Maternal near miss – towards a standard tool for monitoring quality of maternal health care

Maternal mortality is still among the worst performing health indicators in resource-poor settings. For deaths occurring in health facilities, it is crucial to understand the processes of obstetric care in order to address any identified weakness or failure within the system and take corrective acti...

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Veröffentlicht in:Best practice & research. Clinical obstetrics & gynaecology Jg. 23; H. 3; S. 287 - 296
Hauptverfasser: Say, Lale, Souza, João Paulo, Pattinson, Robert C.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Netherlands Elsevier Ltd 01.06.2009
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ISSN:1521-6934, 1532-1932, 1532-1932
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Abstract Maternal mortality is still among the worst performing health indicators in resource-poor settings. For deaths occurring in health facilities, it is crucial to understand the processes of obstetric care in order to address any identified weakness or failure within the system and take corrective action. However, although a significant public health problem, maternal deaths are rare in absolute numbers especially within an individual facility. Studying cases of women who nearly died but survived a complication during pregnancy, childbirth or postpartum (maternal near miss or severe acute maternal morbidity) are increasingly recognized as useful means to examine quality of obstetric care. Nevertheless, routine implementation and wider application of this concept in reviewing clinical care has been limited due to the lack of a standard definition and uniform case-identification criteria. WHO has initiated a process in agreeing on a definition and developing a uniform set of identification criteria for maternal near miss cases aiming to facilitate the reviews of these cases for monitoring and improving quality of obstetric care. A list of identification criteria was proposed together with one single definition. This article presents the proposed definition and the identification criteria of maternal near miss cases. It also suggests procedures to make maternal near miss audits operational in monitoring/evaluating quality of obstetric care. The practical implementation of maternal near miss concept should provide an important contribution to improving quality of obstetric care to reduce maternal deaths and improve maternal health.
AbstractList Maternal mortality is still among the worst performing health indicators in resource-poor settings. For deaths occurring in health facilities, it is crucial to understand the processes of obstetric care in order to address any identified weakness or failure within the system and take corrective action. However, although a significant public health problem, maternal deaths are rare in absolute numbers especially within an individual facility. Studying cases of women who nearly died but survived a complication during pregnancy, childbirth or postpartum (maternal near miss or severe acute maternal morbidity) are increasingly recognized as useful means to examine quality of obstetric care. Nevertheless, routine implementation and wider application of this concept in reviewing clinical care has been limited due to the lack of a standard definition and uniform case-identification criteria. WHO has initiated a process in agreeing on a definition and developing a uniform set of identification criteria for maternal near miss cases aiming to facilitate the reviews of these cases for monitoring and improving quality of obstetric care. A list of identification criteria was proposed together with one single definition. This article presents the proposed definition and the identification criteria of maternal near miss cases. It also suggests procedures to make maternal near miss audits operational in monitoring/evaluating quality of obstetric care. The practical implementation of maternal near miss concept should provide an important contribution to improving quality of obstetric care to reduce maternal deaths and improve maternal health.
Maternal mortality is still among the worst performing health indicators in resource-poor settings. For deaths occurring in health facilities, it is crucial to understand the processes of obstetric care in order to address any identified weakness or failure within the system and take corrective action. However, although a significant public health problem, maternal deaths are rare in absolute numbers especially within an individual facility. Studying cases of women who nearly died but survived a complication during pregnancy, childbirth or postpartum (maternal near miss or severe acute maternal morbidity) are increasingly recognized as useful means to examine quality of obstetric care. Nevertheless, routine implementation and wider application of this concept in reviewing clinical care has been limited due to the lack of a standard definition and uniform case-identification criteria. WHO has initiated a process in agreeing on a definition and developing a uniform set of identification criteria for maternal near miss cases aiming to facilitate the reviews of these cases for monitoring and improving quality of obstetric care. A list of identification criteria was proposed together with one single definition. This article presents the proposed definition and the identification criteria of maternal near miss cases. It also suggests procedures to make maternal near miss audits operational in monitoring/evaluating quality of obstetric care. The practical implementation of maternal near miss concept should provide an important contribution to improving quality of obstetric care to reduce maternal deaths and improve maternal health.Maternal mortality is still among the worst performing health indicators in resource-poor settings. For deaths occurring in health facilities, it is crucial to understand the processes of obstetric care in order to address any identified weakness or failure within the system and take corrective action. However, although a significant public health problem, maternal deaths are rare in absolute numbers especially within an individual facility. Studying cases of women who nearly died but survived a complication during pregnancy, childbirth or postpartum (maternal near miss or severe acute maternal morbidity) are increasingly recognized as useful means to examine quality of obstetric care. Nevertheless, routine implementation and wider application of this concept in reviewing clinical care has been limited due to the lack of a standard definition and uniform case-identification criteria. WHO has initiated a process in agreeing on a definition and developing a uniform set of identification criteria for maternal near miss cases aiming to facilitate the reviews of these cases for monitoring and improving quality of obstetric care. A list of identification criteria was proposed together with one single definition. This article presents the proposed definition and the identification criteria of maternal near miss cases. It also suggests procedures to make maternal near miss audits operational in monitoring/evaluating quality of obstetric care. The practical implementation of maternal near miss concept should provide an important contribution to improving quality of obstetric care to reduce maternal deaths and improve maternal health.
Author Pattinson, Robert C.
Souza, João Paulo
Say, Lale
Author_xml – sequence: 1
  givenname: Lale
  surname: Say
  fullname: Say, Lale
  email: sayl@who.int
  organization: Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland
– sequence: 2
  givenname: João Paulo
  surname: Souza
  fullname: Souza, João Paulo
  organization: Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland
– sequence: 3
  givenname: Robert C.
  surname: Pattinson
  fullname: Pattinson, Robert C.
  organization: MRC Maternal and Infant Health Care Strategies Research Unit, University of Pretoria, Kalafong Hospital, South Africa
BackLink https://www.ncbi.nlm.nih.gov/pubmed/19303368$$D View this record in MEDLINE/PubMed
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Gulmezoglu, Ahmet Metin
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Keywords maternal health epidemiology
patient safety
severe acute maternal morbidity
mothers
maternal near miss
pregnancy complications
maternal mortality
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PublicationDateYYYYMMDD 2009-06-01
PublicationDate_xml – month: 06
  year: 2009
  text: 2009-06-01
  day: 01
PublicationDecade 2000
PublicationPlace Netherlands
PublicationPlace_xml – name: Netherlands
PublicationTitle Best practice & research. Clinical obstetrics & gynaecology
PublicationTitleAlternate Best Pract Res Clin Obstet Gynaecol
PublicationYear 2009
Publisher Elsevier Ltd
Publisher_xml – name: Elsevier Ltd
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Snippet Maternal mortality is still among the worst performing health indicators in resource-poor settings. For deaths occurring in health facilities, it is crucial to...
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SubjectTerms Emergency Medical Services
Female
Humans
maternal health epidemiology
Maternal Health Services - methods
Maternal Health Services - standards
maternal mortality
Maternal Mortality - trends
maternal near miss
Medical Audit - methods
mothers
Obstetric Labor Complications - diagnosis
Obstetric Labor Complications - mortality
Obstetrics and Gynecology
patient safety
Pregnancy
pregnancy complications
Quality of Health Care - standards
severe acute maternal morbidity
Socioeconomic Factors
Survivors
Title Maternal near miss – towards a standard tool for monitoring quality of maternal health care
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