The Guadeloupean Perinatal Mortality Audit: Process, Results, and Implications

Caunes, F de; Alexander, Greg R.; Berchel, C; Guengant, Jean-Pierre; Papiernik, E

doi:10.1016/s0749-3797(18)30980-2

Cited by 13 publications

(14 citation statements)

References 19 publications

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“…Although in other applications, audit and feedback have not been consistently found to be effective [ 138 ], several RCTs of perinatal audit processes and feedback reported significant improvements in professional practice and/or reductions in perinatal mortality [ 125 - 128 , 130 , 139 ]. Our review indicates that perinatal audit can effectively identify problems in overall obstetric care, and implementation of subsequent changes in practice is often followed by measurable declines in perinatal mortality (Grade B evidence).…”

Section: Resultsmentioning

confidence: 99%

“…To improve quality of care in hospitals, districts, and regions with high rates of stillbirths and perinatal mortality, we recommend further research regarding the impact of emergency obstetric drills on provider practices and perinatal mortality outcomes, as well as more widespread use of perinatal audit systems. Perinatal audit systems hold considerable promise for improving maternal and newborn outcomes [ 87 , 124 , 139 , 158 ]. Audit recommendations can bring about improvements in case management, hospital policies, standards of care, and national guidelines that can help improve quality of care and consequently reduce the burden of preventable stillbirths and perinatal mortality.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Delivering interventions to reduce the global burden of stillbirths: improving service supply and community demand

Bhutta

Darmstadt

Haws

et al. 2009

BMC Pregnancy Childbirth

135

110

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Background: Although a number of antenatal and intrapartum interventions have shown some evidence of impact on stillbirth incidence, much confusion surrounds ideal strategies for delivering these interventions within health systems, particularly in low-/middle-income countries where 98% of the world's stillbirths occur. Improving the uptake of quality antenatal and intrapartum care is critical for evidence-based interventions to generate an impact at the population level. This concluding paper of a series of papers reviewing the evidence for stillbirth interventions examines the evidence for community and health systems approaches to improve uptake and quality of antenatal and intrapartum care, and synthesises programme and policy recommendations for how best to deliver evidence-based interventions at community and facility levels, across the continuum of care, to reduce stillbirths.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Delivering interventions to reduce the global burden of stillbirths: improving service supply and community demand

Bhutta

Darmstadt

Haws

et al. 2009

BMC Pregnancy Childbirth

135

110

View full text Add to dashboard Cite

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“…The Jamaican University Hospital reported a rate of 1.4 per 1000 for GBS and 4 per 1000 for all NBS (8), which is much less than the Guadeloupean experience in the same geographical area. During the same period, the perinatal mortality rate was reported to be 38 per 1000 in Jamaica (1 7 per 1000 in Guadeloupe) and this rate may have included unknown fatal neonatal sepsis (1 I), During the two-year perinatal mortality study in Guadeloupe (12), neonatal infection was implicated in 15% of cases and found to be the third leading cause of perinatal deaths.…”

Section: Discussionmentioning

confidence: 98%

“…Other studies report neonatal septicemia in Senegal ( I 5 ) and Cameroon (1 6) or neonatal meningitis in Zimbabwe (1 7), without reporting the incidence of neonatal septicemia. The few neonatal mortality reports in tropical areas discussing fetal infection implicate bacterial sepsis as a major cause of death in neonates (12,18). This is probably explained by the lack of bacteriological laboratories in these countries and the cost of wide scale blood cultures (6,15).…”

Section: Discussionmentioning

confidence: 99%

Neonatal bacterial septicemia in a tropical area. Four-year experience in Guadeloupe (French West Indies)

Robillard¹,

Nabeth²,

Hulsey³

et al. 1993

Acta Paediatrica

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During a four-year study (1 987-1990) at the Neonatal Department, University Hospital Pointe-a-Pitre (French West Indies), blood culture was systematically performed on all admitted newborns. The incidence of septicemia was 48 of 1000 admissions and 8.9 of 1000 inborn live births. Among the 107 neonatal positive blood cultures, group B streptococcus accounted for 37% of blood culture isolates and was the most frequent cause of septicemia. The overall mortality rate was 8.4%. The incidence of neonatal bacterial septicemia was among the high rates reported in the literature. The incidence of neonatal bacterial septicemia is discussed as a public health problem in perinatology in Guadeloupe in spite of good medical care. A review of the literature on bacterial septicemia in tropical or developing countries compared to the Guadeloupean experience allows speculation that this problem might be underestimated in third world countries. 0 Developing countries, group B streptococcus, neonate P-Y Robillard. Centre Hospitalier Universitaire, Maternit&, B P 465 97159 Pointe-a-Pitre cedex, Guadeloupe, French West Indies

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“…Impact analysis: A study from Gaudeloupe [239] showed a 25% reduction in perinatal mortality rate with the application of perinatal audit. Studies by Hawthorne et al [240] and Krue et al 241 also showed significant reduction in the perinatal mortality rate with population based perinatal audit.…”

Section: Perinatal Auditmentioning

confidence: 99%

The interconnections between maternal and newborn health – evidence and implications for policy

Lassi

Majeed

Rashid

et al. 2013

The Journal of Maternal-Fetal & Neonatal Medicine

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The past decade has witnessed increasing global attention and political support for maternal, newborn and child health. Despite this increased attention, actual progress has been slow and sporadic: coverage of key maternal and newborn health interventions remains low and there are wide disparities in access to care, within and across countries. Strategies for improving maternal and newborn health are closely linked, and can be delivered most effectively through a continuum of care approach. While these interventions are largely known, there is little information on which interventions have a positive health impact for both women and newborns. This supplement identifies the interventions during the preconception, pregnancy, intrapartum and postnatal periods found to have a positive, synergistic effect on maternal and neonatal outcomes. These interventions are then grouped into packages of care for delivery at the community, health center or hospital levels.

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The Guadeloupean Perinatal Mortality Audit: Process, Results, and Implications

Cited by 13 publications

References 19 publications

Delivering interventions to reduce the global burden of stillbirths: improving service supply and community demand

Delivering interventions to reduce the global burden of stillbirths: improving service supply and community demand

Neonatal bacterial septicemia in a tropical area. Four-year experience in Guadeloupe (French West Indies)

The interconnections between maternal and newborn health – evidence and implications for policy

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