Data Needed to Collect on Maternal Deaths in Hospital / Medical Center
(Related to DOH Annual Statistics Form and MNCHN)
DEAD ON ARRIVAL (DOA)
- are patients brought to Emergency Room without cardio-pulmonary and brain functions. This will include patients who did not respond to initial resuscitation. Resuscitation is no longer done to patients with signs of Rigor Mortis, Livor Mortis, Algor Mortis and Decapitation and advanced state of decomposition.
ER DEATH
- refers to death of patient who is not yet admitted occurring at the ER. These include patients who arrived at the ER with no detectable vital signs ( BP, HR, RR ) but revived by initial resuscitative measures, but eventually died, regardless of the time of stay. Postmortem care shall be done by the ER nursing personnel.
(DOH Manual of Standards and Guidelines on the Management of the Hospital Emergency)
Total number of maternal deaths
DOA
ER DEATH
INPATIENT DEATH
< 48 HOURS
≥ 48 HOURS
Total number of direct maternal deaths
DOA
ER DEATH
INPATIENT DEATH
< 48 HOURS
≥ 48 HOURS
Total number of indirect maternal deaths
DOA
ER DEATH
INPATIENT DEATH
< 48 HOURS
≥ 48 HOURS
Gross direct maternal death rate (admitted to inpatient services)
= [Total No. of direct maternal deaths for the period / Total No. of maternal (OB) discharges (including deaths) for the period] x 100
Net direct maternal death rate (admitted to inpatient services)
= [Total Direct Deaths– Deaths under 48 hrs. for the period] / [Total No. of Discharges (including deaths) - {deaths under 48 hours for the period}] x 100
Time of Death:
Pregnancy
In labor
Post-partum
Underlying Causes of Death:
Hemorrhage
Infection
Hypertension
Others
Contributory Causes of Deaths:
DOA - Imminent Death
ER Death / Inpatient Death
Lack of skill-birth attendants / professionals
Poor quality maternal care
Lack of equipment
Lack of blood
Lack of medicine
Lack of money
Medical Management Received:
Surgery (CS) done
Blood transfusion
Manual removal of placenta
Vaginal assisted (forceps)
Removal of retained placental products
Others (specify)
Administration of:
Anticonvulsant
Oxytocic
Antibiotic
Oxygen inhalation
Fluids & Electrolytes
Others (specify)
Other data:
Total number of in-facility deliveries
Total number of vaginal deliveries
Total number of live-birth vaginal deliveries (normal)
Total number of Caesarian-section deliveries
Total number of live-birth C-section deliveries (Caesarians)
Total number of other deliveries
Total number of adverse / sentinel events
(Adverse event refers to injuries caused by medical management.)
(Sentinel event refers to injuries caused by medical management (not necessarily the disease process) that either caused death, prolonged hospitalization or produced a disability during the time of confinement or by the time of discharge.)
Total number of antenatal care visits
Total number of postnatal care visits
ROJ@15apr10