Key Assurances: Proper documentation in the antepartum, intrapartum and postpartum periods Good folic acid nutritional supplementation Compliant with antenatal screening for the women Screening for prenatal complications such as gestational diabetes was good Good intrapartum and multidisciplinary care of maternal foetal and neonatal outcome in morbidly obese women Excellent postpartum support for breastfeeding and contraception
Key Areas for development: Easy access to Medway Maternity for data collection but significant delay in note retrieval for data collection
Key issues arising from the analysis that negatively affects patient care: Some missing notes and missing sheets inpatient case notes Weight and BMI not recorded in some notes Some of the patients were not offered Vit D nutritional supplementation None compliance in the referral of some of the women to the anaesthetist for review antepartum.
Recommendations:
To improve preconception care and counselling for weight reduction to improve pregnancy outcome To appropriately corroborate and timely referrals to other specialities such as endocrinology and anaesthetist To properly file patients note and sheets as this will improve patient safety To offer recommended nutritional supplements To keep up with the level and standard of care for morbidly obese women as per national guidelines For a reaudit in one year |