Uptake of the Perinatal Society of Australia and New Zealand perinatal mortality audit guideline.

Publisher: Wiley-Blackwell Country of Publication: Australia NLM ID: 0001027 Publication Model: Print Cited Medium: Internet ISSN: 1479-828X (Electronic) Linking ISSN: 00048666 NLM ISO Abbreviation: Aust N Z J Obstet Gynaecol Subsets: MEDLINE

Publication: Melbourne : Wiley-Blackwell
Original Publication: Melbourne : Royal Australian and New Zealand College of Obstetricians and Gynaecologists

Guideline Adherence* ; Perinatal Mortality* ; Practice Guidelines as Topic*; Autopsy/*psychology ; Health Care Surveys/*statistics & numerical data; Australia ; Female ; Hospice Care/psychology ; Humans ; Medical Audit ; Midwifery/statistics & numerical data ; New Zealand ; Pregnancy

Background: Deficiencies in investigation and audit of perinatal deaths result in loss of information thereby limiting strategies for future prevention. The Perinatal Society of Australia and New Zealand (PSANZ) developed a clinical practice guideline for perinatal mortality in 2004.
Aims: To determine the current use and views of the PSANZ guideline, focussing on the investigation and audit aspects of the guideline.
Methods: A telephone survey was conducted of lead midwives and doctors working in birth suites of maternity hospitals with over 1000 births per annum in Australia and New Zealand.
Results: Sixty-nine of the 78 eligible hospitals agreed to participate. A total of 133 clinicians were surveyed. Only 42% of clinicians surveyed were aware of the guideline; more midwives than doctors were aware (53 vs 28%). Of those, only 19% had received training in their use and 33% reported never having referred to them in practice. Implementation of even the key guideline recommendations varied. Seventy per cent of respondents reported regularly attending perinatal mortality audit meetings; midwives were less likely than doctors to attend (59 vs 81%). Almost half (45%) of those surveyed reported never receiving feedback from these meetings. The majority of clinicians surveyed agreed that all parents should be approached for consent to an autopsy examination of the baby; however, most (86%) reported the need for clinician training in counselling parents about autopsy.
Conclusions: Effective implementation programmes are urgently required to address suboptimal uptake of best practice guidelines on perinatal mortality audit in Australia and New Zealand.

Date Created: 20100605 Date Completed: 20100915 Latest Revision: 20100604

20221213

10.1111/j.1479-828X.2009.01125.x

20522069