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This confidential form is used for the review of maternal deaths to understand the causes and circumstances surrounding such incidents, aiming to identify avoidable factors for the improvement of quality of care and policy reforms.

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How to fill out maternal death review form

01

Obtain the maternal death review form from the relevant health authority.

02

Fill in the patient's identification details, including name, age, and contact information.

03

Record the time and date of the maternal death.

04

Provide details of the pregnancy, including gestational age and the number of previous births.

05

Document the clinical information, including the cause of death and any complications.

06

Include details of the healthcare facilities and professionals involved in the care.

07

Submit the completed form to the designated review committee or authority.

Who needs maternal death review form?

01

Healthcare providers who encounter maternal deaths.

02

Public health officials for data collection and analysis.

03

Maternal health committees for review and policy development.

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What is maternal death review form?

A maternal death review form is a document used to systematically analyze and review the circumstances surrounding the death of a mother during pregnancy, childbirth, or within 42 days of the end of pregnancy.

Who is required to file maternal death review form?

Health care professionals, such as doctors, midwives, and hospital administrators, are typically required to file maternal death review forms to ensure accurate reporting and understanding of maternal deaths.

How to fill out maternal death review form?

To fill out a maternal death review form, one should gather relevant medical records, fill in patient details, document the timeline of events leading to the death, outline contributing factors, and provide a summary and recommendations to prevent future occurrences.

What is the purpose of maternal death review form?

The purpose of the maternal death review form is to collect data for health audits, enhance understanding of maternal mortality causes, improve healthcare practices, and guide policy changes aimed at reducing maternal deaths.

What information must be reported on maternal death review form?

The information that must be reported includes maternal demographics, clinical history, details of the pregnancy and delivery, causes of death, facility and care provider information, and any recommendations for future preventative measures.

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