Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Caesarean section (CS) is a commonly performed surgical procedure worldwide, with significant implications for maternal and neonatal health. Quality of care in CS deliveries is crucial, especially in rural settings where resources may be limited. This study aims to conduct a comprehensive audit of CS procedures in a rural referral hospital to identify areas for improvement. This retrospective audit was conducted at RIMS Ranchi, focusing on CS deliveries performed over a three‐month period from December 2019 to February 2020. A sample size of 720 CS cases was analyzed using standardized data collection tools. Key parameters assessed included indications for CS, timing of surgery, anesthesia methods, maternal and neonatal outcomes, and adherence to clinical guidelines. mong the 720 CS deliveries audited, the most common indication for surgery was fetal distress (42.5%), followed by cephalopelvic disproportion (23.3%) and previous CS scar (17.8%). Approximately 60% of CS procedures were performed during daytime hours. Spinal anesthesia was the predominant method used (68.9%), with general anesthesia employed in 29.7% of cases. Maternal complications occurred in 12.2% of cases, primarily comprising postoperative infections (6.5%) and hemorrhage (4.8%). Neonatal complications were reported in 9.6% of cases, including respiratory distress syndrome (3.2%) and birth asphyxia (2.9%). This audit highlights several areas for improvement in the quality of CS care at RIMS Ranchi. Strategies to reduce maternal and neonatal complications, such as enhanced infection control measures and improved monitoring during the perioperative period, should be prioritized. Continued adherence to evidence‐based clinical guidelines and regular audit cycles are essential for sustaining and enhancing the quality of CS services in rural healthcare settings.
How to cite this article:
Darukhshan Anjum and Suman Kumari. Caesarean Section Audit to Improve Quality of Care in a Rural Referral Hospital.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.6.383.386
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.6.383.386