An OB Units Safety Journey to Preventing Perineal Trauma During Childbirth

Perineal trauma during childbirth can lead to significant short- or long-term complications such as perineal pain, urinary and fecal incontinence, and sexual problems. Women have a right to safe care, and minimizing perineal trauma during childbirth will allow them to focus on bonding with their baby rather than treatment and recovery from a perineal wound. With the hospitals culture to provide safe, quality care this unit would set its focus on implementing effective evidence-based practices to improve the outcomes for this population as evidenced by reduced obstetrical trauma rates.

This case study is part of the Illinois Hospital Association's annual quality awards. Each year, IHA recognizes and celebrates the achievements of Illinois hospitals in continually improving and transforming health care in the state. These hospitals are improving health by striving to achieve the Triple Aim--improving the patient experience of care (including quality and satisfaction); improving the health of populations; and reducing the per capita cost of health care.

Award recipients achieve measurable and meaningful progress in providing care that is:

• Safe
• Timely
• Effective
• Efficient
• Equitable
• Patient-centered

(The Institute of Medicine's six aims for improvement.)