Maternal mortality/neonatal mortality Neonatal Diseases Neonatal mortality
Conditions
Interventions
Training of opinion leaders to optimal professional practices and to maternal deaths audits (training of trainers):
1. Training of obstetric team in hospital
2. Implementation of audit in hospitals
3
Sponsors
Sainte-Justine Hospital Research Centre (CHU Sainte-Justine) (Canada)
Eligibility
Sex/Gender
Female
Inclusion criteria
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
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Global case fatality rate measured in the hospitals in post intervention period (year 4) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Distribution of principal causes of maternal morbidity and mortality 2. Case fatality rates for obstetric complications 3. Mortinatality rate in hospital 4. Early neonatal mortality in hospital 5. Obstetric interventions rate 6. Emergency obstetric care availability score 7. Human resources satisfaction score | — |
Countries
Canada, Mali, Senegal
Contacts
Public ContactIdrissa;Mamadou Diop;Konate
;
Outcome results
None listed