NATIONAL MATERNAL DEATH AUDIT SYSTEMS: INTERNATIONAL GUIDELINES AND EXPERIENCE OF DEVELOPED COUNTRIES


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Abstract

Objective. To provide general approaches to analysis and to characterize national maternal death audit systems operating in developed countries at this moment. Subject and methods. Publications on regular nationwide maternal death audits. Results. The audit system has been existed in a number of developed countries (the United Kingdom, Australia, the Netherlands, Canada, France, Denmark, New Zealand, Ireland, and the USA) over many years. Audit is considered to mean a successive process of obtaining information on all maternal deaths and establishing their causes and factors, by mandatorily evaluating their preventability. The final audit aim is to make a set of decisions to prevent maternal deaths. At the same time, the process is confidential and regulated by special guidelines in practically all countries. Conclusion. The maternal death audit is an effective procedure to reveal problems and to ascertain how to solve them. Recommendations published on the results of such studies aim to improve the quality of health care for women during pregnancy, labor, delivery, and the postpartum period.

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About the authors

S. S RATUSHNYAK

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: s_ratushnyak@oparina4.ru

M. P SHUVALOVA

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: m_shuvalova@oparina4.ru

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