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Table 3 Overtime trends of proportions of unjustified Caesarean sections per group of indications

From: Caesarean section audit to improve quality of care in a rural referral hospital in Tanzania

Groups of indications for CS

Retrospective Block

Prospective Block 1

Prospective Block 2

Chi-square test for differences across the blocks

Total n

Unjustified n (%)

Total n

Unjustified n (%)

Total n

Unjustified n (%)

Group 1 [Failure of trial of scar]

 Judgment by LP

10

3 (30%)

15

3 (20%)

20

4 (20%)

p = 0.80 (χ2=0.5)

 Judgment by EA

10

8 (80%)

15

7 (47%)

20

12 (60%)

p = 0.25 (χ2=2.8)

Group 2 [Cephalopelvic disproportion/obstructed or prolonged labour/arrested descent/foetal distress]

 Judgment by LP

27

14 (52%)

24

6 (25%)

56

13 (23%)

p = 0.24 (χ2=7.5)

 Judgment by EA

27

23 (85%)

24

14 (58%)

56

34 (61%)

= 0.062=5.8)

Group 3 [other than group 1&2]

 Judgment by LP

22

3 (14%)

38

9 (24%)

58

15 (26%)

p = 0.50 (χ2=1.4)

 Judgment by EA

22

13 (59%)

38

23 (61%)

58

23 (40%)

p = 0.092=4.9)

  1. The table shows a numerical overview of the subgroups by indications per block, including the number of unjustified CS within those, with chi-square tests for differences in justification over the blocks
  2. Abbreviations: LP local audit panel, EA external auditor, CS Caesarean section