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An audit cycle on postoperative debriefing after operative deliveries OBJECTIVE To assess postnatal debriefing after LSCS and operative vaginal delivery by the doctors. DESIGN A retrospective study of case notes. SETTING Teaching Hospital in UK. POPULATION Initial audit comprised of case notes of 149 patients. This was followed by reaudit in 6 months that studied 153 patients, who had operative deliveries. METHOD Review of documentation in postnatal period and analysis of content of debriefing. RESULTS Initial audit revealed that out of 149 patients who underwent operative deliveries only 22 patients were reviewed and debriefed by medical staff. 18 % of LSCS and only 10% of operative vaginal deliveries were debriefed by doctors. Results of Reaudit were not great either but they showed improvement. As 38 out of 153 patients were debriefed. CONCLUSION Childbirth generates strong emotional impact in women‘s life. Especially operative deliveries may lead symptoms of anxiety, depression and post-traumatic stress. It has noticeable impact on women’s views about future pregnancy and delivery. This audit cycle revealed that postnatal debriefing and medical review, are deficiencies in current care. It is a good and safe medical practice to debrief the patient regarding indications of operative delivery, recovery and its impact on future pregnancies. Humera Ali, QMH