Cochrane · systematic review · CD012982
Death audits and reviews for reducing maternal, perinatal and child mortality
Willcox, ML, Price, J, Scott, S, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
Effective Practice and Organisation of CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
17
current version
GRADE rated
9
No studies
8
Included studies
NR
No studies 8 · 47.1%Ungraded 0 · 0%Very low 1 · 5.9%Low 3 · 17.6%Moderate 5 · 29.4%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Perinatal death review and audit as part of an intervention package including an educational outreach visit and morbidity/mortality conferences compared with no intervention
Population: births
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Perinatal mortality rate (overall) (at month 12–26) Perinatal death review and audit as part of an intervention package including an educational outreach visit and morbidity/mortality conferences vs no intervention | OR 1.05 [0.91, 1.21] | 1 study · 95 participants | Low Downgraded: risk of bias, imprecision |
Proportion of perinatal deaths related to suboptimal carec (at months 12–26) Perinatal death review and audit as part of an intervention package including an educational outreach visit and morbidity/mortality conferences vs no intervention | OR 1.14 [0.55, 2.37] | 1 study · 95 participants | Very low Downgraded: risk of bias, imprecision |
Stillbirth rate Perinatal death review and audit as part of an intervention package including an educational outreach visit and morbidity/mortality conferences vs no intervention | no estimate extracted | NR | No studies |
Neonatal mortality rate Perinatal death review and audit as part of an intervention package including an educational outreach visit and morbidity/mortality conferences vs no intervention | no estimate extracted | NR | No studies |
Mortality rate in children < 5 years of age Perinatal death review and audit as part of an intervention package including an educational outreach visit and morbidity/mortality conferences vs no intervention | no estimate extracted | NR | No studies |
Maternal mortality rate Perinatal death review and audit as part of an intervention package including an educational outreach visit and morbidity/mortality conferences vs no intervention | no estimate extracted | NR | No studies |
Proportion of perinatal morbidity cases related to suboptimal carec (at months 12–26) Perinatal death review and audit as part of an intervention package including an educational outreach visit and morbidity/mortality conferences vs no intervention | OR 0.62 [0.4, 0.95] | 1 study · 95 participants | Moderate Downgraded: risk of bias, imprecision |
Adverse effects Perinatal death review and audit as part of an intervention package including an educational outreach visit and morbidity/mortality conferences vs no intervention | no estimate extracted | NR | No studies |
Maternal death review and audit as part of an intervention package including the ALARM course and training audit committees compared with no intervention
Population: mothers delivering in the hospitals
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Perinatal mortality rate Maternal death review and audit as part of an intervention package including the ALARM course and training audit committees vs no intervention | no estimate extracted | NR | No studies |
Inpatient stillbirth rate Maternal death review and audit as part of an intervention package including the ALARM course and training audit committees vs no intervention | no estimate extracted | 1 study · 46 participants | Moderate Downgraded: imprecision, indirectness |
Inpatient neonatal mortality rate – before 24 hours Maternal death review and audit as part of an intervention package including the ALARM course and training audit committees vs no intervention | no estimate extracted | 1 study · 46 participants | Moderate Downgraded: imprecision, indirectness |
Inpatient neonatal mortality rate – after 24 hours Maternal death review and audit as part of an intervention package including the ALARM course and training audit committees vs no intervention | no estimate extracted | 1 study · 46 participants | Low Downgraded: imprecision, indirectness |
Mortality rate in children < 5 years of age Maternal death review and audit as part of an intervention package including the ALARM course and training audit committees vs no intervention | no estimate extracted | NR | No studies |
Inpatient maternal mortality rate Maternal death review and audit as part of an intervention package including the ALARM course and training audit committees vs no intervention | no estimate extracted | 1 study · 46 participants | Moderate Downgraded: imprecision, indirectness |
Quality of care (Proportion of women receiving high quality cared) Maternal death review and audit as part of an intervention package including the ALARM course and training audit committees vs no intervention | OR 1.87 | 1 study · 32 participants | Moderate Downgraded: imprecision, indirectness |
Quality of care for women with complications (Proportion of women with eclampsia or postpartum haemorrhage receiving high quality cared) Maternal death review and audit as part of an intervention package including the ALARM course and training audit committees vs no intervention | OR 1.67 | 1 study · 32 participants | Low Downgraded: imprecision, indirectness |
Adverse effects Maternal death review and audit as part of an intervention package including the ALARM course and training audit committees vs no intervention | no estimate extracted | NR | No studies |