skip to main content
Language:
Search Limited to: Search Limited to: Resource type Show Results with: Show Results with: Search type Index

Role of ethnicity in high-level obstetric clinical incidents: a review of cases from a large UK NHS maternity unit

BMJ open quality, 2022-11, Vol.11 (4), p.e001862 [Peer Reviewed Journal]

Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. ;2022 Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 2022 ;ISSN: 2399-6641 ;EISSN: 2399-6641 ;DOI: 10.1136/bmjoq-2022-001862 ;PMID: 36379618

Full text available

Citations Cited by
  • Title:
    Role of ethnicity in high-level obstetric clinical incidents: a review of cases from a large UK NHS maternity unit
  • Author: Farrant, Kimberley ; Faluyi, David ; Watson, Kylie ; Vause, Sarah ; Birds, Heather ; Rowbotham, Shirley ; Heazell, Alexander EP
  • Subjects: adverse events, epidemiology and detection ; birth injuries ; Birth rate ; clinical governance ; Ethnicity ; Health disparities ; incident reporting ; Investigations ; Maternal child nursing ; Maternal mortality ; Minority & ethnic groups ; Morbidity ; Obstetrics ; obstetrics and gynecology ; Original Research ; Population ; Pregnancy ; Prenatal care ; Stillbirth ; Womens health
  • Is Part Of: BMJ open quality, 2022-11, Vol.11 (4), p.e001862
  • Description: IntroductionWomen from ethnic minority groups are at more risk of adverse outcomes in pregnancy compared with those from white British groups; suboptimal care may contribute to this increased risk. This study aimed to examine serious clinical incidents at two maternity units to explore causative factors for women from ethnic minorities and determine whether these differed from white women.MethodsA retrospective review was conducted of all serious incidents (n=36) occurring in a large National Health Service maternity provider (~14 000 births per annum) between 2018 and 2020. Data were collected from case records for variables which could mediate the association between ethnicity and adverse outcome. The incident reviews were blinded and reviewed by two independent investigators and data regarding root causes and contributory factors were extracted.ResultsFourteen of the 36 incidents (39%) occurred in women from minority ethnic groups, which is comparable to the maternity population. Women involved in serious clinical incidents frequently had pre-existing medical or obstetric complications. Booking after 12 weeks’ gestation occurred more frequently in women from minority ethnic groups than in the background population. There were differences in root causes of serious incidents between groups, a lack of situational awareness was the most frequent cause in white women and staff workload was most frequent in women from minority ethnic groups. Communication issues and detection of deterioration were similar between the two groups.DiscussionAlthough there was no difference in the proportion of serious incidents between the groups, there were differences in medical and pregnancy-related risk factors between groups and in the root causes identified. Efforts are needed to ensure equity of early access to antenatal care and to ensure that there is adequate staffing to ensure that women’s needs are met; this is particularly cogent when there are complex medical or social needs.
  • Publisher: London: British Medical Journal Publishing Group
  • Language: English
  • Identifier: ISSN: 2399-6641
    EISSN: 2399-6641
    DOI: 10.1136/bmjoq-2022-001862
    PMID: 36379618
  • Source: BMJ Open Access Journals
    AUTh Library subscriptions: ProQuest Central
    PubMed Central
    DOAJ Directory of Open Access Journals
Back to results list
Go to Previous pagePrevious Result  15 NextGo to Next page
INSPIRE LIBRARY - TON DUC THANG UNIVERSITY (84-028) 37 755 057 Feedback
19 Nguyen Huu Tho St. Dist.7, HCM thuvien@tdtu.edu.vn

Copyright © 2017 INSPIRE LIBRARY - TON DUC THANG UNIVERSITY

Searching Remote Databases, Please Wait