Document Detail

The use of audit to identify maternal mortality in different settings: is it just a difference between the rich and the poor?
MedLine Citation:
PMID:  18019905     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To illustrate how maternal mortality audit identifies different causes of and contributing factors to maternal deaths in different settings in low- and high-income countries and how this can lead to local solutions in reducing maternal deaths. DESIGN: Descriptive study of maternal mortality from different settings and review of data on the history of reducing maternal mortality in what are now high-income countries. SETTINGS: Kalabo district in Zambia, Farafenni division in The Gambia, Onandjokwe district in Namibia, and the Netherlands. POPULATION: Population of rural areas in Zambia and The Gambia, peri-urban population in Namibia and nationwide data from The Netherlands. METHODS: Data from facility-based maternal mortality audits from three African hospitals and data from the latest confidential enquiry in The Netherlands. MAIN OUTCOME MEASURES: Maternal mortality ratio (MMR), causes (direct and indirect) and characteristics. RESULTS: MMR ranged from 10 per 100,000 (the Netherlands) to 1540 per 100,000 (The Gambia). Differences in causes of deaths were characterized by HIV/AIDS in Namibia, sepsis and HIV/AIDS in Zambia, (pre-)eclampsia in the Netherlands and obstructed labour in The Gambia. CONCLUSION: Differences in maternal mortality are more than just differences between the rich and poor. Acknowledging the magnitude of maternal mortality and harnessing a strong political will to tackle the issues are important factors. However, there is no single, general solution to reduce maternal mortality, and identification of problems needs to be promoted through audit, both national and local.
Jeroen van Dillen; Jelle Stekelenburg; Joke Schutte; Gijs Walraven; Jos van Roosmalen
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Healthcare quarterly (Toronto, Ont.)     Volume:  10     ISSN:  1710-2774     ISO Abbreviation:  -     Publication Date:  2007  
Date Detail:
Created Date:  2007-11-19     Completed Date:  2007-12-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101208192     Medline TA:  Healthc Q     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  133-8     Citation Subset:  H    
Netherlands Maternal Mortality Committee, Netherlands.
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MeSH Terms
Cause of Death
Hospital Mortality
Maternal Mortality*
Medical Audit*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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