title: Perioperative mortality review in relation to pregnancy-related deaths.
abstract: Pregnancy-related deaths in four published perioperative mortality review reports were analysed. The aim is to look at the quality of surgical and anaesthetic services along with the perioperative care provided. The audit identified shortfalls in the logistic and support services and recommended remedial strategies. The review was conducted by a committee consisting of practising anaesthetists, surgeons and obstetricians who analysed the questionnaires collectively. A consensus was reached to categorise the death. There were 280 pregnancy-related deaths. Post-partum haemorrhage accounted for 31.8%, followed by hypertensive disorders of pregnancy (20.0% obstetric embolism (16.1%), sepsis (10.7%) and associated medical conditions (21.4%). In brief, there were comings in preoperative, intra-operative and post-operative care in some of the cases. Increased consultant input, clinical audit, improvements in monitoring and expansion of critical care facilities were the integral issues recommended.
authors.affiliation: Royal College of Medicine, Universiti Kebangsaan No. 3, Jalan Greentown, 30450, Ipoh, Perak, Malaysia.
authors.forename: K Siva
authors.initials: KS
authors.lastname: Achanna
authors.forename: A M
authors.initials: AM
authors.lastname: Zaleha
authors.lastname: Sachchithanantham
authors.forename: A Mohd
authors.initials: AM
authors.lastname: Farouk
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008428:Maternal Mortality; D008485:Medical Audit; D008875:Middle Aged; D019990:Perioperative Care / Q000592:standards; D011247:Pregnancy; D011248:Pregnancy Complications / Q000401:mortality