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Understanding Audit in Obstetrics.
1Department of Obstetrics and Gynaecology, Sreenarayana Institute of Medical Sciences, Chalakka, P.O. North Kuthiyathodu, Ernakulam, Kerala 683594 India.
Journal of Obstetrics and Gynaecology of India
|September 22, 2016
Summary
This audit analyzed elective cesarean deliveries before 39 weeks, finding only 66.6% of mothers received antenatal corticosteroids. This highlights a gap in practice for improving fetal outcomes during early delivery.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Clinical Audit
Background:
- Elective cesarean delivery before 39 weeks gestation can pose risks to neonates.
- Antenatal corticosteroids are crucial for fetal lung maturation in such cases.
Purpose of the Study:
- To audit the use of antenatal corticosteroids in elective cesarean deliveries before 39 weeks gestation.
- To evaluate the effectiveness of clinical audit in improving obstetric practice.
Main Methods:
- Retrospective audit of patients undergoing elective cesarean delivery before 39 completed weeks of gestation.
- Data collected via medical record tracking using ICD-9 codes.
- Analysis performed by the clinical audit department.
Main Results:
- Only 66.6% of eligible patients received antenatal corticosteroids.
- The audit identified a significant gap between current practice and the 100% goal.
Conclusions:
- The audit revealed suboptimal use of antenatal corticosteroids in early elective cesarean deliveries.
- Dissemination of findings and planned re-audit aim to improve clinical practice and neonatal outcomes.
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