Gaps in obstetric care processes – we can only improve what is being measured

Author:

Luthander Charlotte Millde,Järnbert Pettersson Hans,Högberg Ulf,Berglund Sophie,Grunewald Charlotta

Abstract

Abstract:A multifaceted intervention at all six obstetric units in the Stockholm Health Region was performed in 2008–2011 in order to increase safety for the newborn infants. Case-controlled criterion-based reviews of care processes during labor and delivery have been used to assess factors associated with suboptimal care during labor and delivery. Categories of increased risk of adverse outcome during labor and delivery were defined. Cases with low Apgar scores and healthy controls were scrutinized and compared to data from a study with an identical design performed before the intervention. The risk of suboptimal care increased twice among controls and three times among cases when reviewing specific criteria after a multifaceted intervention. There are still gaps in care processes that need attention. Improving guidelines is important but not enough alone, and the management of fetal surveillance needs further improvement. The complexity of reviewing care processes using criterion-based research methodology is highlighted.

Publisher

Walter de Gruyter GmbH

Subject

Obstetrics and Gynecology,Pediatrics, Perinatology and Child Health

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Reassuringly expensive – A commentary on obstetric emergency training in high-resource settings;Best Practice & Research Clinical Obstetrics & Gynaecology;2021-11

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