We sought to audit the documentation of shoulder dystocia in our institution and re-audit followingnthe introduction of a structured proforma. All cases of shoulder dystocia were identified and studiednretrospectively from January 1st 2005 to December 31st 2006. A standardized proforma wasnintroduced and cases of shoulder dystocia were prospectively identified over a 6 month period inn2008. The incidence of shouder dystocia was 0.79% in the initial study and 1.36% in the subsequentnaudit. Documentation improved with the introduction of the proforma. There was also a significantnimprovement in neonatal APGARs in the re-audit (35% vs 11.5% APGARs ,7 at 1 minute),nsuggesting improved management of cases of shoulder dystocia. The introduction of a proformansignificantly improved the documentation of cases of shoulder dystocia. We would encourage othernunits to introduce a similar proforma to improve documentation of shoulder dystocia.
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