In the News
Is your hospital safe?
US Hospital safety grades have been released providing hospitals with a rating from A to F. Patients treated at hospitals graded D and F were at 92% greater risk of dying from safety problems compared to those with an A grade. In total it was found that 160,000 lives are lost annually in the US due to avoidable errors.
Patients may often have an option of what hospital they are treated at and therefore knowledge of hospitals with higher safety grades can be important. Across all states 32% of hospital graded received an A. Shockingly there were no A rated hospital in Wyoming, Alaska, Washington, D.C., Delaware or North Dakota. The states with the highest % of A graded hospital were Oregon, Virginia, Maine, Massachusetts and Utah.
Faecal incontinence from tears while giving birth
Up to 10% of mothers who give birth vaginally will develop some form of anal incontinence. An Irish barrister is working to raise awareness of the problem that affects a large number of women. She highlights the devastating impact that these injuries can have on women including the ending of careers and relationship breakdown. Noting that ‘For me, the major thing is information so people can make an informed choice’.
Tools and Resources
Assisted Vaginal Birth – Clinical Guideline - Society of Obstetricians and Gynaecologists of Canada
The Society of Obstetricians and Gynaecologists of Canada (SOGC) has released a clinical practice guideline ‘No 318 Assisted Vaginal Birth’. It provides recommendations for safe and effective assisted vaginal birth including:
Antibiotics for operative vaginal delivery – Randomized Controlled Trial
Use of prophylactic antibiotic after operative vaginal birth can reduce the risk of women developing an infection. A randomized study of women across 27 UK obstetric units was conducted. Women were either allocated to receive a single dose of intravenous amoxicillin and clavulanic acid or placebo following operative vaginal birth at 36 weeks gestation or later.
In total 3427 women were randomly assigned treatment, 1719 to antibiotics and 1708 to placebo. The women who received antibiotics had a 56% reduction in confirmed infection compared to the placebo. The study also estimates that there is potential for a 17% reduction in overall antibiotic use when administered prophylactically.