This chapter considers a facility-based maternal deaths review defined as a \"qualitative, in-depth investigation of the causes of, and circumstances surrounding, maternal deaths which occur in health care facilities.\" It is particularly concerned with tracing the path of the women who died, through the health care system and within the facility, to identify any avoidable or remediable factors which could be changed to improve maternal care in the future. Sections look at: the history of maternal death reviews; its advantages and disadvantages; and the process for undertaking a maternal deaths review.
In: Beyond the Numbers. Reviewing maternal deaths and complications to make pregnancy safer, World Health Organization, pp 57-76.
Facility-based maternal deaths review: learning from deaths occurring in health facilities.