Use of Rapid Ascertainment Process for Institutional Deaths (RAPID) to identify pregnancy-related deaths in tertiary-care obstetric hospitals in three departments in Haiti

BMC Pregnancy and Childbirth
Andrew T BoydEndang Handzel

Abstract

Accurate assessment of maternal deaths is difficult in countries lacking standardized data sources for their review. As a first step to investigate suspected maternal deaths, WHO suggests surveillance of "pregnancy-related deaths", defined as deaths of women while pregnant or within 42 days of termination of pregnancy, irrespective of cause. Rapid Ascertainment Process for Institutional Deaths (RAPID), a surveillance tool, retrospectively identifies pregnancy-related deaths occurring in health facilities that may be missed by routine surveillance to assess gaps in reporting these deaths. We used RAPID to review pregnancy-related deaths in six tertiary obstetric care facilities in three departments in Haiti. We reviewed registers and medical dossiers of deaths among women of reproductive age occurring in 2014 and 2015 from all wards, along with any additional available dossiers of deaths not appearing in registers, to capture pregnancy status, suspected cause of death, and timing of death in relation to the pregnancy. We used capture-recapture analyses to estimate the true number of in-hospital pregnancy-related deaths in these facilities. Among 373 deaths of women of reproductive age, we found 111 pregnancy-related deaths, 25.2...Continue Reading

References

Jul 1, 1997·Obstetrics and Gynecology·N SchuitemakerJ B Gravenhorst
Apr 29, 1998·European Journal of Obstetrics, Gynecology, and Reproductive Biology·A MungraH H Kanhai
Apr 16, 2002·Acta Obstetricia Et Gynecologica Scandinavica·Daniela Karimian-TeheraniChristian Vutuc
Oct 4, 2005·Obstetrics and Gynecology·Catherine Deneux-TharauxPierre Buekens
Apr 4, 2006·Lancet·Khalid S KhanPaul Fa Van Look
Jan 3, 2013·Reproductive Health·Sennen HountonElizabeth M Mason
Sep 20, 2016·Lancet·Wendy GrahamSusheela Singh

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