillborn
* babies who sadly died or needed specialist care immediately following their birth


This is the first of three thematic reports that will then be drawn together in an overarching report. These cases involved mothers who needed urgent care and for most, resulted in an admission to the intensive care unit.


Overall the findings closely mirror the areas of concern identified by the independent review by the Royal College of Obstetricians and Gynaecologists and the Royal College of Midwives following the concerns that came to light during 2018\.


The Panel has confirmed that although nothing new has emerged, there are some new insights and confirms that concerns at the time were very real.


In 27 of the 28 cases, the clinical review teams identified factors which contributed to the quality of the care provided. In 19 of these, the factors were considered major \- meaning different management may reasonably be expected to have altered the outcome. These factors were most frequently associated with the diagnosis and/or the recognition of the high risk status of the woman, the treatment provided and clinical leadership. Poor communication with women or between health professionals was also a common theme. This also correlated closely with stories and issues shared by the women involved.


Speaking of the latest report, Health Minister Vaughan Gething said:



> Nothing can change what these women and families experienced. I remain deeply sorry that this happened. I do hope that families can take some comfort from the independence of the reviews and that where they had individual questions they now have answers to those.
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> The independent Panel has recognised that Cwm Taf Morgannwg has been open, transparent and compassionate in the manner in which it has responded and in the support it has put in place for the women and families affected.
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> The Panel has made clear that the context is that these cases were the exception rather than the norm. Nonetheless, this review is difficult to read. 
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> Over the past two years significant improvements have been achieved and progress made against the 70 recommendations \- there is also now a very thorough process in train which takes all the findings from these individual clinical reviews to ensure they have been, or will be, incorporated into the maternity and neonatal improvement plans.
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> Women and families are at the heart of this ongoing review. Today my thoughts are with everyone affected by this report and those who await the outcome of their reviews.


The Panel recommended the health board publish a response to these findings, which will be available today \[Monday 25]. It also recommended the health board should work with the Welsh Government and the Maternity and Neonatal Network to ensure learnings are shared across Wales.







Translation:


 
Dyma’r adroddiad cyntaf o Raglen Adolygu Clinigol y Panel Trosolwg Annibynnol ar Wasanaethau Mamolaeth, sy’n edrych ar y gofal a roddwyd gan wasanaethau mamolaeth a newyddenedigol yng nghyn Fwrdd Iechyd Prifysgol Cwm Taf.


Mae’r Rhaglen yn ymdrin ag adolygiad o oddeutu 160 beichiogrwydd rhwng 01 Ionawr 2016 a 30 Medi 2018\. Mae’r rhain wedi’u rhannu yn dri chategori:


* morbidrwydd a marwolaeth mamau – gan gynnwys mamau a oedd yn rhaid eu derbyn i’r uned gofal dwys
* babanod a oedd yn farwanedig
* babanod a fu farw neu a oedd angen gofal arbenigol yn syth ar ôl eu geni


Dyma’r cyntaf o dri adroddiad thematig a fydd yn cael eu cyfuno mewn adroddiad trosfwaol. Mae’r achosion hyn yn cynnwys mamau a oedd angen gofal brys ac roedd angen derbyn y rhan fwyaf ohonynt i’r uned gofal dwys.


Yn gyffredinol, mae’r canfyddiadau’n adlewyrchu’r meysydd pryder a nodwyd yn yr adolygiad annibynnol gan Goleg Brenhinol yr Obstetryddion a'r Gynaecolegwyr a Choleg Brenhinol y Bydwragedd yn dilyn pryderon a ddaeth i’r amlwg yn ystod 2018\.


Mae’r Panel wedi cadarnhau er nad oes unrhyw beth newydd wedi dod i’r amlwg, y cafwyd gwell dealltwriaeth o rai pethau ac mae’n cadarnhau bod y pryderon ar y pryd yn rhai gwirioneddol iawn.


Yn 27 o’r 28 achos, nododd y timau adolygu clinigol ffactorau a gyfrannodd at ansawdd y gofal a roddwyd. Yn 19 o’r achosion hyn ystyriwyd bod y ffactorau yn rhai mawr – sy’n golygu y byddai’n rhesymol i ddisgwyl y byddai rheolaeth wahanol wedi arwain at ganlyniad gwahanol. Roedd y ffactorau hyn yn gysylltiedig â diagnosis a/neu adnabod statws risg uchel y fenyw, y driniaeth a roddwyd ac arweinyddiaeth glinigol yn y rhan fwyaf o achosion.


Roedd cyfathrebu gwael gyda menywod neu rhwng gweithwyr iechyd proffesiynol hefyd yn thema gyffredin. Roedd hyn hefyd yn cyd\-fynd yn agos â’r straeon a’r materion a rannwyd gan y menywod dan sylw.


Gan siarad am yr adroddiad diweddaraf, dywedodd y Gweinidog Iechyd Vaughan Gething:



> Ni all unrhyw beth newid profiadau’r menywod a’r teuluoedd hyn. Mae’n ddrwg iawn gen i fod hyn wedi digwydd. Rwy’n gobeithio bod yr adolygiadau annibynnol yn rhoi rhywfaint o gysur iddynt a’u bod wedi cael atebion i’w cwestiynau unigol.
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> Mae’r Panel annibynnol wedi cydnabod fod Bwrdd Iechyd Prifysgol Cwm Taf Morgannwg wedi bod yn agored, yn dryloyw ac yn dosturiol yn y modd y mae wedi ymateb a sicrhau bod cymorth ar gael i’r menywod a’r teuluoedd a effeithiwyd.
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> Mae’r Panel wedi pwysleisio mai eithriadau oedd yr achosion hyn. Er hynny, mae’r adolygiad yn un anodd ei ddarllen. 
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> Dros y ddwy flynedd ddiwethaf, cyflawnwyd gwelliannau sylweddol a gwnaed cynnydd yn erbyn y 70 o argymhellion – yn awr mae proses drylwyr iawn ar waith sy’n ystyried yr holl ganfyddiadau o’r adolygiadau clinigol unigol hyn i sicrhau eu bod wedi cael eu cynnwys, neu y byddant yn cael eu cynnwys, yn y cynlluniau gwella mamolaeth a newyddenedigol.
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> Menywod a theuluoedd sydd wrth galon yr adolygiad parhaus hwn. Heddiw, rwy’n meddwl am bawb sydd wedi’u heffeithio gan yr adroddiad hwn a’r bobl sy’n aros am ganlyniad eu hadolygiadau.


Mae’r Panel wedi argymell bod y bwrdd iechyd yn cyhoeddi ymateb i’r canfyddiadau hyn, a fydd ar gael heddiw \[dydd Llun 25]. Roedd hefyd yn argymell bod y bwrdd iechyd yn gweithio gyda Llywodraeth Cymru a’r Rhwydwaith Mamolaeth a Newyddenedigol i sicrhau bod yr hyn a ddysgwyd yn cael ei rannu ar draws Cymru.