OBJECTIVE: To describe the Italian Obstetric Surveillance System (ItOSS) investigating maternal death through incident case reporting and confidential enquiries. METHODS: All maternal deaths occurred in any public and private health facility in 8 Italian regions covering 73% of national births have been notified to the ItOSS. Every incident case is confidentially reviewed to assess quality of care and establish the cause and avoidability of the death. FINDINGS: A total of 106 maternal deaths among 1 455 545 live births have been notified to the surveillance system in 2013-17. Haemorrhage, sepsis and hypertensive disorders of pregnancy are the leading causes of direct maternal deaths due to obstetric causes. CONCLUSIONS: A maternal mortality surveillance system, including incidence reporting and confidential enquiries along with a retrospective analysis of administrative data sources, emerged as the best option for case ascertainment and for preventing avoidable maternal deaths.

The way to move beyond the numbers: the lesson learnt from the Italian Obstetric Surveillance System / Donati S.; Maraschini A.; Dell'Oro S.; Lega I.; D'Aloja P.; Mariarosaria Di Tommaso; Antonella Cinotti; Ismaele Fusco; Valeria Dubini. - In: ANNALI DELL'ISTITUTO SUPERIORE DI SANITÀ. - ISSN 2384-8553. - ELETTRONICO. - 55:(2019), pp. 363-370. [10.4415/ANN_19_04_10]

The way to move beyond the numbers: the lesson learnt from the Italian Obstetric Surveillance System

Mariarosaria Di Tommaso;Antonella Cinotti;Ismaele Fusco;Valeria Dubini
2019

Abstract

OBJECTIVE: To describe the Italian Obstetric Surveillance System (ItOSS) investigating maternal death through incident case reporting and confidential enquiries. METHODS: All maternal deaths occurred in any public and private health facility in 8 Italian regions covering 73% of national births have been notified to the ItOSS. Every incident case is confidentially reviewed to assess quality of care and establish the cause and avoidability of the death. FINDINGS: A total of 106 maternal deaths among 1 455 545 live births have been notified to the surveillance system in 2013-17. Haemorrhage, sepsis and hypertensive disorders of pregnancy are the leading causes of direct maternal deaths due to obstetric causes. CONCLUSIONS: A maternal mortality surveillance system, including incidence reporting and confidential enquiries along with a retrospective analysis of administrative data sources, emerged as the best option for case ascertainment and for preventing avoidable maternal deaths.
2019
55
363
370
Donati S.; Maraschini A.; Dell'Oro S.; Lega I.; D'Aloja P.; Mariarosaria Di Tommaso; Antonella Cinotti; Ismaele Fusco; Valeria Dubini
File in questo prodotto:
File Dimensione Formato  
ANN_19_04_10.pdf

Accesso chiuso

Tipologia: Pdf editoriale (Version of record)
Licenza: DRM non definito
Dimensione 180.2 kB
Formato Adobe PDF
180.2 kB Adobe PDF   Richiedi una copia

I documenti in FLORE sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificatore per citare o creare un link a questa risorsa: https://hdl.handle.net/2158/1189547
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 17
  • ???jsp.display-item.citation.isi??? 17
social impact