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National Collaborating Centre for Women's and Children's Health (UK). Caesarean Section. London: RCOG Press; 2004 Apr. (NICE Clinical Guidelines, No. 13.)

  • This publication is provided for historical reference only and the information may be out of date.

This publication is provided for historical reference only and the information may be out of date.

Cover of Caesarean Section

Caesarean Section.

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11Auditable standards

Table 11.1Suggested audit criteria

CriterionExceptionDefinition of terms
Making the decision
Percentage of women having CS that have a documented discussion on benefits and risks of CS compared with vaginal birth specific to the woman and her pregnancy.
Percentage of women requesting a CS that have a documented discussion on the reasons for the request.
Carrying out the procedure
Percentage of CS carried out using a regional blockRegional block – spinal or epidural anaesthesia
Percentage of CS were the woman receives prophylactic antibiotics
Percentage of CS where an appropriate method of thromboprophylaxis is used
Percentage of CS where antacids are given prior to regional or general anaesthesia
Percentage of CS where antiemetics are given prior to regional or general anaesthesia
Percentage of planned CS carried out after 39 weeks.Specific clinical indications
Reducing the likelihood of CS
Percentage of women who have an uncomplicated singleton breech pregnancy at 36 weeks’ gestation that have a documented offer of external cephalic version.Women in labour, women with a uterine scar or abnormality, fetal compromise, ruptured membranes, vaginal bleeding and medical conditions
Hospitals should measure the overall CS rate as well as the percentage of CS performed for the four major determinants (presumed fetal compromise, failure to progress in labour, breech presentation, multiple pregnancy) and ‘maternal request’.
Percentage of women in labour that have continuous support during labour, provided by women with or without prior training, for example, doulas, childbirth educators or a female relative.
Percentage of women with uncomplicated pregnancies beyond 41 weeks with documented offer of induction of labour
Percentage of women in spontaneous labour with an uncomplicated singleton pregnancy at term monitored using a partogram with a 4–hour action linePartogram – graphic representation of labour progress
Percentage of documented involvement of consultant obstetricians in the decision making for CS.Women not having CS
Percentage of CS for abnormal fetal heart rate pattern, suspected fetal acidosis, in which fetal blood sampling is undertakenSeverely abnormal fetal heart rate pattern Contraindications to fetal blood sampling
Copyright © 2004, National Collaborating Centre for Women’s and Children’s Health.

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Bookshelf ID: NBK45641

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