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Severe obstetric complications are not extensively studied and individual cases are used too little and inappropriately in quality improvement activities, due to limited numbers and prioritization of quantitative research. Nordic and European experts performed a qualitative pilot study using anonymized cases of peripartum hysterectomy. It was feasible to anonymize narratives and we learned lessons in the form of themes for improved clinical care and future research. Therefore, we plan a Nordic anonymized review of the care of women who have undergone peripartum hysterectomy based on narratives. The qualitative outcomes of clinically relevant themes for quality improvement and research will add value to the quantitative analyses from the Nordic medical birth registries. In the longer term, we believe that qualitative audits should be an essential part of the process of continuing improvement in maternity care.

Original publication

DOI

10.1111/aogs.13601

Type

Journal article

Journal

Acta Obstet Gynecol Scand

Publication Date

08/2019

Volume

98

Pages

955 - 957

Keywords

case narrative, maternity care, obstetric complications, peripartum hysterectomy, qualitative audit, Adult, Female, Humans, Hysterectomy, Netherlands, Peripartum Period, Pilot Projects, Postpartum Hemorrhage, Pregnancy, Qualitative Research, Risk Factors, Scandinavian and Nordic Countries, United Kingdom