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RCOG World Congress 2025
June 23 - 25, 2025 | ExCeL London, UK
EP.1445
Instrumental Birth Audit in United Lincolnshire Trust - Closing the loop.
Poster Presenter
Authors
Affiliations
Queens Medical Center, Diana Princess of Wales, Lincoln Hospital
Part of Topic
Labour ward management
Title : Instrumental Birth Audit In United Lincolnshire Trust (ULHT) – Closing the Loop.
Introduction : One in eight women require an instrumental birth in the UK. National maternity and perinatal Audit 2022 states that the rates of 3rd and 4th degree tears are highest in primparous birth with instruments. Quality improvement audits should look at all the auditable standards as per the GTG-20 in addition to improving birth experience and safety with instrumental births. Our aim was to analyse the Instrumental births (OVD) in ULHT to compare with national standatds and determine trends over the past five years.
Methodology: Time period for audit : December 2023 To July 2024.
Improve Medway documentation – electronic database including all items. Refer to
RCOG Birth Proforma for standards of minimum documentation.
PPH rates to be reduced further by identifying women at high risk.
Antibiotics use and documentation was only 78 % (100%)
To curb the rising Increasing OASI rates – 6.5 %, even if within national standards.
Increasing intrapartum scan use and encouraging the introduction of birth reflections
clinic.
Conclusion: We met six out of eight of our standards and the unmet need shall be fufilled by mandatory use of electronic proforma for recording instrumental birth, development of a PPH task group and local training for reduction of OASI rates.