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Death Audits and Reviews for Reducing Maternal, Perinatal and Child Mortality (Review)

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Death Audits and Reviews for Reducing Maternal, Perinatal and Child Mortality (Review) Cochrane Library Cochrane Database of Systematic Reviews Death audits and reviews for reducing maternal, perinatal and child mortality (Review) Willcox ML, Price J, Scott S, Nicholson BD, Stuart B, Roberts NW, Allott H, Mubangizi V, Dumont A, Harnden A Willcox ML, Price J, Scott S, Nicholson BD, Stuart B, Roberts NW, Allott H, Mubangizi V, Dumont A, Harnden A. Death audits and reviews for reducing maternal, perinatal and child mortality. Cochrane Database of Systematic Reviews 2020, Issue 3. Art. No.: CD012982. DOI: 10.1002/14651858.CD012982.pub2. www.cochranelibrary.com Death audits and reviews for reducing maternal, perinatal and child mortality (Review) Copyright © 2020 The Authors. Cochrane Database of Systematic Reviews published by John Wiley & Sons, Ltd. on behalf of The Cochrane Collaboration. Cochrane Trusted evidence. Informed decisions. Library Better health. Cochrane Database of Systematic Reviews T A B L E O F C O N T E N T S HEADER......................................................................................................................................................................................................... 1 ABSTRACT..................................................................................................................................................................................................... 1 PLAIN LANGUAGE SUMMARY....................................................................................................................................................................... 2 SUMMARY OF FINDINGS.............................................................................................................................................................................. 4 BACKGROUND.............................................................................................................................................................................................. 8 OBJECTIVES.................................................................................................................................................................................................. 9 METHODS..................................................................................................................................................................................................... 9 Figure 1.................................................................................................................................................................................................. 11 RESULTS........................................................................................................................................................................................................ 13 DISCUSSION.................................................................................................................................................................................................. 15 AUTHORS' CONCLUSIONS........................................................................................................................................................................... 16 ACKNOWLEDGEMENTS................................................................................................................................................................................ 17 REFERENCES................................................................................................................................................................................................ 18 CHARACTERISTICS OF STUDIES.................................................................................................................................................................. 22 DATA AND ANALYSES.................................................................................................................................................................................... 27 Analysis 1.1. Comparison 1 Perinatal death review and audit as part of an intervention package including an educational 28 outreach visit and morbidity/mortality conferences compared with no intervention, Outcome 1 Perinatal mortality rate.......... Analysis 1.2. Comparison 1 Perinatal death review and audit as part of an intervention package including an educational 28 outreach visit and morbidity/mortality conferences compared with no intervention, Outcome 2 Perinatal mortality related to suboptimal care.................................................................................................................................................................................... Analysis 1.3. Comparison 1 Perinatal death review and audit as part of an intervention package including an educational 28 outreach visit and morbidity/mortality conferences compared with no intervention, Outcome 3 Perinatal morbidity related to suboptimal care.................................................................................................................................................................................... Analysis 2.1. Comparison 2 Maternal death review and audit as part of an intervention package including the ALARM course 29 and training audit committees compared with no intervention, Outcome 1 Change in inpatient maternal mortality rate........... Analysis 2.2. Comparison 2 Maternal death review and audit as part of an intervention package including the ALARM course 29 and training audit committees compared with no intervention, Outcome 2 Change in inpatient stillbirth rate............................ Analysis 2.3. Comparison 2 Maternal death review and audit as part of an intervention package including the ALARM course 29 and training audit committees compared with no intervention, Outcome 3 Change in inpatient neonatal mortality rate before 24 hours................................................................................................................................................................................................. Analysis 2.4. Comparison 2 Maternal death review and audit as part of an intervention package including the ALARM course 30 and training audit committees compared with no intervention, Outcome 4 Change in inpatient neonatal mortality rate aCer 24 hours................................................................................................................................................................................................. ADDITIONAL TABLES.................................................................................................................................................................................... 30 APPENDICES................................................................................................................................................................................................. 33 WHAT'S NEW................................................................................................................................................................................................. 48 CONTRIBUTIONS OF AUTHORS................................................................................................................................................................... 48 DECLARATIONS OF INTEREST..................................................................................................................................................................... 48 SOURCES OF SUPPORT............................................................................................................................................................................... 49 DIFFERENCES BETWEEN PROTOCOL AND REVIEW.................................................................................................................................... 49 Death audits and reviews for reducing maternal, perinatal and child mortality (Review) i Copyright © 2020 The Authors. Cochrane Database of Systematic Reviews published by John Wiley & Sons, Ltd. on behalf of The Cochrane Collaboration. Cochrane Trusted evidence. Informed decisions. Library Better health. Cochrane Database of Systematic Reviews [Intervention Review] Death audits and reviews for reducing maternal, perinatal and child mortality Merlin L Willcox1, Jessica Price2, Sophie Scott1, Brian D Nicholson2, Beth Stuart3, Nia W Roberts4, Helen Allott5, Vincent Mubangizi6, Alexandre Dumont7, Anthony Harnden2 1Department of Primary Care and Population Sciences, University of Southampton, Aldermoor Health Centre, Southampton, UK. 2NuEield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK. 3Primary Care and Population Sciences, Faculty of Medicine, University of Southampton, Southampton, UK. 4Bodleian Health Care Libraries, University of Oxford, Oxford, UK. 5Centre for Maternal and Newborn Health, Liverpool School of Tropical Medicine, Liverpool, UK. 6Family medicine and community practice, Mbarara University of Science and Technology (MUST), Mbarara, Uganda. 7UMR 196 CEPED, Institut de recherche pour le développement, Paris Descartes University, Paris, France Contact address: Merlin L Willcox, Department of Primary Care and Population Sciences, University of Southampton, Aldermoor Health Centre, Aldermoor Close, Southampton, Hampshire, SO16 5ST, UK. [email protected], [email protected]. Editorial group: Cochrane EEective Practice and Organisation of Care Group. Publication status and date: Edited (no change to conclusions), published
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