Haertsch M, Campbell E, Sanson-Fisher R
University of Newcastle, New South Wales, Australia.
Aust N Z J Obstet Gynaecol. 1996 Nov;36(4):411-6. doi: 10.1111/j.1479-828x.1996.tb02182.x.
This study sought the views of midwives and obstetricians about what they considered to be important aspects of routine antenatal care. Midwives and obstetricians were randomly selected from the NSW membership lists of the Australian College of Midwives and the The Royal Australian College of Obstetricians and Gynaecologists, respectively. Seventy-eight percent of midwives (n = 196) and 52% of obstetricians (n = 114) completed a questionnaire which itemised components of routine care derived from the National Health and Medical Research Council's Guidelines for Antenatal Care. Participants were asked to rate each of the 77 components on a 4-point scale as either: very important; desirable but not essential; not necessary; or, don't know. Twenty-four (31%) of the components were rated as very important by at least 90% of midwives and 19 (22%) were rated as very important by at least 90% of obstetricians. 'Recording details of previous pregnancy complications' was the component most commonly rated as being very important by both groups. On 37 (48%) of the components there was a significant difference between midwives and obstetricians in terms of whether or not they rated the component as very important (p < 0.01). There were considerable differences between midwives' and obstetricians' views about the important components of routine antenatal care and a substantial proportion of both groups did not consider many of the components listed in the guidelines to be essential in routine care. The findings suggest that a revision of the current antenatal care guidelines is necessary.
本研究旨在探寻助产士和产科医生对于他们认为常规产前护理重要方面的看法。助产士和产科医生分别从澳大利亚助产士学院新南威尔士州会员名单以及澳大利亚皇家妇产科医师学院中随机选取。78%的助产士（n = 196）和52%的产科医生（n = 114）完成了一份问卷，该问卷列出了源自国家卫生与医学研究委员会产前护理指南的常规护理组成部分。参与者被要求按照4分制对77个组成部分中的每一项进行评分，即：非常重要；可取但非必需；不必要；或者，不知道。其中24项（31%）组成部分被至少90%的助产士评为非常重要，19项（22%）被至少90%的产科医生评为非常重要。“记录既往妊娠并发症的细节”是两组中最常被评为非常重要的组成部分。在37项（48%）组成部分上，助产士和产科医生在是否将其评为非常重要方面存在显著差异（p < 0.01）。助产士和产科医生对于常规产前护理重要组成部分的看法存在相当大的差异，并且两组中相当大比例的人并不认为指南中列出的许多组成部分在常规护理中是必不可少的。研究结果表明有必要对当前的产前护理指南进行修订。
