Clinical Audit of Normal Labour at Nekhel Central Hospital of North Sinai Governorate

Abstract

Background: Clinical audit is a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria. Where indicated, changes are implemented, and further monitoring is used to confirm improvement in healthcare delivery. \nObjective: This study aimed at clinical Auditing of the normal labour in the department of Obstetrics and Gynecology, Nekhel Central hospital of North Sinai Governorate. \nPatients and methods: This was a cross-sectional observational study that included 200 pregnant women attending Nekhel Central Hospital for normal vaginal delivery. We compared normal labour management and performance in Nekhel Central Hospital with NICE guidelines. The study was carried out through the period from April 2020 to October 2020. \nResults: During the first stage of labour, documentation of frequency of contractions was done in 90% women labour according to NICE guidelines. Also, recording pulse, temperature and blood pressure was done in 100% pregnant women. Observation of frequency of passing urine was done in 87.5% women. 75% women underwent a vaginal examination 4 hourly according to NICE guidelines. During the second stage of labour, documentation of frequency of contractions was done for 90.0% women as NICE guidelines. During the third stage of labour, general physical condition and vaginal blood loss were observed in all cases (100%) and this meet NICE guideline. \nConclusion: There were missing of important aspects of appropriate care in Nekhel Central Hospital especially those related to appropriateness of care givers-patients interaction, safety and completeness of examinations, and appropriateness of postpartum care. \nKeywords: Clinical Audit, Normal Labour, Nekhel Central Hospital, North Sinai Governorate.