Table 3

Mortality, morbidity and process of care outcomes*

perinatal, neonatal and stillbirths
Morbidity (neonatal, perinatal and maternalStandard of careOther process outcomes
Stratulat, 201419Proportional mortality rates among fetuses/ newborns with a gestational age of ≥37 weeks and with a birth weight of ≥2500 g for the years 2005–2013. The proportional mortality rate decreased from 5.1 per 1000 in 2006 to 3.6 per 1000 in 2013 (with 1.5 per 1000 or 29.4% reduction, 95% CI 0.6 to 2.4; z-value 3.2; p=0.0015).Improvements in the standards of care through multidisciplinary audit sessions and a no-blame approach Improved management of cases (breech presentation, cord pathology and Intrauterine growth retardation monitoring)Improved birth records partograph updated and modernised
Improved documentation tools for perinatal deaths partograph used correctly and appropriate Improved clinical decision making for complicated cases from 44% in 2007 to 82% in 2010
Recognised the role of other professionals (social workers and psychologist) in preventing perinatal deaths strengthened collaboration across borders
Nakibuuka, 201222The overall perinatal mortality rate in 2008 was 47.9 compared with 52.8 per 1000 total births in 2007___
Kidanto, 200920___Improved referral system to reduce delays
Improved documentation
Kasengele, 201721_Obstructed labour accounted for 55.7% (n=64) in the initial audit and 38.7% (n=12) in the reaudit
Antepartum haemorrhage accounted for 23.5% (n=27) at baseline and 16.1% (n=5) at re-audit.
Unknown causes increased from 14.8% (n=17) in the initial audit to 38% (n=12) in the reaudit.
Increases occurred in: Partograph usage (from 36 (31.3%) to 20 (65%))
All Severe pre-eclampsia/eclampsia cases received correct treatment of magnesium sulphate at both initial and reaudit referral of women with obstructed labour (31 (48%) to 11 (92%)); women catheterised (22 (38%) to 7 (58%)); women reviewed within 15 min (2 (3%) to 4 (33%)); C/S operating staff notified (31 (37%) to 16 (100%)); C/S done within 10 min (31 (37%) to 12 (78%))
  • *Table tampelate was adapted from reference.27

  • C/S, Caesarean Section; Dash (-), not reported.