Preventing maternal death: 10 clinical diamonds

Obstet Gynecol. 2012 Feb;119(2 Pt 1):360-4. doi: 10.1097/AOG.0b013e3182411907.

Abstract

The death of a mother during or after childbirth is one of the most tragic events in medicine. We have identified 10 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 address these issues will help reduce the likelihood and effect of error and of maternal mortality.

MeSH terms

  • Angiography
  • Antihypertensive Agents / therapeutic use
  • Blood Transfusion / standards
  • Chest Pain / etiology
  • Contraindications
  • Diuretics
  • Dyspnea / etiology
  • Female
  • Furosemide
  • Heart Diseases / therapy
  • Humans
  • Hypertension / drug therapy
  • Maternal Mortality*
  • Oliguria / drug therapy
  • Oliguria / etiology
  • Placenta Accreta / diagnosis
  • Placenta Accreta / therapy
  • Placenta Previa / diagnosis
  • Placenta Previa / therapy
  • Postpartum Hemorrhage / diagnosis
  • Postpartum Hemorrhage / therapy
  • Pre-Eclampsia / diagnostic imaging
  • Pregnancy
  • Pregnancy Complications / diagnosis*
  • Pregnancy Complications / therapy*
  • Pulmonary Embolism / complications
  • Pulmonary Embolism / diagnostic imaging*
  • Referral and Consultation
  • Tomography, X-Ray Computed
  • Uterine Inertia / drug therapy

Substances

  • Antihypertensive Agents
  • Diuretics
  • Furosemide