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Table 5 Management of obstetric complications

From: Can hospital audit teams identify case management problems, analyse their causes, identify and implement improvements? A cross-sectional process evaluation of obstetric near-miss case reviews in Benin

Type of treatment: transfusion, infusion

Haemorrhage N=28

Uterine rupture N=9

Anaemia N=3

Other N=27

Total N=67

whole blood

26/28

7/9

3/3

10/27

46/67 (69%)

plasma

8/28

3/9

0/3

2/27

13/67 (19%)

colloids

16/28

3/9

1/3

4/27

24/67 (36%)

crystalloids

21/26*

7/8*

0/3

17/26*

45/63* (71%)

Type of treatment: anticonvulsives, antihypertensives, diuretics

Pre-eclampsia N=5

Eclampsia N=12

Other N=50

 

Total N=67

anticonvulsives

5/5

9/12

2/50

 

16/67 (24%)

antihypertensives

5/5

11/12

4/50

 

20/67 (31%)

diuretics

2/5

3/12

3/50

 

8/67 (12%)

Type of treatment: delivery

Obstructed labour N=4

Uterine rupture N=9

Hypertensive disorders N=17

Other N=11

Total $ N=41

vaginal birth without instrument

0/4

0/9

7/17

8/11

15/41 (37%)

vaginal birth with ventouse or forceps

0/4

0/9

0/17

0/11

0/41 (0%)

caesarean section, laparatomy

4/4

9/9

10/17

3/11

26/41 (63%)

Type of treatment: hysterectomy

Haemorrhage N=28

Uterine rupture N=9

Post-partum/-abortion infection N=6

Other N=24

Total N=67

 

5/28

3/9

3/6

0/24

11 (16%)

Hospital births: Immediate neonatal outcome; N=47 £

n (%)

live birth: healthy

17 (36%)

live birth: asphyxia

8 (17%)

subtotal: live births

25 (53%)

stillbirth: mature, fresh

7 (15%)

of which at admission heartbeat

positive

 

negative

unknown

 

3

 

2

2

stillbirth: mature, macerated

8 (17%)

stillbirth: malformations

1 (2%)

stillbirth: immature

0 (0%)

stillbirth: undifferentiated

6 (13%)

subtotal: stillbirths

22 (47%)

  1. *N smaller than expected due to missing data.
  2. $: excludes women who did not deliver, or who had delivered before the near-miss complication occurred.
  3. £: excluding 2 children born at home, 3 born in a health centre prior to admission to hospital.