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Documenting indication for cesarean delivery

Guruvare, Shyamala and Kushtagi, Pralhad (2008) Documenting indication for cesarean delivery. Journal of Postgraduate Medicine , 54. pp. 52-53.

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Abstract

Attempts are made to assign indication for cesarean deliveries to one of the four or five categories. Each delivery is assigned to the highest ranked indication noted for that pregnancy regardless of other indications recorded. A 10-group classification of cesarean deliveries which would be helpful in finding the contribution of different indications for the cesarean rate and also for comparison of the trends in cesarean deliveries among different study groups, or in the same group during different time periods. Most of these are audits and are based on retrospective assignment of indication(s) for cesarean. During auditing the obstetrician actually involved in the management may not always be present to assign the ranking to the indications. It is suggested that the reason for the termination of pregnancy by cesarean be elaborately documented and foresee that the proposed way of documentation is 'easy-to-edit' and provides analyzed authentic information to any kind of audit that can be undertaken at any time. It will nullify the built-in bias prevalent in methods that allocate the highest ranked indication to a cesarean delivery. In addition, the obstetrician will be actively involved in reporting the delivery methodically which will indirectly compel one to analyze the decisions made.

Item Type: Article
Additional Information: PMID:18296810 [PubMed - indexed for MEDLINE] DOI: 10.4103/0022-3859.39195
Uncontrolled Keywords: Cesarean delivery, documentation of indications, audit
Subjects: Medicine > KMC Mangalore > Obstetrics & Gynaecology
Depositing User: KMCMLR User
Date Deposited: 13 Sep 2011 09:38
Last Modified: 18 Oct 2011 06:35
URI: http://eprints.manipal.edu/id/eprint/1269

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