Audit of cases with uterine rupture: a process indicator of quality of obstetric care in Angola
African Journal of Reproductive Health
; 14(2): 55-62, 2010. tab
Article
in English
| AIM (Africa)
| ID: biblio-1258456
Responsible library:
CG1.1
ABSTRACT
Audit of uterine rupture (UR) used as a process indicator, can identify factors considered avoidable to improve future quality of obstetric care. Records of UR cases at a referral maternity in Luanda were studied retrospectively (n=43) and prospectively (n=67) including basic obstetric information, maternal and foetal outcome, duration of labour, time interval between diagnosis and intervention, drugs used, type of delivery and intervention, surgical procedures and complications. A clinical estimation of avoidability was based on this information. Prevalence of UR was 4.9%. Maternal case fatality rate was 14% and early perinatal mortality 71%. Women with previous Caesarean Section (CS) constituted 28%, grand multiparous women 44% and primiparous women 6%. Uterotonic treatment was given in 36%. Avoidability was estimated to 65%. Regular morbidity-oriented audits with analysis of clinical manage-ment reveal weaknesses in obstetric care and may serve as an instrument for future improvement (Afr. J. Reprod. Health 2010; 14[2]55-62)
Full text:
Available
Health context:
SDG3 - Target 3.8 Achieve universal access to health
Health problem:
Delivery Arrangements
Database:
AIM (Africa)
Main subject:
Quality of Health Care
/
Uterine Rupture
/
Maternal Mortality
/
Prevalence
/
Case Management
/
Hospitals, Maternity
/
Angola
Type of study:
Prevalence study
/
Prognostic study
/
Risk factors
Country/Region as subject:
Africa
Language:
English
Journal:
African Journal of Reproductive Health
Year:
2010
Document type:
Article