Maternal Deaths From Hypertensive Disorders: Lessons Learnt

Nyfløt, Lill Trine; Ellingsen, Liv; Yli, Branka M.; Øian, Pål; Vangen, Siri

doi:10.1097/01.aoa.0000557641.96887.ff

Cited by 6 publications

(9 citation statements)

References 1 publication

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“…Proper prenatal care, close monitoring of blood pressure, rational use of anti‐hypertensive drugs, detection of pre‐eclampsia symptoms before delivery, and timely termination of pregnancy have reduced the incidence of pregnancy‐induced hypertension 3‐5 . However, it is undeniable that HDP still exist and significantly influence maternal pregnancy status and fetal survival rate 6‐8 . Statistics show that pregnancy‐related hypertension affects 3%–10% of pregnancies 9 .…”

Section: Introductionmentioning

confidence: 99%

The association between smoking during pregnancy and hypertensive disorders of pregnancy: A systematic review and meta‐analysis

Wang

Yang

Xiao

et al. 2021

Intl J Gynecology & Obste

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Background Smoking is a major public health problem. However, its association with hypertensive disorders of pregnancy (HDP) is inconclusive. Objective To find the association between smoking during pregnancy and HDP. Search strategy We searched PubMed, Ovid and Cochrane Library up to March, 2021, using terms including “smoking” and “HDP”. Selection criteria Observational studies that assessed the relationship between smoking during pregnancy and HDP were included. Data collection and analysis Odds ratios (OR) and 95% confidence intervals (CI), and other necessary data were extracted. Stata16.0 MP was used to analyze statistics. Main results A total of 13 studies were included. Meta‐analysis revealed that smoking during pregnancy was a protective factor for HDP (OR 0.78, 95% CI 0.67–0.92), gestational hypertension (OR 0.74, 95% CI 0.69–0.79), and pre‐eclampsia (OR 0.65, 95% CI 0.58–0.73). Subgroup analysis showed that smoking during pregnancy was a risk factor for HDP in Asia but a protective factor in Europe and North America. Neither quitting smoking before pregnancy nor during pregnancy had a statistically significant association with HDP. Conclusion This meta‐analysis revealed that smoking during pregnancy might prevent HDP, gestational hypertension, and pre‐eclampsia. Smoking during pregnancy was a risk factor for HDP in Asia but a protective factor in Europe and North America.

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Section: Introductionmentioning

confidence: 99%

The association between smoking during pregnancy and hypertensive disorders of pregnancy: A systematic review and meta‐analysis

Wang

Yang

Xiao

et al. 2021

Intl J Gynecology & Obste

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“…Most births are uneventful for the women involved, even if unexpected complications and patient harm can occasionally occur (Danilack, Nunes, & Phipps, 2015;WHO, 2017). Maternal death due to pregnancy and childbirth is unusual and considered a major human tragedy (Nyfløt, Ellingsen, Yli, Øian, & Vangen, 2018). Research about patient safety in connection to childbirth often targets the neonate (Ashcroft, 2008;Millde Luthander, 2016), with fewer studies focusing on the woman giving birth (Jacobson, Zlatnik, Kennedy, & Lyndon, 2013;Sheldon et al, 2014).…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…Pressure connected to high workload was prominent in other studies, but not connected to patient safety (Aune, Amundsen, & Skaget Aas, 2014;Hansson et al, 2019;Hunter & Warren, 2014 The informants in the study emphasized the importance of learning from critical incidents, but reflection on such incidents was not a regular practice. Learning lessons in the aftermath of patient harm is crucial for improving patient safety (Kohn et al, 2000;Nyfløt et al, 2018;Robertson & Thomson, 2016).…”

Section: Managing Workforce and Learningmentioning

confidence: 99%

Healthcare professionals' perceptions of patient safety for the woman in childbirth in Sweden – An interview study

et al. 2019

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Aim To describe healthcare professionals' perceptions of patient safety with a focus on the woman in connection to childbirth. Design A descriptive and qualitative design with a phenomenographic approach. Methods Individual qualitative face‐to‐face interviews with 19 healthcare professionals (midwives, nursing assistants and physicians) were conducted in three labour wards in Sweden. The data were analysed according to Dahlgren and Fallsberg's seven steps. Results The informants' perceptions of patient safety for the women were identified in four qualitative different descriptive categories: Safeguarding the woman, Safeguarding the birth process, Respecting the individual and the team and Managing workforce and learning. Supportive care and listening to the woman were important for patient safety. It was crucial to follow labour stages and to avoid unnecessary interventions. An open and tolerant atmosphere between the healthcare professionals improved decision‐making, and a reasonable workload was essential for ensuring safe care.

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“…The prevalence of the adverse consequences of pre-eclampsia (PE), including maternal and perinatal mortality and morbidity, is higher in preterm PE, with delivery at < 37 weeks, than in term PE, but the overall contribution to adverse outcome may be the same because term PE is three times as common as preterm PE [1][2][3][4][5][6] . Preterm PE can, to a great extent, be predicted and prevented by screening at 11-13 weeks' gestation and treating the high-risk group with aspirin.…”

Section: Introductionmentioning

confidence: 99%

STATIN trial: predictive performance of competing‐risks model in screening for pre‐eclampsia at 35–37 weeks' gestation

Döbert

Wright

Varouxaki

et al. 2022

Ultrasound in Obstet & Gyne

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What are the novel findings of this work?This prospective multicenter study of screening for pre-eclampsia (PE) in 29 677 singleton pregnancies at 35 + 0 to 36 + 6 weeks' gestation by means of the competing-risks model with a combination of maternal risk factors, mean arterial pressure, serum placental growth factor and serum soluble fms-like tyrosine kinase-1 has validated a previously reported algorithm. There was very high discrimination between affected and unaffected pregnancies and good agreement between the predicted risk and observed incidence of PE. What are the clinical implications of this work?Effective screening for PE at 36 weeks' gestation provides an opportunity for the development of strategies to reduce the incidence or adverse consequences of term PE.

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Maternal Deaths From Hypertensive Disorders: Lessons Learnt

Cited by 6 publications

References 1 publication

The association between smoking during pregnancy and hypertensive disorders of pregnancy: A systematic review and meta‐analysis

The association between smoking during pregnancy and hypertensive disorders of pregnancy: A systematic review and meta‐analysis

Healthcare professionals' perceptions of patient safety for the woman in childbirth in Sweden – An interview study

STATIN trial: predictive performance of competing‐risks model in screening for pre‐eclampsia at 35–37 weeks' gestation

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