The Guadeloupean perinatal mortality audit: process, results, and implications.
Am J Prev Med
; 6(6): 339-45, 1990.
Article
em En
| MEDLINE
| ID: mdl-2076302
ABSTRACT
PIP: In 1983, the authors implemented an ongoing perinatal mortality audit in Guadeloupe to identify factors underlying the current level of poor perinatal outcome and to stimulate increased provider motivation. The audit was part of an active research approach to document the specific nature of the perceived perinatal health problem, to modify provider behavior through the use of this acquired information, and, ultimately, to decrease avoidable perinatal deaths. The authors investigated all 320 perinatal deaths in Guadeloupe during 1984-85. Nearly 1/2 of all perinatal deaths reviewed were determined to be related to maternal high blood pressure, maternal/fetal infection, and preterm delivery. Slightly more than 1/2 of the perinatal mortality rates exhibited a marked decline. The findings of this study support claims that perinatal audits with confidential inquiries may help effect change in perinatal health status in a population; the findings also call attention to the potential benefits of incorporating motivational incentives into these activities.
Palavras-chave
Action Research; Age Factors; Americas; Biology; Birth Weight; Body Weight; Caribbean; Causes Of Death; Cost Effectiveness; Delivery Of Health Care; Demographic Factors; Demographic Impact; Developing Countries; Evaluation; Evaluation Indexes; Fetal Death--etiology; Guadeloupe; Health; Health Personnel; Infant; Infant Mortality--etiology; Infant, Premature; Low Birth Weight; Methodological Studies; Mortality; North America; Organization And Administration; Period Analysis; Physicians; Physiology; Population; Population Characteristics; Population Dynamics; Program Evaluation; Programs; Quantitative Evaluation; Research Methodology--cost; Youth
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Mortalidade Infantil
/
Auditoria Médica
Tipo de estudo:
Prognostic_studies
Aspecto:
Patient_preference
Limite:
Female
/
Humans
/
Male
/
Newborn
País/Região como assunto:
Caribe
Idioma:
En
Revista:
Am J Prev Med
Assunto da revista:
SAUDE PUBLICA
Ano de publicação:
1990
Tipo de documento:
Article
País de publicação:
Holanda