Clinical obstetrics and gynecology
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Clin Obstet Gynecol · Jun 2018
Reducing Maternal Mortality and Severe Maternal Morbidity Through State-based Quality Improvement Initiatives.
State Perinatal Quality Collaboratives (PQCs) represent a major advance for scaling up quality improvement efforts for reducing maternal mortality and severe maternal morbidity. The critical roles of partners, rapid-cycle low-burden data systems, and linkage to maternal mortality review committees are reviewed. ⋯ California's experience with its PQC, data center, quality improvement efforts, and promising results for reduction of maternal mortality and morbidity from hemorrhage are presented. Early data from other states is also shared.
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Clin Obstet Gynecol · Jun 2018
A View From the UK: The UK and Ireland Confidential Enquiry into Maternal Deaths and Morbidity.
The UK Confidential Enquiry into Maternal Deaths has been in operation for more than 60 years, during which time maternal mortality rates have fallen 10-fold. The program includes two aspects, surveillance and confidential case review, providing different information to aid quality improvement in maternity care. ⋯ Recommendations have very clearly led to improved outcomes for women, most notably shown in the very low mortality rate due to hypertensive and related disorders of pregnancy. Maternal cardiac disease and mental health problems remain the major areas still to be addressed.