The impact of acute pancreatitis in pregnancy on maternal and fetal outcomes is unclear. Historical case series document very poor outcomes, with maternal mortality rates of 20 per cent and fetal loss of 50 per cent. However, this is based on outdated clinical practice. This meta-analysis quantified both maternal and fetal outcomes following acute pancreatitis in pregnancy based on the concurrent literature. Maternal and fetal outcomes after acute pancreatitis in pregnancy have improved with advances in the management of pancreatitis.

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Highly publicized service issues in hospitals and within the National Health Service (NHS) have sparked numerous efforts to address the patient experience. Recognizing the need for quality health information for the public, South West England Web information services offer an example of how local and regional NHS organizations have responded to the call for access to quality health information resources. On the national level, NHS Direct has proven particularly innovative in its efforts to provide health information access to hard to reach populations. Suggestions for future library health information services for the public include improved metadata for Web-based services, a revised consumer health database, and information prescription programs.