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National perinatal mortality audits and resultant initiatives in four countries.
Helps, Änne; Leitao, Sara; Gutman, Arlene; Greene, Richard; O'Donoghue, Keelin.
Afiliación
  • Helps Ä; National Perinatal Epidemiology Centre, University College Cork, Cork, Ireland; Pregnancy Loss Research Group, University College Cork, Cork, Ireland; The Irish Centre for Maternal and Child Health Research (INFANT), University College Cork, Cork, Ireland. Electronic address: Aenne.helps@outlook.ie.
  • Leitao S; National Perinatal Epidemiology Centre, University College Cork, Cork, Ireland; Pregnancy Loss Research Group, University College Cork, Cork, Ireland.
  • Gutman A; Pregnancy Loss Research Group, University College Cork, Cork, Ireland; School of Medicine, University College Cork, Cork, Ireland.
  • Greene R; National Perinatal Epidemiology Centre, University College Cork, Cork, Ireland.
  • O'Donoghue K; Pregnancy Loss Research Group, University College Cork, Cork, Ireland; The Irish Centre for Maternal and Child Health Research (INFANT), University College Cork, Cork, Ireland.
Eur J Obstet Gynecol Reprod Biol ; 267: 111-119, 2021 Dec.
Article en En | MEDLINE | ID: mdl-34749039
ABSTRACT

BACKGROUND:

It is important to examine perinatal deaths as part of a national mortality audit to identify risk factors. Implementing and re-evaluating recommendations from perinatal mortality audits completes the audit cycle, preventing similar deaths in the future. Lack of implementation results in recommendations recurring.

OBJECTIVES:

In this study we examine national perinatal mortality audits' methodology in four high-income countries (United Kingdom, New Zealand, Ireland, Netherlands) to highlight different approaches taken. We compare the recommendations made in these audits' reports over the last five years, as well as review national initiatives and programmes addressing them. STUDY

DESIGN:

This study is an integrative review where two comprehensive literature searches were completed on established national perinatal mortality audits in high-income countries; and on national initiatives addressing recommendations from these audits. Content analysis of the audits' recommendations was performed organising them into themes according to topics these focused on.

RESULTS:

Though the methodology of the national perinatal mortality audits varied, all four were state-funded and had standardised online data collection forms to report deaths. The recommendations themes included Raising public awareness of perinatal mortality risk factors, Detection of fetal growth restriction, Prevention of preterm birth, Resources for data collection and review. Only the UK had various initiatives addressing perinatal mortality risk factors directly. New Zealand included stakeholders in the audit recommendations' development and provided updates on their implementation. The Netherlands developed a programme for audit recommendation implementation. Ireland created a group which is progressing some recommendations from the audit.

CONCLUSIONS:

National perinatal mortality audits are important in identifying contributory factors and making recommendations to address these. Recurring recommendations suggest a failure to resolve the identified issues. This study shows how some challenges are common to high-income countries' audits, highlighting the need for shared learning of successful initiatives.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Nacimiento Prematuro / Muerte Perinatal Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Newborn / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Eur J Obstet Gynecol Reprod Biol Año: 2021 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Nacimiento Prematuro / Muerte Perinatal Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Newborn / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Eur J Obstet Gynecol Reprod Biol Año: 2021 Tipo del documento: Article