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Near miss audit in obstetrics
Gillian Penney1, Victoria Brace
1University of Aberdeen, Aberdeen, UK. g.c.penney@abdn.ac.uk
Current Opinion in Obstetrics & Gynecology
|March 14, 2007
Summary
Maternal near miss reviews are growing globally. Standardizing definitions and assessment methods is crucial for comparing severe maternal morbidity data across studies and countries.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Healthcare Quality Improvement
Background:
- Increasing international focus on severe maternal morbidity (maternal near miss) alongside maternal mortality audits.
- Maternal near miss studies complement traditional mortality reviews by examining severe cases.
Purpose of the Study:
- To review and summarize studies on maternal near misses published between 2005 and 2006.
- To highlight the growing interest in using near-miss audits to improve maternal healthcare.
Main Methods:
- Literature review of studies on maternal near misses published in 2005-2006.
- Analysis of variations in study definitions, data sources, and quality assessment methods.
Main Results:
- Significant heterogeneity exists in the definition of maternal near miss and data collection methods across studies.
- Approaches range from focusing on single near-miss categories to multiple ones, and data sources vary from administrative data to case records.
- Many studies report morbidity rates without assessing care quality or preventability; a minority report incidence rates and assess quality.
Conclusions:
- Maternal near-miss audit is increasingly utilized as a complement to maternal mortality reviews.
- Standardization of inclusion criteria and case assessment methodologies is essential for robust international and temporal comparisons of severe maternal morbidity.
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