RESUMO
Background: Clinical audits based on standard criteria have been used in developed countries in order to improve the management of certain diseases, but have been nowadays introduced in assessment of diseases in developing countries as pre-eclampsia and eclampsia
Study Design: a retrospective study
Objective: To assess the clinical audit in the management of mild Pre-eclampsia in Upper Egypt
Setting: Obstetrics and Gynecology department, Sohag General Hospital
Duration: From 1st of January 2015 to the end of December 2015
Patients and methods: This clinical audit study was conducted on 108 pregnant women who had mild pre-eclampsia from those admitted to Obstetrics and Gynecology department of Sohag General Hospital. Patients were diagnosed as mild preeclampsia according to ACOG criteria, 2013 of mild preeclampsia
Results: About 33% of studied cases developed featured of severe pre-eclampsia. Vaginal delivery was only in 31.4% of cases. The clinical audit was nearly adherence to standards of mild pre-eclampsia management but was very poor in asking about symptoms of severe disease only obtained for 7.4% of cases, family history was neglected completely, lower limb examination was fairly done in 60.2% of cases, pelvic examination was done in 74.1% of cases and no case had chest or heart examination. 24 hours protein collection and protein creatinine ratio were not done. Only 9.3% of cases were assessed and managed by consultants and 90.7% of cases were assessed and managed by obstetric specialists
Conclusions and Recommendations: Accesses to prenatal care, early detection and diagnosis of pre-eclampsia, well monitoring and suitable management are crucial elements in the pre-eclampsia prevention regarded to maternal death. Potential areas for further improvement in quality of care for management of cases with mild pre-eclampsia related to standardizing management guidelines, greater involvement of specialists in the management and continued medical education on current management of disease for junior staff