PHA-Exchange> Beyond the Numbers: Reviewing maternal deaths and complications to make pregnancy safer

[Claudio]

From: Ruggiero, Mrs. Ana Lucia (WDC) 

Beyond the Numbers: 

Reviewing maternal deaths and complications to make pregnancy safer

 

World Health Organization, Geneva, 2004

 

Available online as PDF file [150p.] at: http://www.who.int/reproductive-health/publications/btn/btn.pdf 

 

·         Avoiding maternal deaths is possible, even in resource-poor countries, but it requires the right kind of information on which to base programmes.

·         Knowing the level of maternal mortality is not enough; we need to understand the underlying factors that led to the deaths.

·         Each maternal death or case of life-threatening complication has a story to tell and can provide indications on practical ways of addressing the problem.

·         A commitment to act upon the findings of these reviews is a key prerequisite for success.

 

 

Table of Contents

Preface 

What is this guide about?   - Who is this guide for?   - What is the structure of this guide? -  How to use this guide?

Introduction -  Background  - The purpose of this document  - Why mothers die: a new approach - The importance of "telling the story" 

Learning lessons is a prerequisite for action 

The approaches -  Practical issues in implementing the approaches 

Community-based surveys - Facility-based surveys 

Definitions of maternal death - Identifying maternal deaths 

Key principles for data collection 

Translating findings into action - What sort of recommendations should be made? 

Disseminating findings and recommendations - Who to inform of the results

Ensuring confidentiality and the legal and ethical framework 

Legal considerations - Ethical considerations 

Sources of further information 

Verbal autopsies: learning from reviewing deaths in the community 

Facility-based maternal deaths review: learning from deaths occurring in health facilities 

What is a facility-based maternal deaths review? 

The levels at which a review may take place 

The history of maternal death reviews 

The advantages and disadvantages of a facility-based maternal deaths review 

Step-by-step process for undertaking a maternal deaths review 

Confidential enquiries into maternal deaths 

Reviewing severe maternal morbidity: learning from survivors of life-threatening complications 

 



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