11th. August 2022.
|
50 |
EMQ. Maternal Mortality definitions |
|
51 |
Talk. TMcF. Maternal & perinatal
mortality, MBRRACE, UKOSS |
MBRRACE publishes the maternal mortality reports in
November or December each year, so the latest data are not available for the
spring exams, which are set 6 months in advance.
They tend to feature in the autumn exams, both Part
2 and Part 3.
MBRRACE and UKOSS you need to know about, but not in
so much detail.
50. Maternal Mortality.
Abbreviations.
AFE: Amniotic
Fluid Embolism.
APH: Antepartum haemorrhage.
CER: Confidential
Enquiry Report (MBRRACE).
EPNMR: Extended
Perinatal Mortality Rate.
MBRRACE: NPEU:
“Mothers
and Babies: Reducing Risk through Audits and Confidential Enquiries across the
UK”.
MCS: Medical
Certificate of Stillbirth.
MMR: Maternal
Mortality Rate.
MMRat: Maternal
Mortality Ratio.
MMRpt: Maternal
Mortality Report.
NESST: UKARCOG’s
“National Evaluation of Accuracy of
Stillbirth Certificates”.
NMR: Neonatal
Mortality Rate
NPEU: National Perinatal Epidemiology Unit
PNMR: Perinatal Mortality Rate.
SBR: Stillbirth Rate.
NMR: Neonatal Mortality Rate.
PPH: Postpartum
haemorrhage.
SBR: Stillbirth
rate.
SUDEP: Sudden
Unexplained Death in Epilepsy.
Option List.
A. Death
of a woman during pregnancy and up to 6 weeks later, including accidental and
incidental causes.
B. Death
of a woman during pregnancy and up to 6 weeks later, excluding accidental and
incidental causes.
C. Death
of a woman during pregnancy and up to 52 weeks later, including accidental and
incidental causes.
D. Death
of a woman during pregnancy and up to 52 weeks later, excluding accidental and
incidental causes.
E. A
pregnancy going to 24 weeks or beyond.
F. A
pregnancy going to 24 weeks or beyond + any pregnancy resulting in a live-birth.
G. Maternal
deaths per 100,000 maternities.
H. Maternal
deaths per 100,000 live births.
I. Direct
+ indirect deaths per 100,000 maternities.
J. Direct
+ indirect deaths per 100,000 live births.
K. Direct
death.
L. Indirect
death.
M. Early
death.
N. Late
death.
O. Extra-late
death.
P. Fortuitous
death.
Q. Coincidental
death.
R. Accidental
death.
S. Maternal
murder.
T. Not
a maternal death.
U. Yes
V. No.
W. I have no
idea.
X. None
of the above.
Question 1.
What is a Maternal Death?
Question 2.
Which categories are included in the definition of MD? >1 answer may be correct.
correct.
Option list.
|
A |
accidental
death |
|
B |
coincidental
death |
|
C |
direct
death |
|
D |
iatrogenic
death |
|
E |
incidental
death |
|
F |
indirect
death |
|
G |
late
death |
Question 3.
Which categories are included in the discussions in the
MMRs?
Option list.
|
A |
accidental
death |
|
B |
coincidental
death |
|
C |
direct
death |
|
D |
iatrogenic
death |
|
E |
incidental
death |
|
F |
indirect
death |
|
G |
late
death |
Question 4.
When was the latest Maternal Mortality Report published? Which
years did it cover?
Question 5.
What was the Maternal Mortality Rate in the most recent Report?
Question 6.
How did the MMR compare with that from the previous Report?
Question 7.
What was the leading cause of maternal death and how many deaths were
there?
Question 8.
What was the leading cause of direct death and how many deaths were
there?
Question 9.
When was the latest Perinatal Mortality Report published? Which
years did it cover?
Question 10.
EPNMR and PNMR are derived from the number of stillbirths + the
number of neonatal deaths. Why is the EPNMR used in preference to PNMR in most
publications?
|
A |
the
EPNMR includes NNDs up to 2 weeks; the NMR NNDs up to 1 week |
|
B |
the
EPNMR includes NNDs up to 4 weeks; the NMR NNDs up to 1 week |
|
C |
the
EPNMR includes NNDs up to 12 weeks; the NMR NNDs up to 1 week |
|
D |
the
EPNMR includes NNDs up to 6 weeks; the NMR NNDs up to 4 weeks |
|
E |
the
EPNMR includes NNDs up to 8 weeks; the NMR NNDs up to 4 weeks |
|
F |
the
EPNMR includes NNDs up to 12 weeks; the NMR NNDs up to 4 weeks |
|
G |
none
of the above |
Question 11.
A woman dies from a ruptured appendix at 10 weeks. What kind of
death is it?
Question 12.
A woman dies from a ruptured ectopic pregnancy at 10 weeks’ gestation.
What kind of
death
is it?
Question 13.
A woman dies from a ruptured appendix at 10 weeks. What kind of
death is it?
Question 14.
A woman dies from chickenpox at 30 weeks’ gestation. What kind of
death is it?
Question 15.
How many categories are there for sepsis in the MMRpts?
Question 16.
A
woman dies of sepsis secondary to pyelonephritis at 20 weeks’ gestation. What
kind of death is it?
Question 17.
A
woman dies from sepsis two weeks after C section. The sepsis was due to uterine
infection that started as chorioamnionitis. What kind of death is it?
Question 18.
A woman dies from hepatitis C at 40 weeks’ gestation. The infection
was transmitted
sexually. What kind of death is it?
Question 19.
A
woman dies from suicide at 10 weeks’ gestation. What kind of death is it?
Question 20.
A
woman with a 10-year-history of coronary artery disease dies of a coronary
thrombosis at 36 weeks’ gestation. What kind of
death is it?
Question 21.
A woman has gestational trophoblastic disease, develops choriocarcinomas
and dies
from
it 24 months after the GTD was diagnosed and the uterus evacuated. What kind of death is it?
Question 22.
A woman develops puerperal psychosis from which she makes a poor
recovery. She
kills
herself when the baby is 18 months old. What kind of death is it?
Question 23.
A woman develops puerperal psychosis from which she makes a poor
recovery. She
kills
herself when the baby is 6 months old. What kind of death is it?
Question 24.
What is a “maternity”.
Question 25.
What
is the definition of the Maternal Mortality Rate?
Question 26.
What is the Maternal Mortality Ratio?
Question 27.
A woman is diagnosed with breast cancer. She has missed a period
and a pregnancy
test is +ve. She decides to continue with the
pregnancy. The breast cancer does not respond to treatment and she dies from
secondary disease at 38 weeks. What kind of death is it?
Question 28.
A woman who has been the subject of domestic violence is killed at
12 weeks
by her partner. What kind of death is it?
Question 29.
A woman is struck by lightning as she runs across a road. As a result,
she falls under
the wheels of a large lorry which runs over her
abdomen, rupturing her spleen and provoking placental abruption. She dies of haemorrhage,
mostly from the abruption. What kind of death is it?
Question 30.
A woman is abducted by Martians who are keen to study human
pregnancy. She dies
as a result of the treatment she receives. As
this death could only have occurred because she was pregnant, is it a direct
death?
Question 31.
Could a maternal death from malignancy be classified as “direct”?
Question 32.
Could a maternal death from malignancy be classified as “Indirect”?
Question 33.
Could a maternal death from malignancy be classified as “Coincidental”?
Question 34.
A pregnant woman is walking on the beach at 10 weeks when she is
struck by lightning
and dies. What kind of death is this?
Question 35.
A woman is sitting on the beach breastfeeding her 2-year old baby
when she is struck
by lightning and dies. What kind of death is this?
No comments:
Post a Comment