Audits of adolescent prenatal care rendered in Bulawayo, Zimbabwe

作者：Chaibva Cynthia N; Ehlers Valerie J^*; Roos Janetta H

来源：Midwifery, 2011, 27(6): E201-E207.

DOI：10.1016/j.midw.2010.07.009

• Adolescent pregnancies
• Audit of prenatal records
• Prenatal care
• 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.

• 出版日期2011-12