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Reducing delay in booking for antenatal care.

J Robson, K Boomla, W Savage

    The Journal of the Royal College of General Practitioners
    |June 1, 1986
    PubMed
    Summary
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    Booking antenatal care at a health center with general practitioners significantly reduced late bookings. This scheme improved attendance and booking times for women confirming pregnancy early.

    Area of Science:

    • Obstetrics and Gynecology
    • Public Health
    • Healthcare Management

    Background:

    • Timely antenatal care booking is crucial for maternal and fetal health.
    • Late booking for antenatal services remains a challenge in many healthcare systems.
    • Current booking pathways may contribute to delays in initiating care.

    Purpose of the Study:

    • To compare the effectiveness of two antenatal care booking schemes.
    • To evaluate the impact of a health center-based booking scheme versus a hospital-based scheme.
    • To identify factors influencing booking delays in antenatal care.

    Main Methods:

    • A comparative study design was employed.
    • Two distinct antenatal care booking models were assessed: a health center scheme and a hospital clinic scheme.

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  • Data on booking gestation and confirmation of pregnancy were collected and analyzed.

    • Main Results:

    • The health center booking scheme substantially decreased late antenatal bookings (≥16 weeks gestation) from 44% to 11%.
    • Bookings at 20 or more weeks gestation were reduced from 28% to 6% under the health center scheme.
    • No significant improvement was observed in delays attributed to late pregnancy confirmation.

    Conclusions:

    • Health center-based antenatal care booking, involving general practitioners and hospital consultants, is effective in reducing late bookings.
    • Improved attendance and reduced delays for early-confirming pregnancies are key benefits of the health center scheme.
    • Optimizing booking processes, particularly for early-confirming pregnancies, is vital for enhancing antenatal care access.