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Audits of adolescent prenatal care rendered in Bulawayo, Zimbabwe
Cynthia N Chaibva1, Valerie J Ehlers, Janetta H Roos
1Department of Health Sciences, University of South Africa, Zimbabwe Open University, Bulawayo, Zimbabwe.
Objective:
To evaluate the adequacy of recorded prenatal care provided to adolescents in Bulawayo, Zimbabwe.
Design:
A quantitative descriptive design, using checklists to audit 80 prenatal records, based on the assumption that care recorded reflects care rendered.
Setting:
Four clinics and two hospitals providing public prenatal and birth services in Bulawayo, Zimbabwe.
Participants:
80 Adolescents' prenatal records were audited.
Measurement And Findings:
Recorded prenatal care was checked according to the expected prenatal activities: history taking, health education and counselling, physical examinations, routine laboratory tests, client evaluations and planning for birth.
Key Conclusions:
documentation in the prenatal records was incomplete, especially on aspects of health promotion and social history.
Implications For Practice:
Inadequacies in prenatal records could denote poor prenatal care rendered to adolescents, limiting the potential benefits pregnant adolescents and their infants could derive from these services in Bulawayo. In-service education should be offered to the midwives to enhance their knowledge and skills on health assessment, history taking, physical examinations and accurate documentation of all aspects of prenatal care.
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