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Feasibility of establishing a Canadian Obstetric Survey System (CanOSS) for severe maternal morbidity: a study protocol.
D'Souza, Rohan; Seymour, Rebecca J; Knight, Marian; Dzakpasu, Susie; Joseph, K S; Thorne, Sara; Ospina, Maria B; Barrett, Jon; Cook, Jocelynn; Fell, Deshayne B; Scott, Heather; Metcalfe, Amy; van den Akker, Thomas; Lapinsky, Stephen; Skeith, Leslie; Murray-Davis, Beth; Shah, Prakesh; Forte, Milena; Ashraf, Rizwana; Chundamala, Josie; Hutchinson, Sarah A; Chen, Kenneth K; Malhamé, Isabelle.
Afiliación
  • D'Souza R; Department of Obstetrics & Gynaecology, McMaster University, Hamilton, Ontario, Canada rohan@mcmaster.ca.
  • Seymour RJ; Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada.
  • Knight M; Department of Obstetrics & Gynaecology, Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.
  • Dzakpasu S; Department of Obstetrics & Gynaecology, McMaster University, Hamilton, Ontario, Canada.
  • Joseph KS; National Perinatal Epidemiology Unit, University of Oxford, Oxford, UK.
  • Thorne S; Maternal and Infant Health Section, Centre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, Ontario, Canada.
  • Ospina MB; Department of Obstetrics & Gynaecology, The University of British Columbia, Vancouver, British Columbia, Canada.
  • Barrett J; The University of British Columbia School of Population and Public Health, Vancouver, British Columbia, Canada.
  • Cook J; Division of Cardiology, Pregnancy & Heart Disease Program, University of Toronto, Toronto, Ontario, Canada.
  • Fell DB; Department of Obstetrics & Gynecology, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada.
  • Scott H; Department of Obstetrics & Gynaecology, McMaster University, Hamilton, Ontario, Canada.
  • Metcalfe A; Society of Obstetricians and Gynaecologists, Ottawa, Ontario, Canada.
  • van den Akker T; Department of Obstetrics and Gynecology, University of Ottawa, Ottawa, Ontario, Canada.
  • Lapinsky S; School of Epidemiology and Public Health, Children's Hospital of Eastern Ontario (CHEO) Research Institute, University of Ottawa, Ottawa, Ontario, Canada.
  • Skeith L; Department of Obstetrics & Gynaecology, Dalhousie University and the IWK Health Centre, Halifax, Nova Scotia, Canada.
  • Murray-Davis B; Department of Community Health Sciences, Department of Obstetrics & Gynaecology, and Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
  • Shah P; Department of Obstetrics & Gynaecology, Leiden University, Leiden, The Netherlands.
  • Forte M; Athena Institute, VU University Amsterdam, Amsterdam, The Netherlands.
  • Ashraf R; Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ontario, Canada.
  • Chundamala J; Division of Hematology and Hematological Malignancies, Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
  • Hutchinson SA; Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
  • Chen KK; McMaster Midwifery Research Centre, McMaster University, Hamilton, Ontario, Canada.
  • Malhamé I; Department of Pediatrics, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.
BMJ Open ; 12(3): e061093, 2022 03 23.
Article en En | MEDLINE | ID: mdl-35321901
INTRODUCTION: Severe maternal morbidity (SMM)-an unexpected pregnancy-associated maternal outcome resulting in severe illness, prolonged hospitalisation or long-term disability-is recognised by many, as the preferred indicator of the quality of maternity care, especially in high-income countries. Obtaining comprehensive details on events and circumstances leading to SMM, obtained through maternity units, could complement data from large epidemiological studies and enable targeted interventions to improve maternal health. The aim of this study is to assess the feasibility of gathering such data from maternity units across Canadian provinces and territories, with the goal of establishing a national obstetric survey system for SMM in Canada. METHODS AND ANALYSIS: We propose a sequential explanatory mixed-methods study. We will first distribute a cross-sectional survey to leads of all maternity units across Canada to gather information on (1) Whether the unit has a system for reviewing SMM and the nature and format of this system, (2) Willingness to share anonymised data on SMM by direct entry using a web-based platform and (3) Respondents' perception on the definition and leading causes of SMM at a local level. This will be followed by semistructured interviews with respondent groups defined a priori, to identify barriers and facilitators for data sharing. We will perform an integrated analysis to determine feasibility outcomes, a narrative description of barriers and facilitators for data-sharing and resource implications for data acquisition on an annual basis, and variations in top-5 causes of SMM. ETHICS AND DISSEMINATION: The study has been approved by the Mount Sinai and Hamilton Integrated Research Ethics Boards. The study findings will be presented at annual scientific meetings of the Society of Obstetricians and Gynaecologists of Canada, North American Society of Obstetric Medicine, and International Network of Obstetric Survey Systems and published in an open-access peer-reviewed Obstetrics and Gynaecology or General Internal Medicine journal.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicios de Salud Materna Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Ethics Límite: Female / Humans / Pregnancy País/Región como asunto: America do norte Idioma: En Revista: BMJ Open Año: 2022 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicios de Salud Materna Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Ethics Límite: Female / Humans / Pregnancy País/Región como asunto: America do norte Idioma: En Revista: BMJ Open Año: 2022 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido