Perioperative mortality review in relation to pregnancy-related deaths

K. Siva Achanna, Zaleha Abdullah Mahdy, Sachchithanantham, A. Mohd Farouk

Research output: Contribution to journalArticle

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 shortcomings 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.

Original languageEnglish
Pages (from-to)312-319
Number of pages8
JournalMedical Journal of Malaysia
Volume61
Issue number3
Publication statusPublished - Aug 2006

Fingerprint

Pregnancy
Mortality
Clinical Audit
Perioperative Care
Critical Care
Consultants
Embolism
Obstetrics
Anesthetics
Sepsis
Hemorrhage
Anesthetists
Surgeons
Surveys and Questionnaires

Keywords

  • Clinical audit
  • Critical care facilities
  • Emergency surgery
  • Perioperative pregnancy-related deaths
  • Post-partum haemorrhage

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Siva Achanna, K., Abdullah Mahdy, Z., Sachchithanantham, & Mohd Farouk, A. (2006). Perioperative mortality review in relation to pregnancy-related deaths. Medical Journal of Malaysia, 61(3), 312-319.

Perioperative mortality review in relation to pregnancy-related deaths. / Siva Achanna, K.; Abdullah Mahdy, Zaleha; Sachchithanantham; Mohd Farouk, A.

In: Medical Journal of Malaysia, Vol. 61, No. 3, 08.2006, p. 312-319.

Research output: Contribution to journalArticle

Siva Achanna, K, Abdullah Mahdy, Z, Sachchithanantham & Mohd Farouk, A 2006, 'Perioperative mortality review in relation to pregnancy-related deaths', Medical Journal of Malaysia, vol. 61, no. 3, pp. 312-319.
Siva Achanna K, Abdullah Mahdy Z, Sachchithanantham, Mohd Farouk A. Perioperative mortality review in relation to pregnancy-related deaths. Medical Journal of Malaysia. 2006 Aug;61(3):312-319.
Siva Achanna, K. ; Abdullah Mahdy, Zaleha ; Sachchithanantham ; Mohd Farouk, A. / Perioperative mortality review in relation to pregnancy-related deaths. In: Medical Journal of Malaysia. 2006 ; Vol. 61, No. 3. pp. 312-319.
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