Quantifying severe maternal morbidity: a Scottish population study

BJOG: An International Journal of Obstetrics and Gynaecology - Tập 111 Số 5 - Trang 481-484 - 2004
V. Brace1, Gillian Penney2, Marion H. Hall1
1Department of Obstetrics and Gynaecology, Aberdeen Maternity Hospital, UK
2Scottish Programme for Clinical Effectiveness in Reproductive Health, Aberdeen Maternity Hospital, UK

Tóm tắt

Objective  To quantify the incidence of severe maternal morbidity in Scotland and determine the feasibility of doing so.Design  Prospective observational study.Setting  All 22 consultant led maternity units in Scotland, between 1 October 2001 and 30 September 2002.Population  Women during pregnancy and the puerperium.Methods  Definitions for 13 categories of severe maternal morbidity were developed from published work. Recruitment of maternity units, and training of staff, took place at a national meeting. Each month, every unit reported cases meeting the agreed definitions, the category of incident and date. Data were collated centrally and analysed to determine the frequency of incidents. The number of maternal deaths occurring in Scotland over the same period was obtained from the Confidential Enquiry into Maternal Deaths.Main outcome measures  Number and rate of defined events being reported. A subjective view of the feasibility of collecting national data routinely.Results  Severe morbidity was reported in 196 women, out of 51,165 deliveries in Scotland (rate 3.8 per 1000 deliveries). Thirty percent of cases fell into more than one defined category. Major obstetric haemorrhage accounted for 50% of events. Only a third of identified patients were admitted to intensive care units. Four relevant maternal deaths occurred.Conclusions  Categories of severe maternal morbidity can be defined and may provide a useful measure of the quality of maternity services, particularly in developed countries where maternal mortality is very rare. It appears feasible to set up a national reporting system for maternal morbidity, as well as mortality.

Từ khóa


Tài liệu tham khảo

Lewis G, 2001, Confidential Enquiries into Maternal Deaths in the United Kingdom, 22

10.1111/j.1471-0528.1998.tb10262.x

10.1111/j.1471-0528.1998.tb10261.x

10.1136/bmj.322.7294.1089

ISD Scotland.Births in Scotland.2003.http://www.show.scot.nhs.uk/isd/sexual_health/Births_in_Scottishhosps/Table%2012.htm. (Accessed 5 February 2003).

Department of Health.A First Class Service: Quality in the New NHS. NHS Executive 1998.

Expert group chaired by the Chief Medical Officer.An Organisation with a Memory. The Stationery Office 2000.

10.1046/j.1365-2753.1999.00146.x

Mahutte NG, 1999, Obstetric admissions to the intensive care unit, Obstet Intensive Care, 94, 263

10.1097/00000542-200006000-00009

Thông tin
Thông tin xuất bản

BJOG: An International Journal of Obstetrics and Gynaecology

Tập 111 Số 5

481-484

Thông tin tác giả