Document Detail

Value of perinatal audit in obstetric care in the developing world: a ten-year experience of the Maputo model.
MedLine Citation:
PMID:  8300010     Owner:  NLM     Status:  MEDLINE    
A decade of perinatal audit in the Maputo Central Hospital is reviewed with the objective of addressing the potential value of the audit process in monitoring the different constituents of morbidity and mortality in the perinatal period. The perinatal mortality showed a significant but transient change during the observation period 1982-1991, while intrapartum fetal mortality was significantly reduced from 10.9 to 3.9 per thousand (p < 0.0005). Staff members were sensitized towards immediate and long-term effects of implemented surveillance routines by regular feedback of perinatal data on visible wall charts and by weekly conferences. The advantages of a comprehensive audit approach in perinatal medicine comprising both maternal and fetal/infant aspect are underscored. An ethical commitment to nonconfidential straight-forwardness and open-mindedness in critical discussions regarding mismanagement is emphasized for a successful audit strategy.
A Bugalho; S Bergström
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Gynecologic and obstetric investigation     Volume:  36     ISSN:  0378-7346     ISO Abbreviation:  Gynecol. Obstet. Invest.     Publication Date:  1993  
Date Detail:
Created Date:  1994-03-10     Completed Date:  1994-03-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7900587     Medline TA:  Gynecol Obstet Invest     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  239-43     Citation Subset:  IM    
Department of Obstetrics and Gynaecology, Central Hospital, Maputo, Mozambique.
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MeSH Terms
Developing Countries*
Fetal Death / epidemiology
Infant Mortality*
Infant, Newborn
Maternal Mortality
Maternal Welfare*
Medical Audit*
Mozambique / epidemiology

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