A complete audit cycle of management of third/fourth degree perineal tears.
We present a complete audit cycle of the management of third/fourth degree perineal tears in the three Glasgow maternity hospitals measured against the recommendations of the Royal College of Obstetricians and Gynaecologists (RCOG) Guideline No. 29 (www.rcog.org.uk). Following an initial 6-month data collection period, shortcomings in the practice were identified, circulated and an operative proforma was designed and introduced. A re-audit demonstrated improved compliance with the RCOG guidelines. We recommend the introduction of an operative proforma to aid management and documentation of third/fourth degree tear repairs.
Department of Obstetrics and Gynaecology, Queen Mother's Hospital, Glasgow, UK. bsrita@yahoo.com
R
R
Panigrahy
J
J
Welsh
F
F
MacKenzie
P
P
Owen
D000328:Adult; D001003:Anal Canal / Q000293:injuries / Q000601:surgery; D019072:Antibiotic Prophylaxis; D036861:Delivery, Obstetric / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D019983:Guideline Adherence; D006801:Humans; D015994:Incidence; D015601:Injury Severity Score; D022125:Lacerations / Q000209:etiology / Q000601:surgery; D008485:Medical Audit / Q000592:standards*; D017060:Patient Satisfaction; D010502:Perineum / Q000293:injuries* / Q000601:surgery*; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011256:Pregnancy Outcome; D011336:Probability; D012016:Reference Values; D018570:Risk Assessment; D013536:Suture Techniques; D016896:Treatment Outcome; D006113:United Kingdom; D014945:Wound Healing / Q000502:physiology