Information, support, and follow-up offered to women who experienced severe maternal morbidity.

Autor: Furniss M; Department of Obstetrics and Gynaecology, University of Otago, Wellington, New Zealand., Conroy M; Department of Obstetrics and Gynecology, University of Illinois, Chicago, IL, USA., Filoche S; Department of Obstetrics and Gynaecology, University of Otago, Wellington, New Zealand., MacDonald EJ; Centre for Women's Health Research, Faculty of Health, Victoria University of Wellington, Wellington, New Zealand., Geller SE; Department of Obstetrics and Gynecology, University of Illinois, Chicago, IL, USA., Lawton B; Centre for Women's Health Research, Faculty of Health, Victoria University of Wellington, Wellington, New Zealand.
Jazyk: angličtina
Zdroj: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2018 Jun; Vol. 141 (3), pp. 384-388. Date of Electronic Publication: 2018 Feb 18.
DOI: 10.1002/ijgo.12454
Abstrakt: Objective: To determine what information, support, and follow-up were offered to women who had experienced severe maternal morbidity (SMM).
Methods: The present retrospective case review included patients who experienced SMM (admission to intensive care during pregnancy or up to 42 days postpartum) who had previously been reviewed for potential preventability as part of a nationwide New Zealand study performed between January 1 and December 31, 2014. Data were audited to ascertain documented evidence of an event debrief or explanation; referral to social support and/or mental health services; a detailed discharge letter; and a follow-up appointment with a specialist.
Results: Of 257 patients who experienced SMM, 23 (8.9%) were offered all four components of care, 99 (38.5%) an event debrief, 102 (39.7%) a referral to social support and/or mental health services, 148 (57.6%) a detailed discharge letter, and 131 (51.0%) a follow-up appointment.
Conclusions: Many women who had experienced SMM did not receive explanatory information about their illness, an offer of psychosocial support, or a follow-up appointment prior to discharge from hospital. It is incumbent on clinicians and the maternity care system to improve these aspects of care for all women experiencing a potentially life-changing SMM event to minimize the risk and burden of long-term mental illness.
(© 2018 International Federation of Gynecology and Obstetrics.)
Databáze: MEDLINE
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