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Table 1 Audit standards in relation to improving health after childbirth

From: Achieving sustainable quality in maternity services – using audit of incontinence and dyspareunia to identify shortfalls in meeting standards

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%)