Maternal mortality

Question 1

define MBBRACE-UK

Answer 1

mothers and babies: reducing risk through audits and confidential enquires across the UK

national programme of work conduction surveillance and investigating the cause of maternal deaths, stillbirths and infant deaths

Question 2

how does MBRRACE-UK acheive its goals

Answer 2

surveillance of all maternal deaths

confidential enquires into maternal deaths
-during and put to one year after end of pregnancy

Question 3

give the following definitions about maternal deaths:
direct
-examples 3

Answer 3

consequence of a disorder specific to pregnancy
-haemorrhage, pre-eclampsia, genital tract sepsis

Question 4

give the following definitions about maternal deaths:
indirect
-examples 3

Answer 4

deaths resulting from previous exisitng disease or diseases developed during pregnancy
-not a direct obstretic cause but aggravated by pregnancy
-Psych (substance misuse and suicide), cardiac disease, other causes of sepsis

Question 5

give the following definitions about maternal deaths:
coincidental
-examples 1

Answer 5

incidental/accidentla daeths not due to pregnancy or aggravated by pregnancy
-RTA

Question 6

give the following definitions about maternal deaths:
late

Answer 6

deaths occur more than 42 days but less than one year after the end of pregnancy

Question 7

maternal moraltiy in the UK incidence

Answer 7

ranges between 8-10 per 100,000 maternites

Question 8

causes of maternal death 10

Answer 8

heart disease -most common

blood clots

epileps and stroke

other physical conditions

sepsis

mental health conditions

bleeding

cancer

pre-eclampsia

other

Question 9

what can indicate heart disease in pregnancy

Answer 9

severe chest pain - red flag

breathlessness when resting- especially lying flat
-may indicate heart problems

Question 10

causes of late maternal death (betwen 6 weeks and one year after end of pregnancy) (main 4)

Answer 10

coincedental malignancy

suicide

drug & alcohol/others

cardiac disease

Question 11

who has a higher risk of maternal death by ethnicity

Answer 11

black and asian women

Question 12

what is the aim of PROMPT maternity foundation

Answer 12

reduce preventable harm for mothers and their babies

Question 13

define non-technical skills

-*why are they important

Answer 13

cognitive and interpersonal skills that completemtn practical and technical competnecies
-situational awareness
-decision making
-leadership
-communication and team working

*-non-technical skills are often the underlying cause of adverse events in surgical specialities