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Active Surveillance of Pregnancy-Related and Maternal Deaths

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Active Surveillance of Pregnancy-Related and Maternal Deaths: BACKGROUND

Active surveillance into pregnancy related and maternal death is most often done as part of Confidential Enquiries into Maternal Deaths, but can be used to obtain an estimate of the maternal mortality ratio. A key feature is the ongoing effort to actively identify potential maternal deaths as they occur. In the UK confidential enquiry, for example, health staff including midwives, obstetricians and general practitioners are encouraged to report any possible maternal deaths to a confidential enquiry assessor. In the USA, active surveillance is done using a modified death notification form, birth and death record linkage and active notification by individual practitioners, maternal mortality committees and even newspaper reports. In Egypt, maternal mortality surveillance is ongoing based on a modified death notification form and interviews with the families of all pregnancy related deaths.

Identification of death

Not Applicable (only potential pregnancy-related or maternal deaths are reviewed)

Ascertainment of maternal/pregnancy related status

Varied and sometimes multiple sources are used to identify and record all potential pregnancy-related deaths:

Advantages:

Limitations:

Measurement requirements:

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Active Surveillance of Pregnancy-Related and Maternal Deaths: REFERENCES

American Journal of Public Health Daniel J. Pallin, MD, MPH, Vandana Sundaram, MPH, Fabienne Laraque, MD, MPH, Louise Berenson, MS, and David R. Schomberg, Rpa-C (2002) Active Surveillance of Maternal Mortality in New York City. Am J Public Health, August; 92(8): 1319-1322.

Centers for Disease Control and Prevention Centers for Disease Control and Prevention. Surveillance Summaries, February 21, 2003. MMWR 2003:52(No. SS-2).

British Journal of Hospital Medicine Drife, J (2006) Fifty years of the Confidential Enquiry in Maternal Deaths. British Journal of Hospital Medicine, Vol. 67(3): 121-5.

British Journal of Hospital Medicine Drife, J (1999) Maternal mortality: lessons from the confidential enquiry. British Journal of Hospital Medicine, 60(3)3: 156-7.

BJOG: An International Journal of Obstetrics and Gynaecology Godber, G (1994) The origin and inception of the Confidential Enquiry into Maternal Deaths BJOG: An International Journal of Obstetrics and Gynaecology 101 (11), 946-7.

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Active Surveillance of Pregnancy-Related and Maternal Deaths: ADDITIONAL RESOURCES

CEMACH Maternal Death Data Collection Form, 2006-2008. CEMACH.

Department of Health, South Africa Saving mothers: report on confidential enquiries into maternal deaths in South Africa 1998

Ministry of Health, Malaysia Ministry of Health. Evaluation of implementation of the confidential enquiries into maternal deaths in the improvement of maternal health services. Kuala Lumpur, Ministry of Health, 1998.

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