Table 3 Number and content of substandard care factors (SSF) per perinatal death case ≥41 weeks as identified by the local perinatal audit
n | % | |
|---|---|---|
Cases of perinatal death | 109 | |
≥ 1 SSF | 75 | 68.8% |
1 SSF | 29 | 38.7% |
2 SSF | 14 | 18.7% |
3 SSF | 17 | 22.7% |
≥ 4 SSF (max 8) | 15 | 20.0% |
No SSF | 27 | 24.8% |
Missing/insufficient data | 7 | 6.4% |
SSF with possible/ likely/ very likely relation to deatha | 63 | 57.8% |
Guideline- oriented SSF | ||
Cardiotocography evaluation or classification | 11 | 10.1% |
Cardiotocography registration or documentation | 5 | 4.6% |
Guideline obesity | 3 | 2.8% |
Usual Care- oriented SSF | ||
Midwifery guidelines | 4 | 3.7% |
Documentation in the medical records | 3 | 2.8% |
Decreased foetal movements | 5 | 4.6% |
Patient factor | 3 | 2.8% |
Total number SSF | 178 | |