Journal
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
Volume 121, Issue -, Pages 24-31Publisher
WILEY-BLACKWELL
DOI: 10.1111/1471-0528.12801
Keywords
Facility-based death review; maternal death or near-miss review; maternal morbidity; maternal mortality; professionalism
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This paper discusses some of the background principles which, through wide experience of instituting reviews of maternal deaths or near-misses around the world, appear common to their successful introduction. A supportive culture at personal, institutional and national level underpinned by the fostering of professionalism and the development of an ethos of safety against a wider supportive environment is needed. Reviews undertaken at a local level are as beneficial as those at a regional or population level and should be encouraged as a routine part of the quality improvement agenda for each and every healthcare facility.
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