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Counting every stillbirth and neonatal death through mortality audit to improve quality of care for every pregnant woman and her baby

Overview of attention for article published in BMC Pregnancy and Childbirth, September 2015
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (87th percentile)

Mentioned by

1 blog
1 policy source
2 tweeters


55 Dimensions

Readers on

280 Mendeley
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Counting every stillbirth and neonatal death through mortality audit to improve quality of care for every pregnant woman and her baby
Published in
BMC Pregnancy and Childbirth, September 2015
DOI 10.1186/1471-2393-15-s2-s9
Pubmed ID

Kate J Kerber, Matthews Mathai, Gwyneth Lewis, Vicki Flenady, Jan Jaap HM Erwich, Tunde Segun, Patrick Aliganyira, Ali Abdelmegeid, Emma Allanson, Nathalie Roos, Natasha Rhoda, Joy E Lawn, Robert Pattinson


While there is widespread acknowledgment of the need for improved quality and quantity of information on births and deaths, there has been less movement towards systematically capturing and reviewing the causes and avoidable factors linked to deaths, in order to affect change. This is particularly true for stillbirths and neonatal deaths which can fall between different health care providers and departments. Maternal and perinatal mortality audit applies to two of the five objectives in the Every Newborn Action Plan but data on successful approaches to overcome bottlenecks to scaling up audit are lacking. We reviewed the current evidence for facility-based perinatal mortality audit with a focus on low- and middle-income countries and assessed the status of mortality audit policy and implementation. Based on challenges identified in the literature, key challenges to completing the audit cycle and affecting change were identified across the WHO health system building blocks, along with solutions, in order to inform the process of scaling up this strategy with attention to quality. Maternal death surveillance and review is moving rapidly with many countries enacting and implementing policies and with accountability beyond the single facility conducting the audits. While 51 priority countries report having a policy on maternal death notification in 2014, only 17 countries have a policy for reporting and reviewing stillbirths and neonatal deaths. The existing evidence demonstrates the potential for audit to improve birth outcomes, only if the audit cycle is completed. The primary challenges within the health system building blocks are in the area of leadership and health information. Examples of successful implementation exist from high income countries and select low- and middle-income countries provide valuable learning, especially on the need for leadership for effective audit systems and on the development and the use of clear guidelines and protocols in order to ensure that the audit cycle is completed. Health workers have the power to change health care routines in daily practice, but this must be accompanied by concrete inputs at every level of the health system. The system requires data systems including consistent cause of death classification and use of best practice guidelines to monitor performance, as well as leaders to champion the process, especially to ensure a no-blame environment, and to access change agents at other levels to address larger, systemic challenges.

Twitter Demographics

The data shown below were collected from the profiles of 2 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 280 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 2 <1%
Brazil 2 <1%
Switzerland 1 <1%
Ethiopia 1 <1%
Unknown 274 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 63 23%
Researcher 38 14%
Student > Postgraduate 29 10%
Student > Ph. D. Student 26 9%
Student > Bachelor 23 8%
Other 53 19%
Unknown 48 17%
Readers by discipline Count As %
Medicine and Dentistry 94 34%
Nursing and Health Professions 46 16%
Social Sciences 31 11%
Psychology 7 3%
Economics, Econometrics and Finance 6 2%
Other 37 13%
Unknown 59 21%

Attention Score in Context

This research output has an Altmetric Attention Score of 12. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 August 2016.
All research outputs
of 12,574,825 outputs
Outputs from BMC Pregnancy and Childbirth
of 2,303 outputs
Outputs of similar age
of 240,569 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
of 1 outputs
Altmetric has tracked 12,574,825 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 90th percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,303 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.6. This one has done well, scoring higher than 85% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 240,569 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 87% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them