Practice audits to reduce caesareans in a tertiary referral hospital in south-western China
Ma Runmei, Lao Terence T, Sun Yonghu, Xiao Hong, Tian Yuqin, Li Bailuan, Yang Minghui, Yang Weihong, Liang Kun, Liang Guohua, Li Hongyu, Geng Li, Ni Renmin, Qi Wenjin, Chen Zhuo, Du Mingyu, Zhu Bei, Xu Jing, Tao Yanping, Zhang Lan, Song Xianyan, Qu Zaiqing, Sun Qian, Yi Xiaoyun, Yu Jihui & Zhang Dandan
Volume 90, Number 7, July 2012, 488-494
Table 1. Annual trends in pregnancies with complications in a tertiary referral hospital in Kunming, Yunnan province, China, 2005–2011
| Complication | No. (%) |
Total no. (%) | χ2 test |
Spearman’s correlation |
||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| in 2005 | in 2006 | in 2007 | in 2008 | in 2009 | in 2010 | in 2011 | P | ρ | P | |||
| PROM | 185 (9.2) | 318 (13.3) | 441 (14.0) | 421 (13.6) | 350 (11.8) | 457 (14.9) | 644 (18.4) | 2 816 (14.0) | < 0.001 | 0.057 | < 0.001 | |
| PPROM | 38 (1.9) | 85 (3.6) | 114 (3.6) | 119 (3.8) | 106 (3.6) | 156 (5.1) | 159 (4.6) | 770 (3.8) | < 0.001 | 0.036 | < 0.001 | |
| Pre-eclampsia | 48 (2.4) | 78 (3.3) | 116 (3.7) | 109 (3.5) | 109 (3.7) | 189 (6.1) | 194 (5.6) | 843 (4.2) | < 0.001 | 0.053 | < 0.001 | |
| Placenta previa | 44 (2.2) | 41 (1.7) | 67 (2.1) | 77 (2.5) | 72 (2.4) | 100 (3.3) | 67 (1.9) | 468 (2.3) | 0.004 | 0.010 | 0.150 | |
| Placental abruption | 8 (0.4) | 15 (0.6) | 23 (0.7) | 10 (0.3) | 18 (0.6) | 20 (0.7) | 25 (0.7) | 119 (0.6) | 0.292 | 0.007 | 0.293 | |
| Multiple gestation | 35 (1.7) | 82 (3.4) | 79 (2.5) | 103 (3.3) | 133 (4.5) | 130 (4.2) | 168 (4.8) | 830 (4.1) | < 0.001 | 0.049 | 0.001 | |
| Uterine scar | 63 (3.1) | 102 (4.3) | 124 (3.9) | 145 (4.7) | 190 (6.4) | 198 (6.4) | 209 (6.0) | 1 031 (5.1) | < 0.001 | 0.110 | 0.001 | |
| Liver disease, any severitya | 107 (5.3) | 111 (4.6) | 138 (4.4) | 120 (3.9) | 130 (4.4) | 132 (4.3) | 118 (3.4) | 856 (4.2) | 0.026 | 0.022 | 0.002 | |
| Diabetes mellitusb | 204 (10.1) | 247 (10.3) | 383 (12.2) | 289 (9.3) | 303 (10.2) | 366 (11.9) | 514 (14.7) | 2 306 (11.4) | < 0.001 | 0.036 | 0.001 | |
| Thyroid disorders | 42 (2.1) | 70 (2.9) | 88 (2.8) | 88 (2.8) | 93 (3.1) | 135 (4.4) | 169 (5.3) | 685 (3.4) | < 0.001 | 0.051 | 0.001 | |
| Uterine fibroid | 59 (2.9) | 46 (1.9) | 65 (2.1) | 78 (2.5) | 66 (2.2) | 140 (4.6) | 153 (4.4) | 607 (3.0) | < 0.001 | 0.038 | 0.001 | |
| Haematological disorders | 33 (1.6) | 56 (2.3) | 65 (2.1) | 36 (1.2) | 17 (0.6) | 46 (1.5) | 59 (1.7) | 312 (1.6) | < 0.001 | 0.016 | 0.024 | |
| Heart disease | 11 (0.5) | 16 (0.7) | 18 (0.6) | 25 (0.8) | 16 (0.5) | 37 (1.2) | 38 (1.1) | 171 (0.8) | 0.002 | 0.022 | 0.002 | |
| Urinary disorders | 4 (0.2) | 11 (0.5) | 21 (0.7) | 8 (0.3) | 38 (1.3) | 123 (4.0) | 129 (3.7) | 334 (2.7) | < 0.001 | 0.110 | 0.001 | |
| Other conditions | 44 (2.2) | 63 (2.6) | 66 (2.1) | 62 (2.0) | 70 (2.4) | 120 (3.9) | 134 (4.2) | 559 (2.9) | < 0.001 | 0.037 | 0.001 | |
| Total caesareans | 855 (42.4) | 956 (40.0) | 1 242 (39.6) | 1 262 (40.8) | 1 304 (43.9) | 1 244 (40.4) | 1 135 (35.8) | 8 123 (40.2) | < 0.001 | 0.023 | 0.001 | |
| Total deliveries | 2 015 (100) | 2 392 (100) | 3 140 (100) | 3 093 (100) | 2 972 (100) | 3 075 (100) | 3 494 (100) | 20 183 (100) | – | – | – | |
PPROM, preterm premature rupture of membranes; PROM, premature rupture of membranes (at term).
a Includes hepatitis B carriers.
b Includes pre-gestational and gestational diabetes mellitus.