Table 1 Audit standards in relation to improving health after childbirth
Standard | Achievable % | Obtained Overall (%) | Obtained North Staffs (%) | Obtained Burton (%) |
|---|---|---|---|---|
Women should receive advice ante-natally / post-natally regarding protecting the pelvic floor | 100 | 412/433 (95%) | 244/252 (97%) | 168/181 (93%) |
Women should receive a pelvic floor exercise sheet | 100 | 316/411 (77%) | 182/236 (77%) | 134/175 (77%) |
Women should be aware that their anorectal function may have altered after childbirth | 100 | 275/453 (61%) | 166/262 (63%) | 109/191 (57%) |
Women should be cared for by a maximum of two midwives a) Clinical Proforma b) Patient Questionnaire | 100 | a) 568/722 (79%) b) 294/436 (67%) | a) 319/355 (90%) b)174/250 (70%) | a) 249/367 (68%) b) 120/186(65%) |
The first instrument of choice (for an instrumental delivery) should be Ventouse | 100 | 149/169 (88%) | 67/78 (86%) | 82/91 (90%) |
Health Visitor should ask about continence | 100 | 150/326 (46%) | 97/183 (53%) | 53 /143 (37%) |
The incidence of urinary incontinence should be no more than 15% | ≤ 15 | 133/382 (35%) | 81/226 (36%) | 52/156 (33%) |
The incidence of faecal incontinence should be no more than 5% | ≤ 5 | 17/446 (4%) | 10/260 (4%) | 7/186 (4%) |
The incidence of dyspareunia should be no more than 20% | ≤ 20 | 102/347 (29%) | 54/201 (27%) | 48/146 (33%) |
A stage 2 specialist registrar should be called to suture all 3° tears | 100 | 1/4 (25%) | 1/3 (33%) | 0/1 (0%) |
All women with a 3° tear should be given prophylactic antibiotics | 100 | 4/4 (100%) | 3/3 (100%) | 1/1 (100%) |
All 3° tears should be sutured in theatre | 100 | 3/4 (75%) | 2/3 (66%) | 1/1 (100%) |
All 3° tears should be sutured using PDS or Nylon | 100 | 0/4 (0%) | 0/3 (0%) | 0/1 (0%) |
All 3° tears should be sutured using the overlapping technique | 100 | 0/4 (0%) | 0/3 (0%) | 0/1 (0%) |