Table 5.
Main interventions proposed for the prevention of fetal death and early neonatal death, and potential preventability score (PPS) assigned by the maternal death committees
| Frequency (n) | Mean Score (± SD) | Total Score | |
|---|---|---|---|
| To avoid fetal death | |||
| Educate pregnant women about prenatal warning signs | 2 | 4.0 (± 1.4) | 8 |
| Improve prenatal clinical practice (adhesion to protocols) | 3 | 3.7 (± 1.1) | 11 |
| Promote the use of folic acid if previous neural tube closure defect | 2 | 3.5 (± 0.7) | 7 |
| Qualify anatomopathological report in perinatology | 3 | 3.3 (± 0.6) | 10 |
| Promote investigation into neonatal and intrauterine death | 2 | 3.0 (± 2.8) | 6 |
| Promote postpartum counseling with genetic evaluation | 3 | 2.0 (± 2.6) | 6 |
| Promote the importance of prenatal care and its early initiation | 5 | 1.8 (± 1.3) | 9 |
| Promote postpartum counseling | 4 | 1.5 (± 1.0) | 6 |
| Register information on prenatal care to the patient's medical records | 2 | 1.5 (± 0.7) | 3 |
| Promote family planning | 3 | 1.0 (± 1.0) | 3 |
| To avoid early neonatal death | |||
| Prepare a team for neonatal heart surgery | 2 | 5.0 (± 0.0) | 10 |
| Promote the prophylaxis of neonatal disease by group B streptococcus | 3 | 4.0 (± 1.0) | 12 |
| Promote protocol for the induction of fetal lung maturity | 3 | 3.5 (± 0.7) | 11 |
| Improve prenatal clinical care (adhesion to protocols) | 6 | 2.8 (± 1.5) | 17 |
| Improve clinical care for newborn infants (protocols) | 2 | 2.5 (± 0.7) | 5 |
| Promote intrauterine diagnosis of malformations | 2 | 2.5 (± 3.5) | 5 |
| Promote postpartum counseling | 4 | 2.2 (± 1.3) | 9 |
| Promote the importance of prenatal care and its early initiation | 7 | 2.0 (± 1.4) | 14 |
| Prevent adolescent pregnancies | 2 | 2.0 (± 0.0) | 4 |
| Qualify medical records | 2 | 1.0 (± 0.0) | 2 |
SD: Standard deviation/Total score: sum of the scores attributed to the mean