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Introduction <p>Evidence suggests that criteria based clinical audit is improving the quality of emergency obstetric care services. Therefore, this criteria based clinical audit was conducted to assess the emergency obstetric standard of care and their feto-maternal outcomes in public hospitals of West Shoa Zone, Central Ethiopia.</p> Methods and materials <p>An institutional based retrospective cross-sectional study design was conducted using criteria-based clinical audit from September 01 to December 30, 2023. The medical records of women admitted with selected obstetric emergencies were selected through systematic sampling technique from maternity logbook registor and reviewed using stardarized check list. The data were collected through a kobo tool and exported to SPSS software version 27 for analysis. First, descriptive statistics were conducted. Additionally, a chi-square test was applied to test the differences in feto-maternal outcomes by study variables.</p> Results <p>A total of 438 medical records of women admitted with selected obstetric emergencies were reviewed. The quality of care that the mother received was 83.2% for severe preclapsia/eclampsia, 82% for antepartum hemorrhage, 82.8% for obstructed labor and 78.4% for post partum hemorrhage as per the standards. Related to feto-maternal adverse outcomes, the maternal mortality rate was 684.9/100,000LB and the perinatal mortality rate was 114.2/1000LB. Variables; such as type of hospital, type of obstetric emergencies, history of ANC service follow up and women hospital stay were significantly associated with both severe maternal outcomes and perinatal mortality in the chi-square analysis. Additionally, rural residences, severe maternal outcomes, referral from another facility and coming from more than 10 KM were also significantly associated with the perinatal mortality.</p> Conclusion and recommendation <p>The standards of emergency obstetric care provided were acceptable but not optimal to fully meet the established clinical standards. Additionally, significant proportions of study participants were incountered adverse feto-maternal outcomes. Thus, this criteria-based clinical audit of obstetric emergency treatment is an excellent and applicable tool to evaluate health facilities clinical services and feto-maternal outcomes in poor resource settings. Therefore, authors urge all healthcare facilities to apply regular criteria based clinical audit to improve quality of emergency obstetric care and its documentation.</p>

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Criteria based clinical audit of selected obstetric emergencies standard of care and feto-maternal outcomes in public hospitals of West Shoa Zone, Central Ethiopia

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  • 发表日期：

    2026年7月1日

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  • Tolera Gudissa Damme,
  • Dereje Bayissa Demissie,
  • Sileshi Garoma Abeya

摘要

Introduction

Evidence suggests that criteria based clinical audit is improving the quality of emergency obstetric care services. Therefore, this criteria based clinical audit was conducted to assess the emergency obstetric standard of care and their feto-maternal outcomes in public hospitals of West Shoa Zone, Central Ethiopia.

Methods and materials

An institutional based retrospective cross-sectional study design was conducted using criteria-based clinical audit from September 01 to December 30, 2023. The medical records of women admitted with selected obstetric emergencies were selected through systematic sampling technique from maternity logbook registor and reviewed using stardarized check list. The data were collected through a kobo tool and exported to SPSS software version 27 for analysis. First, descriptive statistics were conducted. Additionally, a chi-square test was applied to test the differences in feto-maternal outcomes by study variables.

Results

A total of 438 medical records of women admitted with selected obstetric emergencies were reviewed. The quality of care that the mother received was 83.2% for severe preclapsia/eclampsia, 82% for antepartum hemorrhage, 82.8% for obstructed labor and 78.4% for post partum hemorrhage as per the standards. Related to feto-maternal adverse outcomes, the maternal mortality rate was 684.9/100,000LB and the perinatal mortality rate was 114.2/1000LB. Variables; such as type of hospital, type of obstetric emergencies, history of ANC service follow up and women hospital stay were significantly associated with both severe maternal outcomes and perinatal mortality in the chi-square analysis. Additionally, rural residences, severe maternal outcomes, referral from another facility and coming from more than 10 KM were also significantly associated with the perinatal mortality.

Conclusion and recommendation

The standards of emergency obstetric care provided were acceptable but not optimal to fully meet the established clinical standards. Additionally, significant proportions of study participants were incountered adverse feto-maternal outcomes. Thus, this criteria-based clinical audit of obstetric emergency treatment is an excellent and applicable tool to evaluate health facilities clinical services and feto-maternal outcomes in poor resource settings. Therefore, authors urge all healthcare facilities to apply regular criteria based clinical audit to improve quality of emergency obstetric care and its documentation.