原创力文档reduction of severe acute maternal morbidity and maternal mortality in thyolo district, malawi the impact of obstetric audit减少严重急性孕产妇thyolo地区发病率和孕产妇死亡率、马拉维产科审计的影响.pdfVIP
- 1、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。。
- 2、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击 这里二次下载。
- 3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
- 4、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
- 5、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
- 6、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
- 7、VIP文档为合作方或网友上传，每下载1次， 网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档
查看更多
reduction of severe acute maternal morbidity and maternal mortality in thyolo district, malawi the impact of obstetric audit减少严重急性孕产妇thyolo地区发病率和孕产妇死亡率、马拉维产科审计的影响
Reduction of Severe Acute Maternal Morbidity and
Maternal Mortality in Thyolo District, Malawi: The Impact
of Obstetric Audit
1,2 3 1 1
Thomas van den Akker *, Jair van Rhenen , Beatrice Mwagomba , Kinke Lommerse , Steady
Vinkhumbo1, Jos van Roosmalen2,3
1Thyolo District Health Office, Ministry of Health, Thyolo, Malawi, 2 Department of Medical Humanities, EMGO Institute for Health and Care Research, VU University
Medical Center, Amsterdam, The Netherlands, 3 Department of Obstetrics, Leiden University Medical Center, Leiden, The Netherlands
Abstract
Background: Critical incident audit and feedback are recommended interventions to improve the quality of obstetric care.
To evaluate the effect of audit at district level in Thyolo, Malawi, we assessed the incidence of facility-based severe maternal
complications (severe acute maternal morbidity (SAMM) and maternal mortality) during two years of audit and feedback.
Methodology/Principal Findings: Between September 2007 and September 2009, we included all cases of maternal
mortality and SAMM that occurred in Thyolo District Hospital, the main referral facility in the area, using validated disease-
specific criteria. During two- to three-weekly audit sessions, health workers and managers identified substandard care
factors. Resulting recommendations were implemented and followed up. Feedback was given during subsequent sessions.
A linear regression analysis was performed on facility-based severe maternal complications. During the two-year study
period, 386 women were included: 46 died and 340 sustained SAMM, giving a case fatality rate of 11.9%. Forty-five cases out
of the 386 inclusions were audited in plenary with hospital staff
您可能关注的文档
- rasgap-derived fragment n increases the resistance of beta cells towards apoptosis in nod mice and delays the progression from mild to overt diabetesrasgap-derived片段n增加β细胞对凋亡的抵抗点头老鼠和延迟进展从轻微到明显的糖尿病.pdf
- ratio between negative and positive lymph nodes is suitable for evaluation the prognosis of gastric cancer patients with positive node metastasis正面和负面的淋巴结之间的比率是适合评估胃癌患者的预后积极节点转移.pdf
- rates of decline in alzheimer disease decrease with age阿尔茨海默病的几率下降随着年龄增长而减少.pdf
- rates of gyrase supercoiling and transcription elongation control supercoil density in a bacterial chromosome的促旋酶成为超螺旋和转录延伸控制超螺旋密度细菌染色体.pdf
- rare copy number variants observed in hereditary breast cancer cases disrupt genes in estrogen signaling and tp53 tumor suppression network罕见的拷贝数变异遗传性乳腺癌病例中观察到的破坏和tp53的肿瘤抑制基因在雌性激素信号网络.pdf
- ratio-based analysis of differential mrna processing and expression of a polyadenylation factor mutant pcfs4 using arabidopsis tiling microarrayratio-based微分mrna分析处理和表达一个聚腺苷酸化因子突变pcfs4使用拟南芥花砖微阵列.pdf
- rational choices for allocating antiretrovirals in africa treatment equity, epidemiological efficiency, and feasibility理性选择分配在非洲的抗逆转录病毒药物治疗股本,流行病学的效率和可行性.pdf
- rates of water loss and uptake in recalcitrant fruits of quercus species are determined by pericarp anatomy的失水率和吸收的顽固的水果quercus物种是由果皮结构决定的.pdf
- rational prescribing in primary care (rapp) economic evaluation of an intervention to improve professional practice合理的处方在初级保健(rapp)干预提高专业实践的经济评价.pdf
- rational engineering of enzyme allosteric regulation through sequence evolution analysis合理的工程酶的变构调节通过序列进化分析.pdf
- reductions in the prevalence and incidence of geohelminth infections following a city-wide sanitation program in a brazilian urban centre减少geohelminth感染的患病率和发病率在全市卫生计划在巴西的城市中心.pdf
- reductions in inpatient mortality following interventions to improve emergency hospital care in freetown, sierra leone降低住院死亡率在弗里敦干预改善紧急住院治疗之后,塞拉利昂.pdf
- reduction in inflammatory gene expression in skeletal muscle from roux-en-y gastric bypass patients randomized to omentectomy减少炎症基因表达的骨骼肌roux - en - y胃旁路手术病人随机网膜切除术.pdf
- reduction of n-glycolylneuraminic acid in human induced pluripotent stem cells generated or cultured under feeder- and serum-free defined conditions减少n-glycolylneuraminic酸在人类诱导多能干细胞生成或无血清培养系统馈线和下定义的条件.pdf
- redundancy and the evolution of cis-regulatory element multiplicity冗余和多样性基因的进化元素.pdf
- reduction of prep1 levels affects differentiation of normal and malignant b cells and accelerates myc driven lymphomagenesis减少prep1水平影响正常和恶性b细胞的分化和加速myc便驱动.pdf
- reduction of type iv collagen by upregulated mir-29 in normal elderly mouse and klotho-deficient, senescence-model mouseiv型胶原蛋白的减少调节正常老年老鼠和klotho-deficient mir-29,senescence-model鼠标.pdf
- reductive genome evolution from the mother of rickettsia还原基因组进化的立克次氏体的母亲.pdf
- redundant function of rev-erbα and β and non-essential role for bmal1 cycling in transcriptional regulation of intracellular circadian rhythms冗余的函数rev-erbαβ和不必要的角色bmal1自行车在细胞内的转录调节昼夜节律.pdf
- reduction of surgical site infections after implementation of a bundle of care减少手术部位感染后一束护理的实施.pdf
文档评论（0）