Abstract

BackgroundDetection and management of antenatal risk factors is critical for improved maternal and infant outcomes. This study describes the proportion of pregnant women who self-reported being screened for and offered advice to manage antenatal risk factors in line with antenatal care recommendations; and the characteristics associated with rates of screening.MethodsA survey was undertaken with 223 (64 % of eligible) pregnant women recruited from an outpatient obstetrics clinic at a public hospital. Participants self-reported whether they were: (i) screened for 23 guideline-recommended risk factors during their antenatal visit; (ii) offered assistance to manage identified risk factor(s); and (iii) received assistance that was of benefit. Association between rate of screening and participant characteristics was examined using multivariate quantile regression.ResultsOverall, 23 % of women reported that they were asked about every risk factor. Weight gain (48 %), diet (60 %) and oral health (31 %) were least frequently screened risk factors. The number of women who reported they were offered advice to manage identified risks and the value of that advice was perceived by women as suboptimal. Those women receiving shared care between a midwife and general practitioner, of Aboriginal or Torres Strait Islander descent, and without private health insurance reported being screened for a greater number of risk factors.ConclusionsPregnant women report suboptimal rates of screening and management of antenatal risk factors. Initiatives to improve consistency in detection of antenatal risk factors and the application of appropriate interventions to manage those risk factors that are detected are required.

Highlights

  • Detection and management of antenatal risk factors is critical for improved maternal and infant outcomes

  • No studies have examined the views of pregnant women living in Australia in relation to whether they were screened for the range of guidelinerecommended antenatal risk factors, the help that was offered and accepted by those identified as ‘at-risk’, and the perceived benefit of the help that was offered

  • To describe the proportion of women who reported that they were: (1) screened for clinical, screening and lifestyle antenatal risk factors by their antenatal care provider during their antenatal visit; (2) offered assistance to manage identified risk factor(s); and (3) that the offered assistance was perceived to be of benefit

Read more

Summary

Methods

A survey was undertaken with 223 (64 % of eligible) pregnant women recruited from an outpatient obstetrics clinic at a public hospital. Association between rate of screening and participant characteristics was examined using multivariate quantile regression

Results
Conclusions
Background
Objective
Discussion
Limitations
Conclusion
17. Australian Health Ministers’ Advisory Council: Clinical Practice Guidelines
Full Text
Paper version not known

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call

Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.