title: Birth audit.
abstract: OBJECTIVE
  To describe profile of births occurring in teaching institution on selected parameters.
  
  
  METHODS
  Considering feasibility, four months were systematically chosen for two-year time frame over a decade to gather selected information of consecutive singleton intramural births from log books of labor room on structured pro-forma. Data management was done using software package and analysis carried out by computing descriptive statistics (%) and Chi-square test.
  
  
  RESULTS
  It was observed that there were a total of 2862 and 1527 singleton births (>28 weeks) recorded for the sampled time-frame of 2009 and 1999 respectively reflecting increased quantum of institutional deliveries over time-span. Out of 2862 births, monthly distribution was 21.8% (Jan), 20% (Apr), 37.2% (July) and 21.1% (Oct) with similar picture for 1999. The birth according to 8-hourly timeframe was computed to be 31.6% (12 am-8 am), 34.3% (8 am-4 pm) and 34.0% (4 pm to 12 am) for 2009 while it was 28.6%, 38.6% and 32.8% for 1999 (P < 0.05). Births took place through-out seven days of week; however, Sunday (12.0%) was the least popular day while Thursday (18.7%) recorded maximum proportion of births during 2009. Slightly higher proportion of pre-term births were recorded during 2009 (21.76%) in comparison to 1999 (18.53%). The caesarian section rose to 26.1% from 20.2% (P < 0.05) while M:F ratio at birth was 1.28 and 1.17 with similar proportion (92.3%; 93.0%) of newborns being discharged live during 2009 and 1999 respectively.
  
  
  CONCLUSIONS
  It provides snapshots of birth occurring in a teaching hospital and within study constraints finding could be utilized for improving quality of care, health communication, better utilization of human resource and logistics.
authors: Department of Community Medicine, Pt. B.D. Sharma, PGIMS, Rohtak, India.
authors: Sandeep
authors: S
authors: Sachdeva
authors: Smiti
authors: S
authors: Nanda
authors: Ruchi
authors: R
authors: Sachdeva
keywords: Birth; caesarian section; day; delivery; institution; month; outcome; perinatal mortality; record; retrospective; sex; time
references: Am J Hum Biol. 2012 Jan-Feb;24(1):14-21
references: 22121066
references: J Nippon Med Sch. 2010 Oct;77(5):277-81
references: 21060241
references: Obstet Gynecol. 2005 Aug;106(2):352-8
references: 16055587
references: Am J Obstet Gynecol. 2006 Oct;195(4):1132-7
references: 16875648
references: Acta Obstet Gynecol Scand. 1991;70(6):465-8
references: 1763611
references: Eugen Q. 1967 Jun;14(2):132-42
references: 6070497
references: Rev Med Inst Mex Seguro Soc. 2009 Jul-Aug;47(4):353-6
references: 20550850
references: Lancet. 2010 Feb 6;375(9713):490-9
references: 20071021
references: Natl Vital Stat Rep. 2010 Aug 9;58(24):1-85
references: 21254725
references: Am J Obstet Gynecol. 2008 Nov;199(5):496.e1-5
references: 18501323
references: J Pak Med Assoc. 2007 Apr;57(4):168-72
references: 17489521
references: Bull World Health Organ. 2010 Jan;88(1):31-8
references: 20428351
references: J Obstet Gynaecol. 2005 May;25(4):338-41
references: 16091312
references: PLoS One. 2011;6(6):e20097
references: 21697990