Hi Sadie,
Sorry, I just copied it as it was written on the web-site ... I guess you
could get a librarian to find the journal for you .
Leanne.
Leanne Wynne
Midwife in charge of "Women's Business"
Mildura Aboriginal Health Service Mob 0418 371862
From: "Sadie" <[EMAIL PROTECTED]>
Reply-To: ozmidwifery@acegraphics.com.au
To: <ozmidwifery@acegraphics.com.au>
Subject: Re: [ozmidwifery] article FYI
Date: Sat, 8 Oct 2005 17:58:51 +1000
Hi Leanne,
Do you have the names' of the authors who wrote this article?
Thanks,
Sadie
----- Original Message ----- From: "leanne wynne" <[EMAIL PROTECTED]>
To: <ozmidwifery@acegraphics.com.au>
Sent: Friday, October 07, 2005 9:42 AM
Subject: [ozmidwifery] article FYI
Building an antenatal care consensus
Issue 20: 3 Oct 2005
Source: European Journal of Obstetrics & Gynecology and Reproductive
Biology 2005; 122: 22-32 & 1-3
A new study has identified the extent to which guidelines on the antenatal
care of normal pregnancy are consistent between different European
countries.
Researchers at the European Institute of Health and Medical Sciences, in
Guildford, UK, set out to evaluate and compare the content of national
guidelines for routine antenatal care in the 25 countries that make up the
European Union (EU).
Antenatal care was defined as "baseline clinical care of all pregnancies
of a healthy woman with an uncomplicated singleton pregnancy."
The researchers conducted a literature review and identified 37 routine
tests. They then sent a questionnaire to government health departments and
national ob/gyn organizations, asking them to specify which of the 37
tests were recommended in official antenatal care guidelines.
Of the 25 member countries, 20 reported having such national guidelines.
Overall, these guidelines recommended 47 different tests (10 more than
identified in the literature review).
Of these, 23 tests were recommended for routine care by more than 50
percent of the countries, and applied to more than 50 percent of the total
population. This 50 percent/50 percent criterion was considered by the
researchers to be suitable for clarifying which tests should be included
in a proposed common minimum guideline for EU member countries.
The final 23?
Writing in the European Journal of Obstetrics & Gynecology and
Reproductive Biology, the researchers say the 23 tests included three that
were recommended in all 20 countries with national guidelines. These three
universal tests were blood group, blood pressure and Rhesus factor
determination.
The 23 tests also included 12 that were recommended by more than 75
percent of the countries (but not 100 percent). These included maternal
weight, urinalysis/bacteria, hemoglobin, urinalysis/protein, fetal
position, fundal height, and hepatitis B.
Four of the 23 tests were considered not to be sufficiently supported by
published literature. These were vaginal examination to predict a
premature ripening of the cervix, auscultation of the fetal heart rate, an
oral glucose tolerance test for gestational diabetes, and urinalyses for
glucose. The researchers say these tests require further investigation.
Concluding, they write that "the suggested minimum guideline can only be
seen as the beginning of a process which might culminate in a consensus
conference at which national representatives of the relevant institutions
as well as individual health professionals can find a consensus, which can
be finally accepted by all member states."
In a brief commentary in the same issue of the journal, its editor says
the study "will perform a valuable function in showing obstetricians how
their practice compares with that elsewhere, and it provides an important
basis for reflection and discussio
Leanne Wynne
Midwife in charge of "Women's Business"
Mildura Aboriginal Health Service Mob 0418 371862
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