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Induction of labour audit – barnsley district general hospital
  1. P A Essilfie,
  2. J Thornton
  1. Barnsley District General Hospital, Barnsley, UK

Abstract

Induction of labour is a common procedure in the UK. Induction has a significant impact on the birth experience of women. It also places a strain on labour wards hence the importance of regular auditing of this process. We present an audit of induction of labour in a district general hospital in the UK. The aim of the audit was to measure compliance against trust standards. This was a retrospective audit. 41 notes were audited from a sample of 601 over a 12 month period. Prolonged pregnancy was the most frequent indication for induction. All women who were induced with a history of previous caesarean section had the induction process on the labour ward as per local standards. A third of these women had no documentation in their notes of a discussion of the risk of uterine rupture with the use of prostin in women with a prior history of caesarean section. 17% of the women induced had more than two doses of 3 mg prostin and only 14% of patients had the requisite interval of 6 h between prostin administration. The rest of the patients had a longer interval.22% of the women induced were delivered by emergency caesarean section signifying the high rate of caesarean section in this cohort of women. This audit shows good compliance with trust standards in most respects. There is the need however to explore why so many women needed more than 6 mg of prostin.

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