dc.contributor.author |
MacDonald, Evelyn Jane |
|
dc.contributor.author |
Lepine, Sam |
|
dc.contributor.author |
Pledger, Megan |
|
dc.contributor.author |
Geller, Stacie E |
|
dc.contributor.author |
Lawton, Bev |
|
dc.contributor.author |
Stone, Peter |
|
dc.coverage.spatial |
Australia |
|
dc.date.accessioned |
2022-08-23T23:21:16Z |
|
dc.date.available |
2022-08-23T23:21:16Z |
|
dc.date.issued |
2019-12 |
|
dc.identifier.citation |
(2019). Australian and New Zealand Journal of Obstetrics and Gynaecology, 59(6), 825-830. |
|
dc.identifier.issn |
0004-8666 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/60929 |
|
dc.description.abstract |
INTRODUCTION:Pre-eclampsia and related sequelae are a leading cause of severe maternal and neonatal morbidity and mortality. A significant proportion of these poor outcomes may be preventable with improvements along the continuum of maternal and neonatal care. AIMS:The aim of this study was to review cases of pre-eclampsia resulting in severe maternal morbidity, describing the maternal and neonatal outcomes and the potential preventability of severe maternal morbidity (SMM). MATERIALS AND METHODS:This was a retrospective cohort study of cases of SMM associated with severe pre-eclampsia - a subset of a national SMM review study. Inclusion criteria for this subset were women who were pregnant or within 42 days of delivery with severe pre-eclampsia as the main reason for admission to an intensive care unit or high dependency unit in New Zealand between 1 August 2013 and 31 January 2015 inclusive. A multidisciplinary expert panel reviewed cases for preventability using a validated preventability tool. RESULTS:Of the 89 severe morbidities that were reviewed, 10 had eclampsia (11%) and there were four neonatal mortalities (4.3%). Multidisciplinary committees assessed the severe morbidity as potentially preventable in 31% (28) of cases with the majority due to delays in diagnosis and suboptimal treatment. CONCLUSION:We found a high level of preventable morbidity in cases of severe pre-eclampsia with a concerning number of preventable eclampsia. Implementation of evidence-based guidelines reinforced with education would assist clinicians to improve risk recognition, timely diagnosis and treatment and decrease potentially preventable severe morbidity associated with pre-eclampsia. |
|
dc.format.medium |
Print-Electronic |
|
dc.language |
eng |
|
dc.publisher |
Wiley |
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dc.relation.ispartofseries |
The Australian & New Zealand journal of obstetrics & gynaecology |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.subject |
Humans |
|
dc.subject |
Pre-Eclampsia |
|
dc.subject |
Pregnancy Outcome |
|
dc.subject |
Risk Factors |
|
dc.subject |
Retrospective Studies |
|
dc.subject |
Pregnancy |
|
dc.subject |
Adult |
|
dc.subject |
New Zealand |
|
dc.subject |
Female |
|
dc.subject |
Obstetric Labor Complications |
|
dc.subject |
Young Adult |
|
dc.subject |
Quality Improvement |
|
dc.subject |
eclampsia |
|
dc.subject |
preventability |
|
dc.subject |
severe maternal morbidity |
|
dc.subject |
Patient Safety |
|
dc.subject |
Infant Mortality |
|
dc.subject |
Contraception/Reproduction |
|
dc.subject |
Pediatric |
|
dc.subject |
Perinatal Period - Conditions Originating in Perinatal Period |
|
dc.subject |
Reproductive health and childbirth |
|
dc.subject |
3 Good Health and Well Being |
|
dc.subject |
1117 Public Health and Health Services |
|
dc.subject |
1114 Paediatrics and Reproductive Medicine |
|
dc.subject |
Clinical |
|
dc.subject |
Clinical Medicine and Science |
|
dc.subject |
Infant Mortality/ (LBW) |
|
dc.title |
Pre-eclampsia causing severe maternal morbidity - A national retrospective review of preventability and opportunities for improved care. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1111/ajo.12971 |
|
pubs.issue |
6 |
|
pubs.begin-page |
825 |
|
pubs.volume |
59 |
|
dc.date.updated |
2022-07-24T23:10:18Z |
|
dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
30883684 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/30883684 |
|
pubs.end-page |
830 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Journal Article |
|
pubs.elements-id |
790294 |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
School of Medicine |
|
pubs.org-id |
Obstetrics and Gynaecology |
|
dc.identifier.eissn |
1479-828X |
|
pubs.record-created-at-source-date |
2022-07-25 |
|
pubs.online-publication-date |
2019-12 |
|