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Maternal attitudes to antenatal care: changes over time.
G Stirrat1, M Paterson, J Golding
1Bristol Maternity Hospital, BS2 8EG.
Health Trends
|December 10, 1989
Summary
Changes to antenatal care services increased hospital appointments and ultrasound use. Waiting times decreased, and patient anxiety about spina bifida screening was reduced, improving the overall patient experience.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Health Services Research
Background:
- Antenatal care services are crucial for maternal and infant health outcomes.
- Evaluating changes in healthcare delivery is essential for service improvement.
- Assessing patient experience provides valuable insights into care quality.
Purpose of the Study:
- To evaluate the impact of implemented changes on antenatal care services.
- To compare patient experiences before and after service modifications.
- To identify specific improvements in the delivery of antenatal care.
Main Methods:
- A comparative survey design was employed, assessing services before (1983) and after (1986) changes.
- Two cohorts of women (n=751 in 1983, n=794 in 1986) from a neighboring health district were studied.
- Key aspects analyzed included appointment frequency, provider continuity, waiting times, and uptake of specific tests.
Main Results:
- A significant increase in the number of antenatal hospital appointments was observed.
- Waiting times for hospital appointments significantly decreased.
- Uptake of alpha-feto protein tests for spina bifida and ultrasound scans increased, with reduced patient anxiety regarding these procedures.
Conclusions:
- The implemented changes in antenatal care services led to measurable improvements in service delivery.
- Increased appointment frequency and reduced waiting times enhanced patient access and satisfaction.
- Greater utilization of diagnostic tests, coupled with decreased anxiety, suggests improved patient education and support.