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Audit of referral of obstetric emergencies in Angola: a tool for assessing quality of care
Strand, R. T; Campos, P. A. de; Paulsson, G; Oliveira, J. de; Bergström, S.
  • Strand, R. T; s.af
  • Campos, P. A. de; s.af
  • Paulsson, G; s.af
  • Oliveira, J. de; s.af
  • Bergström, S; s.af
Artículo en Inglés | AIM | ID: biblio-1258444
ABSTRACT
By auditing various aspects of referrals of obstetric emergencies, we wanted to study the effectiveness over time of a recently established network of peripheral birth units and two central hospitals in Luanda. 157 women referred for obstetric emergencies were studied regarding clinical outcome and process indicators like waiting time, partogramme quality and Caesarean section rate (CSR). After a change in routines at hospital admission and further partogramme education 92 referred women were compared with the former. Maternal mortality decreased from 17.8% to nil in the second. Total mean waiting time was reduced from 13.7 hours to 1.2 hours. Partogramme quality was significantly improved. CSR increased from 13 to 30%. Prolonged labour was the most common diagnosis.This study demonstrates the importance of clinic-based audit to enhance quality of care regarding referrals of patients with obstetric emergencies (Afr J Reprod Health 2009; 13[2]75-85)
Asunto(s)
Texto completo: Disponible Índice: AIM (África) Asunto principal: Calidad de la Atención de Salud / Parto Obstétrico / Tratamiento de Urgencia / Angola País/Región como asunto: Africa Idioma: Inglés Revista: African Journal of Reproductive Health Año: 2009 Tipo del documento: Artículo

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Texto completo: Disponible Índice: AIM (África) Asunto principal: Calidad de la Atención de Salud / Parto Obstétrico / Tratamiento de Urgencia / Angola País/Región como asunto: Africa Idioma: Inglés Revista: African Journal of Reproductive Health Año: 2009 Tipo del documento: Artículo