Obstetric medical emergency teams are a step forward in maternal safety!
- PMID: 21063555
- PMCID: PMC2966565
- DOI: 10.4103/0974-2700.70755
Obstetric medical emergency teams are a step forward in maternal safety!
Abstract
Background and aim: The medical emergency team (MET) system was introduced successfully worldwide. With the exception of a few research publications, most of the described teams are based on patients' medical rather than obstetric management. The objective of this study was to review literature on the outcome of obstetric MET implementation.
Materials and methods: Systematic review has been done through searching MEDLINE, the Cochrane Library, relevant articles references, and contact with experts. The author and one other researcher independently selected literature on the establishment or implementation of obstetric MET. There were no restrictions on language, sample size, type of publication, or duration of follow up.
Results: THREE PUBLICATIONS WERE IDENTIFIED: Catanzarite et al., Gosman et al., and Skupski et al. They were heterogeneous in terms of the method of implementation and the outcomes discussed. None of them discussed obstetric MET implementation in developing countries.
Conclusion: In the literature, there is a lack of reporting and probably of implementation of Obstetrics METs. Therefore, there is a need for more standardized experiences and reports on the implementation of various types of Obstetrics METs. We propose here a design for Obstetrics METs to be implemented in developing countries, aiming to reduce maternal mortality and morbidity resulting from obstetric hemorrhage.
Keywords: High risk pregnancy; quick response team; rapid response team.
Conflict of interest statement
Similar articles
-
Beyond the black stump: rapid reviews of health research issues affecting regional, rural and remote Australia.Med J Aust. 2020 Dec;213 Suppl 11:S3-S32.e1. doi: 10.5694/mja2.50881. Med J Aust. 2020. PMID: 33314144
-
Telemedicine for the Medicare population: pediatric, obstetric, and clinician-indirect home interventions.Evid Rep Technol Assess (Summ). 2001 Aug;(24 Suppl):1-32. Evid Rep Technol Assess (Summ). 2001. PMID: 11569328 Free PMC article.
-
The future of Cochrane Neonatal.Early Hum Dev. 2020 Nov;150:105191. doi: 10.1016/j.earlhumdev.2020.105191. Epub 2020 Sep 12. Early Hum Dev. 2020. PMID: 33036834
-
Maternal and obstetric complications in fetal surgery for prenatal myelomeningocele repair: a systematic review.Neurosurg Focus. 2019 Oct 1;47(4):E11. doi: 10.3171/2019.7.FOCUS19470. Neurosurg Focus. 2019. PMID: 31574465
-
Reducing maternal mortality on a countrywide scale: The role of emergency obstetric training.Best Pract Res Clin Obstet Gynaecol. 2015 Nov;29(8):1102-18. doi: 10.1016/j.bpobgyn.2015.08.002. Epub 2015 Aug 11. Best Pract Res Clin Obstet Gynaecol. 2015. PMID: 26363737 Review.
Cited by
-
Effect of education and clinical assessment on the accuracy of post partum blood loss estimation.BMC Pregnancy Childbirth. 2014 Mar 19;14:110. doi: 10.1186/1471-2393-14-110. BMC Pregnancy Childbirth. 2014. PMID: 24646156 Free PMC article.
References
-
- Chen J, Bellomo R, Flabouris A, Hillman K, Finfer S. The relationship between early emergency team calls and serious adverse events. Crit Care Med. 2009;37:48–53. - PubMed
-
- Jones AE, Fitch MT, Kline JA. Operational performance of validated physiologic scoring systems for predicting in-hospital mortality among critically ill emergency department patients. Crit Care Med. 2005;33:974–8. - PubMed
-
- Hillman KM, Bristow PJ, Chey T, Daffurn K, Jacques T, Norman SL, et al. Antecedents to hospital deaths. Intern Med J. 2001;31:343–8. - PubMed
-
- Duke G, Green J, Briedis J. Survival of critically ill medical patients is time-critical. Crit Care Resusc. 2004;6:261–7. - PubMed
LinkOut - more resources
Full Text Sources
Miscellaneous