Revista chilena de obstetricia y ginecología
versão On-line ISSN 0717-7526
SALINAS P, Hugo et al. SE puede reducir el índice de cesárea? Experiencia del Hospital Clínico de la Universidad de Chile. Rev. chil. obstet. ginecol. [online]. 2004, vol.69, n.1, pp. 8-13. ISSN 0717-7526. doi: 10.4067/S0717-75262004000100003.
SUMMARY The experience at the Maternity Ward of Hospital Clínico de la Universidad de Chile in reducing avoidable cesarean sections is presented. The purpose of this study is to analyze the effects of an audit cycle in the cesarean section rate, using the proposal of Robson et al. A specifically designed program is used. Using the cesarean section rate of january to march trimester as a baseline, we designed an intervention protocol for april to september period which involves: daily resident report, second opinion for cesarean section, detailed pelvis diagnosis in the medical file, monthly "avoidable" cesarean section audit cycle and abnormal lie protocol standardization. The overall cesarean section rate was reduced from 44.9% to 37.1%, in nulliparous from 39.0% to 29.5% and in multiparous from 48.1% to 42.2%, all these differences were statistically significant
Palavras-chave : Cesarean section; clinical management; medical audit; Hawthorne effect.