“Preventing maternal death: 10 clinical diamonds” and “Maternal death in the 21st century: causes, prevention, and relationship to cesarean delivery”

by jmiller on February 20, 2013

“Ten specific recurrent errors that account for a disproportionate share of maternal deaths, primarily related to pulmonary embolism, severe preeclampsia, cardiac disease, and postpartum hemorrhage.  Attention to these principles and the development and adoption of local or regional clinical protocols that addresses these issues will help reduce the likelihood and effect of error and of maternal mortality.”  “Most maternal deaths are not preventable.  Given the diversity of causes of maternal death, no systematic reduction in maternal death rate in the U.S. can be expected unless all women undergoing cesarean delivery receive thromboembolism prophylaxis.  Such a policy would be expected to eliminate any statistical difference in death rates caused by cesarean and vaginal delivery”.  Click here for full text.   (Obstet Gynecol, Feb 2012, AJOG, July 2008)