Clinical Audit in the Management of Mild Pre-eclampsia in Upper Egypt
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 71, Issue 2
Abstract
<strong>Background:</strong> Clinical audits based on standard criteria have been used in developed countries in order to improve the management of certain diseases but have been nowadays introduced in assessment of diseases in developing countries as pre-eclampsia and eclampsia. <strong>Study Design:</strong> a retrospective study.<strong> Objective:</strong> to assess the clinical audit in the management of mild Pre-eclampsia in Upper Egypt.<strong> Setting:</strong> Obstetrics & Gynecology department, Sohag General Hospital. <strong>Duration:</strong> from 1st of January 2015 to the end of December 2015. <strong>Patients and</strong> <strong>methods:</strong> this clinical audit study was conducted on 108 pregnant women who had mild pre-eclampsia from those admitted to Obstetrics & Gynecology department of Sohag General Hospital. Patients were diagnosed as mild preeclampsia according to ACOG criteria, 2013 of mild preeclampsia. <strong>Results:</strong> about 33% of studied cases developed featured of severe pre-eclampsia. Vaginal delivery was only in 31.4% of cases. The clinical audit was nearly adherence to standards of mild pre-eclampsia management but was very poor in asking about symptoms of severe disease only obtained for 7.4% of cases, family history was neglected completely, lower limb examination was fairly done in 60.2% of cases, pelvic examination was done in 74.1% of cases and no case had chest or heart examination. 24 hours protein collection and protein creatinine ratio were not done. Only 9.3% of cases were assessed and managed by consultants and 90.7% of cases were assessed and managed by obstetric specialists. <strong>Conclusions& Recommendations:</strong> accesses to prenatal care, early detection and diagnosis of pre-eclampsia, well monitoring and suitable management are crucial elements in the pre-eclampsia prevention regarded to maternal death<strong>.</strong> Potential areas for further improvement in quality of care for management of cases with mild pre-eclampsia related to standardizing management guidelines, greater involvement of specialists in the management and continued medical education on current management of disease for junior staff.
Authors and Affiliations
Eman Helal
Keywords
Related Articles
- EP ID EP583838
- DOI -
- Views 78
- Downloads 0
Role of CT and MRI in Diagnosis of Pericardial Diseases
<strong>Background</strong>: pericardial diseases are important causes of morbidity and mortality in cardiovascular diseases. CT and MRI are more than adjuncts to echocardiography in pericardial diseases assessment, as...
Knowledge, attitude and practice of dental students, practitioners and specialist on composite shade matching in Al-jouf, KSA
<span>Background: </span><span>Shade selection is an essential system to give patients an aesthetics renovation that correspondently merges to the patient's current dentition. Moreover, natural teeth are acknowledged to...
Vaginal Misoprostol for Cervical Priming Before Outpatient Hysteroscopy: A Randomized Controlled Trial
<span>Background: </span><span>Misoprostol has generally shown good efficacy in promoting cervical softness and facilitating hysteroscopic procedures.<br /> </span><span>Objective: </span><span>To evaluate the efficacy a...
Association between Uric Acid Levels and Lipid Profiles in Adult Population of Alkharj City
<strong>Background: </strong>High uric acid level used to predict many diseases including left atrial thrombus, it may indicate aspirin-resistant patients. It could be also used as a biochemical index for diagnosing adol...
Congenital Hydrocephalus in Arar, Northern Saudi Arabia
<span>Background: </span><span>Congenital hydrocephalus, an important cause of neurologic morbidity and mortality in children, is a medical condition characterized by an abnormal accumulation of cerebrospinal fluid in th...