Bernloehr Annette, Smith Pam, Vydelingum Vasso
European Institute of Health and Medical Sciences, University of Surrey, Guildford, UK.
Eur J Obstet Gynecol Reprod Biol. 2005 Sep 1;122(1):22-32. doi: 10.1016/j.ejogrb.2005.04.004.
A comprehensive review of the content of national guidelines on antenatal care for normal pregnancies in the member states of the European Union was required to find out whether a common minimum guideline would be of benefit to complement national public health policies, and what this guideline might contain.
A structured questionnaire was sent to the Ministries of Health and the societies of obstetricians and midwives. Descriptive analyses identified which and how many member states recommend a test, to how many people this applied, and whether there was a correlation between the gross national product and the number of tests recommended.
Answers were obtained from all 25 member states. Twenty of them have a national guideline. Forty-seven tests were reported and 23 of these are recommended for routine care by more than 50% of the countries and apply to more than 50% of inhabitants. Those tests are also supported by scientific evidence. Countries with a GNP below EU-average recommend more tests than the others.
For the first time it has been demonstrated what the member states of the EU recommend for antenatal care. Based on this, a common minimum guideline for antenatal care in the EU is recommended.
需要对欧盟成员国正常妊娠产前护理国家指南的内容进行全面审查，以确定通用的最低指南是否有助于补充国家公共卫生政策，以及该指南可能包含哪些内容。
向各国卫生部以及妇产科医生和助产士协会发送了结构化问卷。描述性分析确定了哪些成员国以及有多少成员国推荐了某项检查、该检查适用于多少人，以及国民生产总值与推荐检查数量之间是否存在关联。
收到了所有25个成员国的回复。其中20个国家有国家指南。共报告了47项检查，其中23项被超过50%的国家推荐用于常规护理，且适用于超过50%的居民。这些检查也有科学依据支持。国民生产总值低于欧盟平均水平的国家推荐的检查比其他国家更多。
首次证明了欧盟成员国对产前护理的推荐内容。基于此，建议制定欧盟产前护理通用最低指南。
