Haertsch M, Campbell E, Sanson-Fisher R
Birth. 1999 Mar;26(1):24-30. doi: 10.1046/j.1523-536x.1999.00024.x.
Several countries have developed clinical practice guidelines for the content of prenatal care. This study examines the consistency of recommendations in clinical practice guidelines describing routine prenatal care.
The recommendations for low-risk women in seven guideline documents were examined: two from Australia, two from the United States, two from Canada, and one from Germany. The recommendations were listed into the four areas of "general health screening and health promotion during pregnancy," "organization of care," "clinical tests and screening," and "education specific for pregnancy."
A total of 69 recommendations were identified within the seven documents, most of which fell within the "clinical tests and screening" domain. Notable differences were identified in the number of recommendations made within the same country. Of the 69 recommendations, only four were included in all seven documents.
Little consistency was demonstrated within or among countries in terms of the content of their prenatal care guidelines, suggesting a need to reexamine their content and the evidence on which such recommendations are based.
多个国家已制定了关于产前保健内容的临床实践指南。本研究考察了描述常规产前保健的临床实践指南中各项建议的一致性。
对七份指南文件中针对低风险女性的建议进行了考察：两份来自澳大利亚，两份来自美国，两份来自加拿大，一份来自德国。这些建议被归类到“孕期一般健康筛查与健康促进”“保健组织”“临床检查与筛查”以及“孕期特定教育”这四个领域。
在这七份文件中总共确定了69条建议，其中大部分属于“临床检查与筛查”领域。在同一个国家内所提出的建议数量存在显著差异。在这69条建议中，只有四条被包含在所有七份文件中。
各国在产前保健指南的内容方面，无论是在国内还是国际上，一致性都很低，这表明有必要重新审视其内容以及这些建议所依据的证据。
