Table 2 Comparison of adherence rates of initial audit and re-audit for standards of care for severe pre-eclampsia/eclampsia and PPH

 1. Patients should be seen by a doctor within 1 h of arrival.

58/67 (86.7)

43/44 (97.7)

0.045

 2. Anti-hypertensive therapy should be started within 20 min of diagnosis.

13/67 (19.4)

30/44 (68.2)

<0.001

 3. Urine protein dipstick test should be done within 30 min

50/67 (74.6)

36/44 (81.8)

0.375

 4. BP should be monitored every 30–60 min when the diastolic BP is ≥110 mm Hg.

10/43 (23.3)

27/34 (79.4)

<0.001

 5. The FHR should be monitored every 30 min when the diastolic BP is ≥110 mm Hg.

1/37 (2.7)

9/24 (37.5)

0.002

 6. Magnesium sulfate should be administered within 20 min. of diagnosis

13/67 (19.4)

29/44 (65.9)

<0.001

 7. A FBC, RFT and LFT should be done within 24 h

55/67 (82.1)

41/44 (93.2)

0.095

 8. Steroid therapy should be given in all pregnancies where the pregnancy is estimated to be 28–34 weeks gestation.

9/12 (75.0)

7/8 (87.5)

0.769

 9. Deep tendon reflexes test and respiratory rate monitoring should be done for 24 h

53/67 (79.1)

43/44 (97.7)

0.005

 10. CS should be done in 1h from when decision is made

4/28 (14.3)

10/27 (37.0)

0.018

PPH

 1. AMTSL should have been done.

54/58 (93.1)

66/66 (100.0%)

0.026

 2. IV oxytocin should be given as soon as possible

45/58 (77.6)

57/69 (82.6)

0.478

 3. IV isotonic crystalloid fluids should be given as initial fluid resuscitation

50/58 (86.2)

67/69 (97.1)

0.023

 4. In case bleeding does not respond to oxytocin, IV ergometrine or misoprostol should be given

48/54 (88.9)

38/41 (92.7)

<0.001