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Introducing maternal morbidity audit in the Netherlands.

J van Dillen1, J A J M Mesman, J J Zwart

  • 1Department of Obstetrics, Leiden University Medical Centre, Albinusdreef 2, Leiden, The Netherlands. gwamupanda@caiway.nl

BJOG : an International Journal of Obstetrics and Gynaecology
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Summary

Substandard care affects 79% of women with severe acute maternal morbidity (SAMM) in the Netherlands. Ongoing audits are recommended to improve maternal healthcare quality nationwide.

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Area of Science:

  • Obstetrics and Gynecology
  • Healthcare Quality Improvement
  • Maternal Health

Background:

  • Severe acute maternal morbidity (SAMM) presents a significant challenge in maternal healthcare.
  • Understanding the prevalence and factors contributing to substandard care is crucial for improving outcomes.

Purpose of the Study:

  • To evaluate the panel audit process for identifying substandard care in women with SAMM.
  • To determine the incidence of substandard care within a nationwide prospective cohort in the Netherlands.

Main Methods:

  • A prospective audit methodology was employed, involving eight audit meetings across the Netherlands.
  • Detailed SAMM case information was assessed by panel members prior to plenary discussions and scoring of substandard care factors.

Main Results:

  • Substandard care was identified in a high proportion of cases, affecting 79% (53 out of 67) of the selected women.
  • Specific recommendations were developed for refining the audit process and enhancing both local and national management guidelines.

Conclusions:

  • The study highlights a substantial presence of substandard care among women experiencing SAMM in the Netherlands.
  • Continuous local and national auditing of SAMM cases is advocated to drive improvements in maternal care quality.