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[Audit of obstetrical practices and prevention of perinatal deaths]

Emile Papiernik1, Martine Bucourt, Jennifer Zeitlin

  • 1Université René Descartes Paris V, Maternité Port-Royal, Cochin APHP 123 Bd de Port-Royal, 75014 Paris.

Bulletin De L'Academie Nationale De Medecine
|August 27, 2005
PubMed

Insights

An audit of obstetrical practices in Seine-Saint-Denis led to a significant reduction in perinatal mortality. Regular meetings to analyze fetal and neonatal deaths improved obstetrical care over a decade.

Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Perinatology

Context:

  • A critical analysis of obstetrical practices was implemented in Seine-Saint-Denis, northern Paris, France.
  • The study encompassed all perinatal deaths from October 1, 1989, to September 30, 1992.
  • This initiative established a framework for ongoing critical evaluation of obstetric care.

Purpose:

  • To critically analyze obstetrical practices within a specific French district.
  • To identify factors contributing to perinatal mortality through a comprehensive audit.
  • To establish a sustainable system for the continuous improvement of obstetric care.

Summary:

  • The Perinatal Enquiry audited all fetal and neonatal deaths over a three-year period.
  • Bimonthly meetings involving obstetricians and pediatricians facilitated the discussion of mortality cases.
  • This systematic review and collaborative discussion served as a permanent tool for practice analysis.

Impact:

  • The intervention resulted in a substantial decrease in perinatal mortality rates.
  • The positive effects on mortality reduction became evident after a 10-year follow-up period.
  • This audit model demonstrated the effectiveness of critical practice analysis in improving perinatal outcomes.

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