Audit as a tool for improving obstetric care in low- and middle-income countries.

Autor: Gebhardt GS; Department of Obstetrics and Gynaecology, Stellenbosch University and Tygerberg Hospital, South Africa. Electronic address: gsgeb@sun.ac.za., de Waard L; Department of Obstetrics and Gynaecology, Stellenbosch University and Tygerberg Hospital, South Africa.
Jazyk: angličtina
Zdroj: Best practice & research. Clinical obstetrics & gynaecology [Best Pract Res Clin Obstet Gynaecol] 2024 Jun; Vol. 94, pp. 102477. Date of Electronic Publication: 2024 Apr 03.
DOI: 10.1016/j.bpobgyn.2024.102477
Abstrakt: Maternal and/or perinatal death review or audits aim to improve the quality of health services and reduce deaths due to causes identified. A death review audit cycle identifies causes of deaths and possible modifiable factors, these can point to potential breaks in the continuity of health care and other health systems faults and challenges. It is an important function of audit cycles to develop, implement, monitor, and review action plans to improve the service. The WHO has produced two handbooks (Making Every Baby Count and Monitoring Emergency Obstetric Care) to guide maternal and perinatal death reviews. Health worker related factors accounts for two thirds of aspects that, if done differently may have prevented the adverse outcome. This emphasises the need for skilled health care workers at every delivery and for deliveries to take place in health facilities.
Competing Interests: Declaration of competing interest The authors have no conflicts of interest.
(Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE