In its landmark document Caring for Our Future : The Content of Prenatal Care, the Public Health Service Expert Panel on the Content of Prenatal Care presented a framework for refocusing prenatal care in the 1990s.
The purpose of this study was to examine the extent to which the panel's recommendations for preconceptional care and for the content of the initial prenatal workup were followed 3 years after they were issued.
A retrospective review of the prenatal records of 147 patients in Durham and Chatham counties, North Carolina, was conducted.
Providers were selected at random, and their first 10 new prenatal patients were enrolled in the study.
Data were analyzed descriptively to characterize patterns in content of care and, with multiple logistic regression analysis, to determine whether there were relationships between selected maternal characteristics and receipt of selected components of care.
Only 11% of the patients had one or more preconceptional visits.
During the initial prenatal workup risk assessment through history taking and physical examination was virtually complete, whereas documentation of laboratory tests varied.
Only about half the population received routine counseling on pregnancy and health behaviors.
Multiple logistic regression analysis revealed a consistent association between initiating prenatal care early in pregnancy and receipt of most laboratory tests.
No other consistent relationships w...
Mots-clés Pascal : Surveillance, Prénatal, Gestation, Education sanitaire, Prévention, Etats Unis, Amérique du Nord, Amérique, Homme
Mots-clés Pascal anglais : Surveillance, Prenatal, Pregnancy, Health education, Prevention, United States, North America, America, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0106194
Code Inist : 002B20F01. Création : 199608.