+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

The Dutch Perinatal Audit Project: a feasibility study for nationwide perinatal audit in the Netherlands



The Dutch Perinatal Audit Project: a feasibility study for nationwide perinatal audit in the Netherlands



Acta Obstetricia et Gynecologica Scandinavica 88(11): 1201-1208



To investigate the feasibility of nationwide perinatal mortality audits in the Netherlands. Over a one-year period, data for all cases of perinatal mortality were collected. Six perinatal audit panels of professionals within perinatal care investigated and classified causes of death and identified the presence of substandard care factors (SSF). Out of 22,189 newborns, 228 cases of perinatal mortality were audited. Placental pathology, congenital anomalies and preterm birth were the main causes of perinatal death. SSF by caregivers were identified in 72 cases (32 %). Almost 20% of the cases were not reported. In the Netherlands, perinatal audit is well supported by all groups of caregivers. It reveals usable facts and findings for the quality assessment of perinatal care. This audit showed that in 9% of the cases perinatal death was related to SSF and potentially avoidable. However, immediate reporting of cases of perinatal death apart from regular registration in the perinatal database proved to be inaccurate. Once a nationwide audit program is realized, in which data from the different caregivers will be collected in a single database instead of collection by linkage afterwards, this problem should be solved. Local audits will start from 2009. These audits will assess mortality cases within their respective areas and may initiate adjustments for perinatal care and optimize the quality of care and inter-professional collaboration. Yearly nationwide audits will focus on specific items (e.g. term or post-term deliveries) and may well offer an opportunity for the development or adjustment of national guidelines.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 056179064

Download citation: RISBibTeXText

PMID: 19900138

DOI: 10.3109/00016340903280990


Related references

Substandard factors in perinatal care in The Netherlands: a regional audit of perinatal deaths. Acta Obstetricia et Gynecologica Scandinavica 81(1): 17-24, 2002

The implementation of unit-based perinatal mortality audit in perinatal cooperation units in the northern region of the Netherlands. Bmc Health Services Research 12: 195, 2012

Perinatal death beyond 41 weeks pregnancy: an evaluation of causes and substandard care factors as identified in perinatal audit in the Netherlands. Bmc Pregnancy and Childbirth 18(1): 380, 2018

Perinatal mortality in The Netherlands: an audit is now more necessary than ever. Nederlands Tijdschrift Voor Geneeskunde 152(11): 603-605, 2008

Perinatal audit in the North of the Netherlands: the first 2 years. Nederlands Tijdschrift Voor Geneeskunde 155(18): A2892, 2011

Perinatal audit on avoidable mortality in a Dutch rural region: A retrospective study. European Journal of Obstetrics & Gynecology & Reproductive Biology 88(1): 65-69, 2000

National perinatal audit, a feasible initiative for the Netherlands!? A validation study. Acta Obstetricia et Gynecologica Scandinavica 89(9): 1168-1173, 2010

West Midlands perinatal mortality survey, 1987. An audit of 300 perinatal autopsies. British Journal of Obstetrics and Gynaecology 98(7): 624-627, 1991

Avoidable risk factors in perinatal deaths: a perinatal audit in South Australia. Australian and new Zealand Journal of Obstetrics and Gynaecology 48(1): 50-57, 2008

Uptake of the Perinatal Society of Australia and New Zealand perinatal mortality audit guideline. Australian and New Zealand Journal of Obstetrics and Gynaecology 50(2): 138-143, 2010

Ethnic differences in perinatal mortality: a perinatal audit on the role of substandard care. European Journal of Obstetrics and Gynecology and Reproductive Biology 138(2): 164-170, 2008

Ethnic differences in perinatal mortality a perinatal audit on the role of substandard care. European Journal Of Obstetrics & Gynecology And Reproductive Biology8: 2, 164-170, 2008

Small for gestational age and perinatal mortality at term: An audit in a Dutch national cohort study. European Journal of Obstetrics Gynecology and Reproductive Biology 215: 62-67, 2017

Perinatal mortality in Copenhagen County 1987-1991 Results from the Perinatal Audit Group. Acta Paediatrica Suppl. 0(384): 13, 1992

West midlands england uk perinatal mortality survey 1987 an audit of 300 perinatal autopsies. British Journal of Obstetrics & Gynaecology 98(7): 624-627, 1991