Table 3

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

*: 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.

Borchert et al.

Borchert et al. BMC Pregnancy and Childbirth 2012 12:109   doi:10.1186/1471-2393-12-109

Open Data