Abstract
Maternal mortality and severe maternal morbidity are devastating for women, their
families, and care providers. International efforts have been made to develop and
to implement data collection, management, and surveillance systems that capture pregnancy-related
information that can be assessed and used to improve health and system outcomes. At
present, Canada does not have a national enquiry process to review maternal deaths,
severe morbidity, and near misses, and has not set targets for maternal mortality
reduction.
Maternal mortality rates are critical measures of maternal health and provide important
information for analysis of trends and priorities among and within countries. Information
about near misses as well as maternal morbidity is crucial to truly understand and
to prevent maternal mortality.
Canadian experts must work together with governments, provinces, and territories to
determine key indicators, measurement, and meaningful data analysis strategies. These
data and their comparisons will form the foundation of evidence to guide programs,
policies, priorities, and interventions that will ultimately improve the health of
mothers and their children.
Résumé
La mortalité maternelle et la morbidité maternelle grave ont des répercussions terribles
sur les femmes, les familles et les fournisseurs de soins. Partout sur la planète,
on travaille à concevoir et à mettre en œuvre des systèmes de collecte de données,
de prise en charge et de surveillance destinés à recueillir les données relatives
aux grossesses pour qu'elles soient évaluées et qu'elles servent à améliorer la santé
des patientes et les résultats du système de santé. À l'heure actuelle, le Canada
ne s'est pas doté d'un processus d'enquête national pour étudier les décès maternels,
la morbidité maternelle grave ainsi que les morbidités et les décès évités de justesse,
et ne s'est pas fixé de cible pour la réduction de la mortalité maternelle.
Le taux de mortalité maternelle, une mesure essentielle de la santé maternelle, fournit
des renseignements importants pour l'analyse des tendances et des priorités nationales
et internationales. Les renseignements sur les morbidités maternelles et les incidents
évités de justesse sont indispensables pour bien comprendre et prévenir la mortalité
maternelle.
Les experts canadiens devront collaborer avec les gouvernements, les provinces et
les territoires pour définir des indicateurs clés, déterminer des mesures et élaborer
des stratégies concrètes d'analyse des données. Les données recueillies et leur comparaison
à des valeurs de référence seront utilisées pour établir un cadre factuel guidant
les politiques, les priorités, les interventions et les programmes qui permettront
d'améliorer la santé des mères et de leurs enfants.
Key Words
Abbreviations:
APHP (Alberta Perinatal Health Program), BCPDR (British Columbia Perinatal Data Registry), BORN (Better Outcomes Registry & Network), CEMD (Confidential Enquiry into Maternal Death), CIHI (Canadian Institute of Health Information), CPSS (Canadian Perinatal Surveillance System), CRVS (civil registration and vital statistics), MDR (maternal death review), MDSR (Maternal Death Surveillance and Response), PHAC (Public Health Agency of Canada), PSBC (Perinatal Services British Columbia), UKOSS (United Kingdom Obstetric Surveillance System)To read this article in full you will need to make a payment
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Article info
Publication history
Accepted:
June 13,
2017
Received:
April 25,
2017
Footnotes
Competing interests: See Acknowledgements.
Identification
Copyright
© 2017 Society of Obstetricians and Gynaecologists of Canada. Published by Elsevier Inc. All rights reserved.
