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Achieving sustainable quality in maternity services – using audit of incontinence and dyspareunia to identify shortfalls in meeting standards

Authors
Publisher
BioMed Central
Publication Date
Source
PMC
Keywords
  • Research Article
Disciplines
  • Ecology
  • Medicine

Abstract

1471-2393-1-4.fm ral BioMed CentBMC Pregnancy and Childbirth BMC Pregnancy and Childbirth 2001, 1 :4Research article Achieving sustainable quality in maternity services – using audit of incontinence and dyspareunia to identify shortfalls in meeting standards James Clarkson1, Cindy Newton2, Debra Bick3, Gill Gyte4, Chris Kettle5, Mary Newburn4, Jane Radford6 and Richard Johanson*5 Address: 1Clinical Audit, North Staffordshire Hospital NHS Trust, Stoke on Trent, United Kingdom, 2Clinical Audit, Queens Hospital, Burton on Trent, United Kingdom, 3Public Health & Epidemiology, University of Birmingham, Birmingham, United Kingdom, 4National Childbirth Trust, London, United Kingdom, 5Obstetrics & Gynaecology, North Staffordshire Hospital NHS Trust, Stoke on Trent, United Kingdom and 6Obstetrics & Gynaecology, Queens Hospital, Burton on Trent, United Kingdom E-mail: James Clarkson - [email protected]; Cindy Newton - [email protected]; Debra Bick - [email protected]; Gill Gyte - [email protected]; Chris Kettle - [email protected]; Mary Newburn - [email protected]; Jane Radford - [email protected]; Richard Johanson* - [email protected] *Corresponding author Abstract Background: Some complications of childbirth (for example, faecal incontinence) are a source of social embarrassment for women, and are often under reported. Therefore, it was felt important to determine levels of complications (against established standards) and to consider obstetric measures aimed at reducing them. Methods: Clinical information was collected on 1036 primiparous women delivering at North and South Staffordshire Acute and Community Trusts over a 5-month period in 1997. A questionnaire was sent to 970 women which included self-assessment of levels of incontinence and dyspareunia prior to pregnancy, at 6 weeks post delivery and 9 to 14 months post delivery. Results: The response rate was 48%(470/

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