Failures in Childbirth Care

Ashcroft, Brenda

doi:10.1258/jhsrp.2009.09s106

J Health Serv Res Policy

2010

DOI: 10.1258/jhsrp.2009.09s106

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Failures in Childbirth Care

Brenda Ashcroft

Abstract: The study, first published in 2003, looks at the root causes of adverse events and near misses in obstetrics at seven hospital maternity units by interviewing 93 members of staff, identifying the areas of mismanagement in each case and thematically analysing them.

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Influences on safety of intrapartum electronic fetal heart rate monitoring practices: a scoping review

Kelly,

Lamé,

Dixon-Woods

et al. 2024

BMJ Open

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ObjectivesSuboptimal intrapartum electronic fetal heart rate monitoring using cardiotocography has remained a persistent problem (EFM-CTG). We aimed to identify the range of influences on the safety of using EFM-CTG in practice.DesignScoping review to identify influences related to the practice of intrapartum EFM.Data sourcesMEDLINE, Embase, CINAHL, Web of Science, Scopus, British Nursing Index, Cochrane Library, from 1 January 2001 to 25 August 2024, and grey literature.Eligibility criteriaArticles that reported potential influences on the clinical practice of intrapartum EFM-CTG in hospital-based intrapartum maternity care settings, including primary studies, secondary analyses, reviews, reports, conference abstracts and investigations relevant to maternity and obstetrics, in English. Evaluations of technological modifications to traditional EFM-CTG monitoring and analysis were excluded.Data extraction and synthesisWe extracted influences on EFM-CTG from the included studies. Findings were synthesised using a best-fit framework approach, structured using an existing 19-domain framework of contributory factors for patient safety incidents in hospitals.Results142 articles and 14 reports were included. Our synthesis identified influences on EFM practice across all 19 domains of the contributory factors framework, including those relating to cognitive, social and organisational factors and interactions between professional work and tools used for fetal monitoring.ConclusionReducing avoidable harm associated with electronic fetal monitoring requires a systems approach based on a sound understanding of the full range of influences on practice.

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Influences on safety of intrapartum electronic fetal heart rate monitoring practices: a scoping review

Kelly,

Lamé,

Dixon-Woods

et al. 2024

BMJ Open

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Midwifery staffing: Variation and mismatch in demand and capacity

Yelland

Winter

Fox

2013

British Journal of Midwifery

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Pressure on maternity services arising out of variation in number of births has always existed. Of singular importance during peak demand is the capability of maternity units to maintain safe outcomes. Additional to variation in birth numbers, heightened patient expectations, social issues and increased prevalence of medical comorbidities have increased functional demand on maternity units, at a time of more restricted health expenditure. Intuitively, it seems logical to suppose that gaps in provision experienced in practice could have an accumulative effect on patient satisfaction, clinical outcomes, and perhaps even midwives' health and morale. This review presents data on variation in birth rates over seven decades, across the seasons, during the week and throughout the day. Recent functional demands on maternity services are reviewed alongside changes in staffing that influence capacity. The need for further research into possible links between demand, staffing and outcomes is explained.

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Failures in Childbirth Care

Abstract: The study, first published in 2003, looks at the root causes of adverse events and near misses in obstetrics at seven hospital maternity units by interviewing 93 members of staff, identifying the areas of mismanagement in each case and thematically analysing them.

Cited by 2 publications

References 0 publications

Influences on safety of intrapartum electronic fetal heart rate monitoring practices: a scoping review

Influences on safety of intrapartum electronic fetal heart rate monitoring practices: a scoping review

Midwifery staffing: Variation and mismatch in demand and capacity

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