Avoidable perinatal deaths in a rural hospital: Strategies to improve quality of care

Wilkinson, D. (1995) Avoidable perinatal deaths in a rural hospital: Strategies to improve quality of care. Tropical Doctor, 25 1: 16-20.

Author Wilkinson, D.
Title Avoidable perinatal deaths in a rural hospital: Strategies to improve quality of care
Journal name Tropical Doctor   Check publisher's open access policy
ISSN 0049-4755
1758-1133
Publication date 1995-01
Sub-type Article (original research)
Volume 25
Issue 1
Start page 16
End page 20
Total pages 5
Place of publication London, England
Publisher Royal Society of Medicine Press
Language eng
Subject 1114 Paediatrics and Reproductive Medicine
1117 Public Health and Health Services
Abstract Data was analyzed on all infants born at Hlabisa Hospital and at seven village clinics in northern Zululand, South Africa, and those born before arrival at the hospital between May 1991 and April 1993 (total deliveries 8237) to determine the perinatal mortality rate (PNMR), to evaluate the quality of care, and to identify avoidable factors associated with the deaths. Findings were used to develop ways to enable effective monitoring of quality of care and to develop intervention strategies to prevent recurrence of avoidable deaths. There were 280 perinatal deaths (PNMR 34/1000). The PNMR increased 30% in the second year (29-39/1000; p = 0.01), mostly due to increased rates of attendance of high risk cases at the hospital and clinics. 27 of the perinatal deaths were considered avoidable. Had these deaths not happened, the overall PNMR would have stayed at 31/1000. The percentage of avoidable deaths decreased over time (19% in first 6 months vs. 3% in the last 6 months; p 0.01 and p 0.01 for linear trend) because of interventions implemented throughout the study period to improve quality of care. There were three groups of interventions: reorganization of the maternity services in the health ward, development of key standing orders and management guidelines, and creation of a monitoring system for perinatal mortality.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Tue, 07 Sep 2010, 13:04:36 EST