{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T20:45:09Z","timestamp":1769373909881,"version":"3.49.0"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,7,7]],"date-time":"2021-07-07T00:00:00Z","timestamp":1625616000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand","doi-asserted-by":"publisher","award":["14\/371"],"award-info":[{"award-number":["14\/371"]}],"id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Severe maternal morbidity (SMM) occurs in 1\u20132% of pregnancies. Despite the knowledge that a SMM event can contribute to poor fetal\/neonatal outcomes, little is known about the preventability of these adverse outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To examine adverse fetal\/neonatal outcomes associated with SMM to determine if these outcomes were potentially preventable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A New Zealand national retrospective cohort study examining cases of SMM with an adverse fetal\/neonatal outcome. Maternity and initial neonatal care were explored by multidisciplinary panels utilising a preventability tool to assess whether the fetal\/neonatal harm was potentially preventable. Adverse fetal\/neonatal outcomes were defined as fetal or early neonatal death, Apgar score &lt;7 at five\u00a0minutes, admission to neonatal intensive care unit or special care baby unit and neonatal encephalopathy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 85 cases reviewed, adverse fetal\/neonatal outcome was deemed potentially preventable in 55.3% of cases (<jats:italic>n<\/jats:italic>\u00a0=\u00a047\/85). Preventability was related to maternal antenatal\/peripartum care (<jats:italic>in\u00a0utero<\/jats:italic>) in 39% (<jats:italic>n<\/jats:italic>\u00a0=\u00a033\/85), to initial neonatal care (<jats:italic>ex\u00a0utero<\/jats:italic>) in 36% (<jats:italic>n<\/jats:italic>\u00a0=\u00a029\/80), and to both maternal and neonatal care in 20% (16\/80) of cases. Main contributors to potential preventability were factors related to healthcare providers, particularly lack of recognition of high risk, delayed or failure to diagnose, and delayed or inappropriate treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Multidisciplinary panels found that over half of adverse fetal\/neonatal harm associated with SMM was potentially preventable. The novel approach of examining both maternal and neonatal care identifies opportunities to improve fetal\/neonatal outcomes associated with SMM at multiple points on the perinatal continuum of care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13404","type":"journal-article","created":{"date-parts":[[2021,7,7]],"date-time":"2021-07-07T18:57:12Z","timestamp":1625684232000},"page":"71-78","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Examining the potential preventability of adverse fetal\/neonatal outcomes associated with severe maternal morbidity"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2447-8386","authenticated-orcid":false,"given":"Beverley","family":"Lawton","sequence":"first","affiliation":[{"name":"Center for Women's Health Research Te T\u0101tai Hauora O Hine Faculty of Health Victoria University of Wellington Wellington New 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