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%) | p = 0.06 (χ2=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 = 0.09 (χ2=4.9) |