The Guadeloupean perinatal mortality audit: process, results, and implications.

de Caunes, F; Alexander, G R; Berchel, C; Guengant, J P; Papiernik, E

de Caunes, F; Alexander, G R; Berchel, C; Guengant, J P; Papiernik, E.

Afiliação

de Caunes F; Department of Maternal and Child Health, School of Hygiene and Public Health, Johns Hopkins University.

Am J Prev Med ; 6(6): 339-45, 1990.

Article em En | MEDLINE | ID: mdl-2076302

ABSTRACT

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.

Assuntos

Mortalidade Infantil; Auditoria Médica/organização & administração; Causas de Morte; Anormalidades Congênitas/prevenção & controle; Feminino; Sofrimento Fetal/prevenção & controle; Humanos; Recém-Nascido de Baixo Peso; Recém-Nascido; Masculino; Índias Ocidentais

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

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