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Table 3 Case management problems presumably due to standards unknown to audit teams*

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

General

No antibiotic prophylactic pre- or intra-operative

 

Presence of foetal heart action confirmed without specifying frequency

Pre-eclampsia, Eclampsia

Using diazepam instead of magnesium sulphate to prevent or treat convulsions

 

Using clonidine or methyldopa (or, rarely, nifedipine) as 1st line antihypertensive instead of hydralazine

 

No hourly auscultation of lung bases in severe pre-eclampsia and eclampsia

 

Coagulopathy not routinely ruled out, no clotting test performed

Haemorrhage

Using colloids instead of crystalloids for volume replacement

  1. *: These CMPs were observed in all relevant patients, never discussed by audit teams and therefore excluded from further analysis under the assumption that teams were not aware of the relevant standards.