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

Regional Maternal Mortality Working Group

doi:10.4415/ANN_19_04_10

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

Regional Maternal Mortality Working Group

Istituto Superiore di Sanita'

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Pages (from-to)	363-370
Number of pages	8
Journal	Annali dell'Istituto Superiore di Sanita
Volume	55
Issue number	4
DOIs	https://doi.org/10.4415/ANN_19_04_10
Publication status	Published - Dec 19 2019

Keywords

Abortion, Induced/mortality
Adult
Cause of Death
Cesarean Section/mortality
Death Certificates
Emergencies
Emigrants and Immigrants
Female
Humans
Incidence
Italy/epidemiology
Maternal Mortality
Medical Record Linkage
Population Surveillance/methods
Pregnancy
Pregnancy Complications/mortality
Prospective Studies
Puerperal Disorders/mortality
Reproductive Techniques, Assisted/mortality

Access to Document

10.4415/ANN_19_04_10

Cite this

@article{371ccfc1cb10417cbb14a5a6237a6a8f,

title = "The way to move beyond the numbers: the lesson learnt from the Italian Obstetric Surveillance System",

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.",

keywords = "Abortion, Induced/mortality, Adult, Cause of Death, Cesarean Section/mortality, Death Certificates, Emergencies, Emigrants and Immigrants, Female, Humans, Incidence, Italy/epidemiology, Maternal Mortality, Medical Record Linkage, Population Surveillance/methods, Pregnancy, Pregnancy Complications/mortality, Prospective Studies, Puerperal Disorders/mortality, Reproductive Techniques, Assisted/mortality",

author = "{Regional Maternal Mortality Working Group} and Serena Donati and Alice Maraschini and Stefania Dell'Oro and Ilaria Lega and Paola D'Aloja",

year = "2019",

month = dec,

day = "19",

doi = "10.4415/ANN_19_04_10",

language = "English",

volume = "55",

pages = "363--370",

journal = "Annali dell'Istituto Superiore di Sanita",

issn = "0021-2571",

publisher = "Istituto Superiore di Sanita",

number = "4",

}

TY - JOUR

T1 - The way to move beyond the numbers

T2 - the lesson learnt from the Italian Obstetric Surveillance System

AU - Regional Maternal Mortality Working Group

AU - Donati, Serena

AU - Maraschini, Alice

AU - Dell'Oro, Stefania

AU - Lega, Ilaria

AU - D'Aloja, Paola

PY - 2019/12/19

Y1 - 2019/12/19

N2 - 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.

AB - 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.

KW - Abortion, Induced/mortality

KW - Adult

KW - Cause of Death

KW - Cesarean Section/mortality

KW - Death Certificates

KW - Emergencies

KW - Emigrants and Immigrants

KW - Female

KW - Humans

KW - Incidence

KW - Italy/epidemiology

KW - Maternal Mortality

KW - Medical Record Linkage

KW - Population Surveillance/methods

KW - Pregnancy

KW - Pregnancy Complications/mortality

KW - Prospective Studies

KW - Puerperal Disorders/mortality

KW - Reproductive Techniques, Assisted/mortality

U2 - 10.4415/ANN_19_04_10

DO - 10.4415/ANN_19_04_10

M3 - Article

C2 - 31850864

SN - 0021-2571

VL - 55

SP - 363

EP - 370

JO - Annali dell'Istituto Superiore di Sanita

JF - Annali dell'Istituto Superiore di Sanita

IS - 4

ER -

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

Abstract

Keywords

Access to Document

Fingerprint

Cite this