<strong>Aim</strong><strong>:</strong><span> Clinical audit is a tool to improve quality of care and to reduce maternal and perinatal morbidity and mortality. Auditing the CS according to...<strong>Aim</strong><strong>:</strong><span> Clinical audit is a tool to improve quality of care and to reduce maternal and perinatal morbidity and mortality. Auditing the CS according to a standard parameter will lead to strategies to avoid unnecessary intervention and to advice uniform practice. The aim was to evaluate the current practice and audit against international standards for various parameters relating to elective lower segment caesarean section and to assess compliance of physicians to audit standards.</span><span "=""> </span><b><span>Subject and methods: </span></b><span "=""><span>This is a cross-sectional study which was in a tertiary hospital in Kuwait from 1</span><sup><span>st</span></sup><span> October 2019 until 1</span><sup><span>st</span></sup><span> October 2020.</span><b> </b><span>The hospital medical, electronic records and case notes of three hundred and twenty-six </span><b><span>(326)</span></b><span> cases of elective caesarean sections were reviewed for study participants. Those women were booked under the care of internal and external physicians. Demographic data and primary outcomes were collected. </span><b><span>Results:</span></b><span> Outcome was measuring the compliance to the recognized Caesarean Section international standards: consent form, grade of LSCS, antacid and anti-emetics, type of anesthesia, uses of antibiotics, umbilical cord blood PH, and thromboprophylaxis.</span></span><span "=""> </span><span>The compliance for a signed consent form and cord blood PH was (100%), the use of preoperative antacid and antiemetic was (99.4%), combined regional anesthesia was given in (53.4%) of cases, preoperative antibiotics prophylaxis of second generation cephalosporin was</span><span "=""> </span><span>to (61.3%) of cases, post-operative thromboprophylaxis was given in (78.5%) of cases of which (33.6%) completed a 10 days duration.</span><span "=""> </span><span "=""><span>There was a statistically significant difference between internal and external physicians’ complianc展开更多
文摘<strong>Aim</strong><strong>:</strong><span> Clinical audit is a tool to improve quality of care and to reduce maternal and perinatal morbidity and mortality. Auditing the CS according to a standard parameter will lead to strategies to avoid unnecessary intervention and to advice uniform practice. The aim was to evaluate the current practice and audit against international standards for various parameters relating to elective lower segment caesarean section and to assess compliance of physicians to audit standards.</span><span "=""> </span><b><span>Subject and methods: </span></b><span "=""><span>This is a cross-sectional study which was in a tertiary hospital in Kuwait from 1</span><sup><span>st</span></sup><span> October 2019 until 1</span><sup><span>st</span></sup><span> October 2020.</span><b> </b><span>The hospital medical, electronic records and case notes of three hundred and twenty-six </span><b><span>(326)</span></b><span> cases of elective caesarean sections were reviewed for study participants. Those women were booked under the care of internal and external physicians. Demographic data and primary outcomes were collected. </span><b><span>Results:</span></b><span> Outcome was measuring the compliance to the recognized Caesarean Section international standards: consent form, grade of LSCS, antacid and anti-emetics, type of anesthesia, uses of antibiotics, umbilical cord blood PH, and thromboprophylaxis.</span></span><span "=""> </span><span>The compliance for a signed consent form and cord blood PH was (100%), the use of preoperative antacid and antiemetic was (99.4%), combined regional anesthesia was given in (53.4%) of cases, preoperative antibiotics prophylaxis of second generation cephalosporin was</span><span "=""> </span><span>to (61.3%) of cases, post-operative thromboprophylaxis was given in (78.5%) of cases of which (33.6%) completed a 10 days duration.</span><span "=""> </span><span "=""><span>There was a statistically significant difference between internal and external physicians’ complianc
