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Maternal mortality and obstetric care

Not Applicable
Completed
Conditions
Maternal mortality/neonatal mortality
Neonatal Diseases
Neonatal mortality
Registration Number
ISRCTN46950658
Lead Sponsor
Sainte-Justine Hospital Research Centre (CHU Sainte-Justine) (Canada)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
174688
Inclusion Criteria

At the hospital level:
1. Public referral hospital (district, department, regional or national)
2. Availability of surgical theatre
3. Annual number of deliveries greater than 800
4. Consent form signed by the maternity director and hospital director to participate in the study

At the individual level:
1. Women admitted for delivery including those referred to the hospital or who died in the transport to hospital
2. Pregnant women from 12 to 45 years old

Exclusion Criteria

At the hospital level:
1. Private hospital
2. Public hospital with less than 800 deliveries per year
3. Surgical theatre not operational
4. Hospitals where the maternal deaths audit were already implemented
5. No signed consent form directors of maternity and hospital

At the individual level:
1. Women admitted not pregnant
2. Women admitted for complications during the first quarter of pregnancy (miscarriage, ectopic pregnancy)
3. Women admitted after 42 days after the end of pregnancy
4. Late maternal deaths or deaths from accidental causes

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Global case fatality rate measured in the hospitals in post intervention period (year 4)
Secondary Outcome Measures
NameTimeMethod
1. Distribution of principal causes of maternal morbidity and mortality <br>2. Case fatality rates for obstetric complications<br>3. Mortinatality rate in hospital <br>4. Early neonatal mortality in hospital<br>5. Obstetric interventions rate<br>6. Emergency obstetric care availability score <br>7. Human resources satisfaction score
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