Objective To pilot a list of indicators of quality of antenatal care across a range of maternity care settings.
For each indicator to determine what is achieved in current clinical practice, to facilitate the setting of audit standards and calculation of appropriate sample sizes for audit.
Design A multicentre retrospective observational study.
Setting Nine maternity units in the United Kingdom.
Population 20,771 women with a singleton pregnancy, who were delivered between 1 August 1994 and 31 July 1995.
Results Nine of the eleven suggested indicators were successfully piloted.
Two indicators require further development.
In seven of the nine hospitals external cephalic version was not commonly performed.
There were wide variations in the proportions of women screened for asymptomatic bacteriuria.
Screening of women from ethnic minorities for hacmoglobinopathy was more likely in hospitals with a large proportion of non-caucasian women.
A large number of Rhesus negative women did not have a Rhesus antibody check performed after 28 weeks of gestation and did not receive anti-D immunoglobulin after a potentially sensitising event during pregnancy.
As a result of the study appropriate sample sizes for future audit could be calculated. (...)
Mots-clés Pascal : Assurance qualité, Soin, Prénatal, Indicateur, Surveillance, Evaluation, Homme, Femelle, Foetus, Royaume Uni, Europe, Gestation
Mots-clés Pascal anglais : Quality assurance, Care, Prenatal, Indicator, Surveillance, Evaluation, Human, Female, Fetus, United Kingdom, Europe, Pregnancy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0196723
Code Inist : 002B20F01. Création : 16/11/1999.