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A novel antenatal record to help midwives.

I Kennedy, B Stephens

    The Practitioner
    |July 1, 1979
    PubMed
    Summary

    A new antenatal tool using a questionnaire and graph quickly identifies at-risk pregnancies. This method enhances midwife awareness and confidence in patient referrals, improving antenatal care.

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    Area of Science:

    • Obstetrics and Gynecology
    • Maternal Health
    • Clinical Risk Assessment

    Background:

    • Identifying high-risk pregnancies is crucial for optimal maternal and fetal outcomes.
    • Current methods may lack efficiency or immediate visual feedback for healthcare providers.
    • Midwives play a vital role in antenatal screening and patient management.

    Purpose of the Study:

    • To introduce and evaluate a novel antenatal tool for early identification of at-risk pregnancies.
    • To assess the tool's impact on midwife efficiency, clinical awareness, and confidence.
    • To provide a simple and visually striking method for risk assessment during antenatal visits.

    Main Methods:

    • Development of a combined antenatal questionnaire and graphical plotting system for maternal weight and fundal height.
    Keywords:
    AfricaAfrica South Of The SaharaBotswanaData CollectionDelivery Of Health CareDeveloping CountriesEnglish Speaking AfricaFamily Planning PersonnelHealthHealth PersonnelHealth ServicesMaternal Health ServicesMaternal-child Health ServicesMidwivesPregnancyPrimary Health CareReproductionResearch MethodologySouthern Africa

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  • Implementation of the tool in routine antenatal care settings.
  • Evaluation of the tool's effectiveness through midwife feedback and assessment of time-saving and confidence-building aspects.

    • Main Results:

    • The tool provides immediate visual warnings for pregnancies identified as high-risk.
    • It demonstrably saves midwives' time during antenatal assessments.
    • The tool enhances midwives' clinical awareness and increases their confidence in making patient referrals.

    Conclusions:

    • This antenatal tool offers a simple, visually effective method for identifying at-risk pregnancies.
    • It improves midwife efficiency and confidence, potentially leading to better patient management and outcomes.
    • The tool supports enhanced clinical decision-making in antenatal care settings.