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Evidence-based medicine

Maternal Mortality Reduced with Standardized and Patient-Centred Care Bundles

Strategic Insights

— 2 min read

A systematic review is underway to assess the effectiveness of care bundles in reducing maternal mortality rates. The review, led by researchers from Babes-Bolyai University, aims to evaluate the evidence-based character of these interventions and their impact on maternal outcomes. The study highlights the importance of high-quality care, focusing on standardized and patient-centred approaches to address avoidable or treatable health complications. By analyzing multiple conditions and stages of labour and childbirth, the researchers seek to provide a comprehensive understanding of the effectiveness of care bundles in improving maternal health.

Key Takeaways:

  • The study focuses on reducing maternal mortality rates caused by avoidable or treatable health complications.
  • High-quality care emphasizes a standardized and patient-centred approach to improve maternal outcomes.
  • Care bundles, sets of evidence-based practices, are introduced to enhance the quality of care and maternal outcomes.
  • The existing reviews on care bundles focus on specific conditions, and there is no comprehensive systematic review on their effectiveness.
  • The systematic review aims to include randomised controlled trials, quasi-randomised studies, cohort studies, case-control studies, controlled before-and-after studies, and interrupted-time-series studies starting from 2001.
  • The search strategy includes electronic databases PubMed, Cochrane Library, CINAHL, Embase, Scopus, and Web of Science to retrieve relevant titles and abstracts.
  • Two reviewers will independently screen titles and abstracts followed by a full-text eligibility assessment.
  • Data extraction will be based on the review's objectives and outcomes, and analysis will be performed in three phases: descriptive analysis, evaluation of the evidence-based character of interventions, and quantitative synthesis analysis.
  • Ethics approval is not needed for the study.
  • Dissemination will be performed through publication in peer-reviewed journals, conference presentations, and informing policies and stakeholders.

Statistics:

  • Maternal mortality is mostly caused by avoidable or treatable health complications worldwide (according to the provided research).
  • High-quality care focuses on a standardized and patient-centred approach to improve maternal outcomes.
  • Care bundles are sets of evidence-based practices introduced to enhance the quality of care and maternal outcomes.
  • The existing reviews on care bundles focus on specific conditions, and there is no comprehensive systematic review on their effectiveness.
  • The systematic review includes studies starting from 2001, focusing on labour and childbirth stages, and addressing care bundles that include multiple conditions.
  • The search strategy includes six electronic databases to retrieve relevant titles and abstracts based on a database-specific search strategy.

Sources:

  • Effectiveness and evidence-based practices in maternal care bundles for labour and birth: a systematic review protocol. BMJ Open, 2025;15(10).
  • Babes-Bolyai University, Centre for Health Policy and Public Health, College of Political, Administrative and Communication Sciences.
  • BMJ Publishing Group, British Med Assoc House, Tavistock Square, London WC1H 9JR, England.

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