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Quality Improvement Project

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Quality Cluster Leaders - OB/GYN

Dr. Gabriella Pridjian

Obstetrics/Gynecology

Quality Improvement

The Department of Obstetrics and Gynecology strives to improve quality and safety of patient care.  Foremost, we believe that every woman not only has the right to good obstetric and gynecologic care, but that she is a partner in her care.  Continued evaluation and transparency of Obstetrics & Gynecologic practices promotes the delivery of safe and quality patient care.

Several areas of evaluation are ongoing:

1. Timing of elective cesarean delivery or elective induction of labor.

Elective delivery should be performed at a time when it is assured that the baby will be mature. Clinical studies suggest that this time is after 39 completed weeks. For healthy mothers, delivery should not be planned earlier than 39 weeks 0 days. We are monitoring any deliveries done earlier than 39 weeks of pregnancy with no accepted medical indication.

2. Steroid use in preterm delivery.

Babies who are born prematurely clearly do better if the mother received steroids before delivery to accelerate the maturity of the lungs of the newborn.  We are monitoring prematurely delivered newborns to assess whether their mother received steroids prior to their delivery.

3. Prevention of thrombosis.

Pregnancy is a state of increased risk of blood clots. Surgery also has inherent risk of thrombosis.  We have implemented steps to decrease the risk of blood clots in women undergoing Obstetric or Gynecologic procedures.  We continue to monitor the use of our interventions and the incidence of thrombosis.

4. Episiotomy and vaginal lacerations

Routine episiotomy is no longer medically indicated for safe delivery of the new born and does not appear to "protect" the maternal tissues either.  We are monitoring the number and degree of vaginal lacerations obtained during delivery.



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Tulane University, New Orleans, LA 70118 504-865-5000 website@tulane.edu