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. 2013 Apr 5;27(8):537–541. [Article in Spanish] doi: 10.1016/S0212-6567(01)78856-7

Control de calidad del seguimiento del embarazo normal en atención primaria

Quality control of the monitoring of normal pregnancy in primary care

R Sánchez González a,*, R Álvarez Nido a, M Aroca Caballero a, L del Río Martín a, J Fernández Horcajuelo a, C Campoo Cobo b
PMCID: PMC7675958  PMID: 11412539

Abstract

Objectives

General: to increase the quality of mother-baby care in our population. Specific: to improve by at least 10% the record of activities with poorest compliance at the first evaluation on the quality cycle.

Design

Quality cycle of the normal pregnancy monitoring programme in primary care (PC). The scientific-technical dimension of quality was the one studied. There was a retrospective, crossed evaluation, on internal initiative, about the clinical records of the pregnant women. Sequence: first evaluation of pregnancies in 1994-95; application of corrective measures in 1996; second evaluation of pregnancies in 1997-98.

Setting

Primary care.

Patients

All the pregnancies monitored by our PC team during the periods described.

Measurements and main results

Criteria evaluated: care activities of the programme for monitoring normal pregnancies in Area 10. First evaluation (n = 54): 11.5% overall non-compliance. The criteria with under 80% compliance were: folic acid supplement, counselling, diagnosis of pregnancy diabetes and attendance in the month after delivery. Second evaluation (n = 69): 6.3% overall non-compliance. All activities surpassed 80% compliance except obstetric examination on the first visit, attendance a week after delivery and attendance a month after delivery.

Conclusions

After introducing certain simple corrective measures, we achieved overall improvement of over 40% and increased compliance in most activities, except for attendance after delivery and obstetric examination on the first visit. We think a continuous cycle of quality improvement needs to be maintained in order to achieve adequate mother-baby care.

Key words: Quality control, Pregnancy, Primary care

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