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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Uptake of the perinatal society of Australia and New Zealand perinatal mortality audit guideline: Original article
Australian and New Zealand Journal of Obstetrics and Gynaecology, Volume 50, No. 2, Year 2010
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Description
Background: Deficiencies in investigation and audit of perinatal deaths result in loss of information thereby limiting strategies for future prevention. The Perinatal Society of Australia and New Zealand (PSANZ) developed a clinical practice guideline for perinatal mortality in 2004. Aims: To determine the current use and views of the PSANZ guideline, focussing on the investigation and audit aspects of the guideline. Methods: A telephone survey was conducted of lead midwives and doctors working in birth suites of maternity hospitals with over 1000 births per annum in Australia and New Zealand. Results: Sixty-nine of the 78 eligible hospitals agreed to participate. A total of 133 clinicians were surveyed. Only 42% of clinicians surveyed were aware of the guideline; more midwives than doctors were aware (53 vs 28%). Of those, only 19% had received training in their use and 33% reported never having referred to them in practice. Implementation of even the key guideline recommendations varied. Seventy per cent of respondents reported regularly attending perinatal mortality audit meetings; midwives were less likely than doctors to attend (59 vs 81%). Almost half (45%) of those surveyed reported never receiving feedback from these meetings. The majority of clinicians surveyed agreed that all parents should be approached for consent to an autopsy examination of the baby; however, most (86%) reported the need for clinician training in counselling parents about autopsy. Conclusions: Effective implementation programmes are urgently required to address suboptimal uptake of best practice guidelines on perinatal mortality audit in Australia and New Zealand © 2010 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.
Authors & Co-Authors
Flenady, Vicki J.
Unknown Affiliation
Mahomed, Kassam
Australia, Ipswich
Ipswich Hospital
Ellwood, David A.
Australia, Canberra
Canberra Hospital
Charles, A. K.
Unknown Affiliation
Statistics
Citations: 23
Authors: 4
Affiliations: 8
Identifiers
Doi:
10.1111/j.1479-828X.2009.01125.x
ISSN:
1479828X
Research Areas
Maternal And Child Health
Study Design
Cross Sectional Study
Study Approach
Quantitative