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Lessons to be learnt from a perinatal audit.

M A Birdsall1, N S Pattison

  • 1Department of Obstetrics and Gynaecology, National Women's Hospital, Auckland.

The New Zealand Medical Journal
|February 26, 1992
PubMed
Summary
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This audit of perinatal deaths identified fetal abnormality, prematurity, and infection as leading causes. Addressing these and improving care for growth-restricted and asphyxiated fetuses can enhance pregnancy outcomes.

Area of Science:

  • Obstetrics and Gynecology
  • Perinatal Medicine
  • Public Health

Background:

  • Perinatal mortality remains a significant concern in maternal and child health.
  • Understanding the specific causes and contributing factors is crucial for developing targeted interventions.

Purpose of the Study:

  • To analyze all perinatal deaths at National Women's Hospital, Auckland, over a two-year period.
  • To identify specific areas for improvement to enhance outcomes in future pregnancies.

Main Methods:

  • An audit of all perinatal deaths (after 20 weeks gestation) occurring in 1989 and 1990.
  • Classification of deaths by primary obstetric factor and examination for avoidable factors.

Main Results:

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  • 293 perinatal deaths were recorded, including fetal, neonatal, and infant deaths.
  • Common causes included fetal abnormality (24%), prematurity (19%), and infection (11%).
  • Avoidable factors were identified in 25% of all deaths.

    • Conclusions:

    • The audit pinpointed key areas for intervention to reduce perinatal loss.
    • Advances in medical knowledge, technology, and expertise are needed for major causes.
    • Enhanced education and adherence to care standards can improve outcomes for vulnerable fetuses.