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Table 1 Management of labour at Delek Hospital before and after introduction of partogram and active management of the third stage

From: Using clinical audit to improve the quality of obstetric care at the Tibetan Delek Hospital in North India: a longitudinal study

 

Baseline Audit; 1996

Follow up Audit; 1997

Follow up Audit; 1998

Follow up Audit 2003

Number of admissions in labour

70

110

65

90

Number of women transferred (%)

11 (19%)

15 (14%)

6 (9%)

6 (7%)

Reason for transfer 'Failure to Progress' in uncomplicated primiparous women; n (%)

8 (75%)

3 (20%)

0 (0%)

1 (17%)

Partograms used at Delek n (%)

0 (0%)

88 (80%)

57 (87%)

77 (86%)

Partogram information n (%);

    

   - complete and accurate

-

9 (10%)

34 (60%)

13 (17%)

   - incomplete but helpful

-

53 (60%)

17 (30%)

52 (68%)

   - incomplete and unhelpful

-

26 (30%)

6 (10%)

12 (15%)

Augmentation in labour at Delek n (%)

0 (0%)

1 (1%)

7 (11%)

6 (7%)

Complications at Delek n (%);

    

   - PPH

7 (12%)

6 (6%)

3 (5%)

5 (6%)

   - Retained placenta

3 (5%)

2 (2%)

0 (0%)

0 (0%)