Experience with Perinatal Problem Identification Programme data over 27 years at Queen Nandi Regional Hospital, KwaZulu-Natal Province, South Africa

A retrospective analysis of Perinatal Problem Identification Programme (PPIP) data from 1996 to 2022 was done at Queen Nandi Regional Hospital,KwaZulu-Natal Province, South Africa. The following results were found: changes in numbers of deliveries over the years, with an increase in caesarean sections from 20% to 60% when only high-risk patients were accepted for deliveries; a reduction in assisted deliveries; and changes in causes of maternal mortality and stillbirths with HIV treatment and other interventions. The data input improved with 'Hands Up' Mortality and Morbidity Extraction Tool (HUMMET) forms. Everyone at audit meetings to discuss cases could give their opinion during the discussion of the relevant pathology. Poor data input was identified as a problem. In conclusion, ongoing training in PPIP, HUMMET and data capturing is needed, with a dedicated PPIP team.