Document Detail

Reducing the rate of primary caesarean sections--an audit.
MedLine Citation:
PMID:  18822643     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate how the implementation of universally acceptable standards affects rates for primary caesarean sections, without compromising maternal or foetal safety. METHODS: A complete audit cycle of all the primary caesarean sections performed in the maternity unit of Aga Khan University was conducted from 1st January to 31st March during years 2003 and 2004. New labour management guidelines were implemented after the first audit (appendix). The rates of caesarean section, induction of labour, failed induction, and maternal and foetal outcomes were compared before and after the implementation of the guidelines. RESULTS: Primary emergency caesarean section rate decreased from 16% to 12%. A reduction in primary caesarean sections was noted in the induced cases. Practice of checking cord blood for foetal pH and maintaining partograms improved markedly. There were no significant adverse maternal and perinatal outcomes. CONCLUSION: Implementation of standard labour management strategies can reduce primary caesarean section rate without compromising maternal and foetal safety.
Lumaan Sheikh; Sara Tehseen; Saqib Ali Gowani; Hadi Bhurgri; J H Rizvi; S Kagazwala
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  JPMA. The Journal of the Pakistan Medical Association     Volume:  58     ISSN:  0030-9982     ISO Abbreviation:  J Pak Med Assoc     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-09-30     Completed Date:  2008-12-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7501162     Medline TA:  J Pak Med Assoc     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  444-8     Citation Subset:  IM    
Department of Obstetrics and Gynecology, the Aga Khan University, Karachi.
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MeSH Terms
Cesarean Section / statistics & numerical data*,  utilization
Infant Welfare*
Infant, Newborn
Labor, Induced
Maternal Welfare*
Pregnancy Outcome*
Prospective Studies

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