Iqra Yasin

Mid and South Essex NHS Foundation Trust

Abstract Title: Clinical Audit: Is treatment for Hyperemesis Gravidarum patients as per standard guidelines?

Biography:

Research Interest:

Hyperemesis gravidarum (HG) is a serious condition affecting pregnant women, leading to dehydration and other complications. Despite national guidelines, variability in management persists, impacting patient outcomes and healthcare resources. Research Aim: The study aimed to assess the adherence of HG management to national guidelines, identify areas needing improvement, and recommend strategies for standardized care to enhance patient outcomes and reduce healthcare burdens. Methodology: A clinical audit was conducted over three months, examining the management of 33 HG patients. Data from medical records were evaluated against key parameters outlined in national guidelines to determine compliance and identify discrepancies. Findings: The audit revealed inconsistencies in fluid therapy, electrolyte supplementation, thromboprophylaxis, and discharge planning among HG patients, highlighting the need for standardized treatment protocols. Recommendations include improved clinician awareness and the introduction of an Enhanced Protocol for Standardized HG (EPS-HG) to enhance care quality. Theoretical Importance: The study underscores the importance of adhering to national guidelines in HG management to ensure optimal patient outcomes. By identifying discrepancies and proposing a standardized protocol, the research contributes to improving the quality and consistency of care provided to HG patients. Data Collection and Analysis Procedures: Data were collected from electronic and paper medical records of 33 pregnant women admitted with HG. A purposive non-probability sampling technique was used to assess key parameters against national guidelines, revealing variability in management practices. Questions Addressed: The study addressed the adherence of HG management to national guidelines, identified areas for improvement, and recommended strategies for standardized care. It also assessed the impact of inconsistencies in current management practices on patient outcomes and healthcare resources. Conclusion: The audit findings indicate a lack of adherence to national guidelines in HG management, emphasizing the need for standardized protocols and improved clinician awareness. The proposed EPS-HG protocol aims to address these discrepancies and improve compliance with best practices, ultimately enhancing patient care quality.