Standardized review of severe maternal case—based on in-depth study of medical records
China has gained globally remarkable achievements in reducing maternal mortality ratio(MMR).However,with the increase of pregnant women at high risk such as senile,pregnancy comorbidity and complications,a growing number of obstetrical severe cases that are more complex and involve a wide range of medical,surgical,infectious,and oncological con-ditions have been emerging.Therefore,when maternal death has become a very low probability event,it is no longer applicable to comprehensively evaluate the current status of maternal and child health development and the quality of obstetrics by using only maternal death review.Under such circumstances,Severe Ma-ternal Case Review has been implemented.Severe Maternal Case Review presents to be a full retrospec-tive analysis and a review of critical cases treated based on medical records by multidisciplinary professionals in accordance with certain review processes and specifications.As a means of evaluating and improving the quality of obstetric services,it also appears to be a supplementation to Maternal Death Review.Therefore,whether it is from the perspective of avoiding maternal deaths beforehand or from the perspective of evaluating and improving the quality of obstetric services,Severe Maternal Case Review needs constant attention and standardization,in order to move forward as soon as possible to the goal of lowering the MMR and improving the level of maternal health and quality of survival.
maternal deathmaternal near-missse-vere maternal casemedical recordnormreviewmaternal and child safety