Nonfatal serious maternal complications (SMC) encompass a broad range of adverse outcomes. Reviewing SMC is an important method to improve the quality of care. We conducted a scoping review to map out and describe the evidence on current practices surrounding nonfatal SMC reviews.
Methods
We searched four databases and grey literature reporting on SMC reviews globally. Titles and abstracts were screened, and reference lists of included articles were assessed. The data extraction tool comprised nine questions and subquestions related to SMC reviews.
Results
In total, 44 articles were included. We found considerable variation in methodology used, including for case definitions and identification strategies, composition of review teams, training and support, data collection, analysis of events, formulation of recommendations, and knowledge dissemination of review findings.
Conclusion
Our findings suggest that guidance on processes and cultures conducive to supportive, person-centered, high-quality SMC reviews across a diversity of settings would be needed.
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