This Confidential Enquiry identified substandard care in 70% of Direct deaths and 55% of Indirect deaths. Many of the identified avoidable factors remain the same as those identified in previous enquiries. Recommendations for improving care have been developed and are highlighted in this report.
Improving Quality of Care for Maternal and Newborn Health: Prospective Pilot Study of the WHO Safe Childbirth Checklist Program
The WHO developed the Pilot Edition of the Safe Childbirth Checklist to support the delivery of essential maternal and perinatal care practices. The Checklist contains 29 items addressing the major causes of maternal death in low-income countries. It was developed following a rigorous methodology and tested for usability in ten countries across Africa and Asia.
This modified early obstetric warning score chart is available in a downloadable PDF to be adapted and adopted in other settings, either an intensive care or other secondary or tertiary care settings.
Providing equity of critical and maternity care for the critically ill pregnant or recently pregnant woman
This document summarises all relevant safety standards in the area of critical care for the pregnant or recently pregnant women. These recommendations are applicable to either a specialised maternity care or general critical care unit. This document was particularly created in response to a recognition that there are still significant deaths associated with suboptimal care and that this mortality is higher amongst ethnic minority groups.
This proposal paper examines the limitations of existing track and trigger systems for deteriorating maternity patients and sets out guidance for creating a system wide obstetric early warning system.