Confidential enquiries into maternal deaths aim to identify areas where clinic cal practice is deficient. This approach thi can improve practice and prevent maternal deaths. Despite the general acceptance of the utility of confidential enquiries, achieving a high level of colleclective interest in their practical applicability as an evidence-based approach in developing countries will require further study. Although much has already been done in the promotion of confidential enquiries and related approaches, more action-based research, publication of systematic field experiences and conduct of studies comparing different approaches and adaptations will be of value. This paper discusses the reasons why confidential enquiries are not more widespread and describes the hypothesis behind ideas on how traditional confidential enquiry approaches could be adapted to make their application more user-friendly in developing countries.
Improving the use of confidential enquiries into maternal deaths in developing countries. Bulletin of the World Health Organization, 85 (1), 68-69.