College of Medicine and Dentistry, James Cook University, Cairns, QLD, Australia.
King Edward Memorial Hospital, Perth, WA, Australia.
BMC Pregnancy Childbirth. 2018 Jun 11;18(1):221. doi: 10.1186/s12884-018-1862-6.
Australia has a maternal mortality ratio of 6.8/100000 live births, a rate akin to other developed countries and consistent with the high level care provided within the Australian health care system. With maternal mortality at very low levels assessment of severe maternal morbidity is increasingly being used as an indicator of quality of care and to identify areas for improvement in maternity services. The WHO maternal 'near miss' criteria is a standardised tool has been increasingly used worldwide to assess maternal morbidity and standards of maternity care. The aim of this study was to determine the rate and aetiology of maternal 'near misses' at King Edward Memorial Hospital (KEMH) using the WHO near miss criteria.
Cases of maternal 'near miss' were prospectively identified at KEMH using the WHO near miss criteria over a period of 6 months (1st December 2014 to 31st May 2015). A descriptive analysis of the results was undertaken.
During the study there were 2773 live births with 19 women who had 'near miss' presentations. There were no maternal deaths. The maternal 'near miss' index rate was 7/1000 live births. The main causes of obstetric 'near miss' were obstetric haemorrhage, pre-eclampsia and early pregnancy complications.
The rate of maternal 'near miss' at KEMH was 7/1000 live births and post-partum haemorrhage was identified as the most common aetiology, consistent with other studies in developed countries. Further research comparing currently utilised local, state and national morbidity systems would allow further validation of the WHO near miss criteria in Australian settings. The study presented in this publication was undertaken at King Edward Memorial Hospital, 374 Bagot Rd., Subiaco WA 6008.
澳大利亚的产妇死亡率为每 10 万活产儿 6.8 例，这一比率与其他发达国家相当，与澳大利亚医疗保健系统提供的高水平护理一致。由于产妇死亡率非常低，因此越来越多地使用严重产妇发病率评估作为护理质量的指标，并确定改善产科服务的领域。世界卫生组织（WHO）产妇“接近死亡”标准是一种标准化工具，已在全球范围内越来越多地用于评估产妇发病率和产科护理标准。本研究旨在使用世界卫生组织（WHO）接近死亡标准确定国王爱德华纪念医院（KEMH）的产妇“接近死亡”的发生率和病因。
在一段时间内（2014 年 12 月 1 日至 2015 年 5 月 31 日），使用世界卫生组织（WHO）接近死亡标准，在国王爱德华纪念医院（KEMH）前瞻性地确定产妇“接近死亡”病例。对结果进行描述性分析。
在研究期间，有 2773 例活产，有 19 例妇女出现“接近死亡”表现。没有产妇死亡。产妇“接近死亡”指数率为每 1000 例活产 7 例。产科“接近死亡”的主要原因是产科出血、子痫前期和早期妊娠并发症。
KEMH 的产妇“接近死亡”发生率为每 1000 例活产 7 例，产后出血被确定为最常见的病因，与其他发达国家的研究一致。进一步比较目前使用的本地、州和国家发病率系统的研究将允许进一步验证世界卫生组织（WHO）接近死亡标准在澳大利亚环境中的适用性。本出版物中介绍的研究是在国王爱德华纪念医院进行的，地址是西澳大利亚州 Subiaco 374 Bagot Rd.，邮编 6008。
