AI Article Synopsis
- A formal review process for severe maternal morbidity (SMM) was established at Yale-New Haven Hospital, analyzing cases over a 4-year period.
- Out of 156 SMM cases, the SMM rate was found to be 0.49%, with leading causes being hemorrhage (44.9%) and nonintrauterine infection (14.1%).
- Two-thirds of the cases were considered preventable, primarily due to issues linked to healthcare professionals (79.4%) and systemic factors (58.8%), prompting changes to improve care practices.
Article Abstract
With the goal of identifying factors contributing to severe maternal morbidity (SMM) at our institution, we established a formal SMM review process. We performed a retrospective cohort study including all SMM cases as defined by American College of Obstetricians and Gynecologists and Society for Maternal-Fetal Medicine consensus criteria that were managed at Yale-New Haven Hospital over a 4-year period. Overall, 156 cases were reviewed. The SMM rate was 0.49% (95% CI 0.40-0.58). The leading causes of SMM were hemorrhage (44.9%) and nonintrauterine infection (14.1%). Two thirds of the cases were deemed to be preventable. Preventability was mostly associated with health care professional-level (79.4%) and system-level (58.8%) factors that could coexist. Detailed case review allowed for identification of preventable causes of SMM, revealed gaps in care, and allowed for implementation of practice changes targeting health care professional-level and system-level factors.
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| http://dx.doi.org/10.1097/AOG.0000000000005116 | DOI Listing |
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