Delivery of maternal health care in Indigenous primary care services: baseline data for an ongoing quality improvement initiative

Table 3 Recording of pregnancy risk factors and brief interventions and delivery of routine antenatal checks

Item	NT Top End	NT Central Australia	Far West NSW	WA	North QLD	Total
No. of health centres \| client records	13 \| 136	2 \| 45	6 \| 103	9 \| 193	4 \| 58	34 \| 535
Any use of: Cigarettes	41%	40%	39%	42%	55%	43%^†
Alcohol	12%	27%	19%	25%	31%	22%*
Illicit drugs	7%	2%	17%	8%	7%	9%
1^st trimester: Cigarettes	32%	27%	24%	32%	43%	31%
Alcohol	9%	24%	13%	18%	28%	16%
Illicit drugs	5%	2%	9%	6%	3%	6%
3^rd trimester: Cigarettes	21%	38%	35%	26%	50%	30%
Alcohol	4%	13%	17%	14%	21%	13%
Illicit drugs	3%	0%	15%	6%	7%	6%
Evidence of: Social risk factors	11%	29%	6%	22%	57%	20%*
Medical risk factors	38%	64%	19%	39%	45%	38%*
Brief interventions/counselling
Smoking cessation^‡	48%	67%	35%	49%	41%	46%
Antenatal education	51%	93%	51%	46%	47%	52%*
Nutrition	53%	76%	18%	32%	59%	41%*
Oral health	33%	29%	5%	9%	7%	16%*
Breast feeding	21%	51%	17%	25%	19%	24%
Alcohol and other substance abuse	37%	56%	12%	39%	34%	34%*
Physical activity	27%	36%	5%	17%	38%	21%*
Mood (depression)	14%	51%	11%	20%	19%	19%*
Domestic/social environment	24%	58%	10%	16%	29%	22%
Social/family support	38%	73%	5%	29%	24%	30%*
Financial situation	2%	29%	1%	6%	7%	6%*
Housing condition	4%	44%	1%	15%	9%	11%*
Food security	2%	33%	1%	8%	7%	7%*
Routine antenatal checks
Before 13 weeks gestation
Weight	55%	56%	26%	33%	38%	40%
Maternal height	18%	29%	15%	19%	26%	20%
BMI	6%	27%	2%	14%	7%	10%*
BP	57%	56%	33%	38%	50%	45%
Urinalysis	57%	53%	24%	34%	34%	40%*
Between 13 and 24 weeks gestation
Fundal height	80%	80%	36%	58%	67%	62%*
FHR	76%	78%	45%	57%	57%	61%*
BP	80%	82%	54%	67%	83%	71%
Urinalysis	79%	76%	29%	61%	59%	61%*
After 24 weeks gestation
Fundal height	93%	89%	66%	69%	64%	76%*
FHR	93%	89%	70%	69%	60%	76%*
BP	93%	91%	71%	75%	78%	81%*
Urinalysis	95%	89%	52%	68%	57%	72%*

BMI = body mass index, FHR = fetal heart rate, BP = blood pressure.
* P < 0.05 for comparisons between regions.
† The reason that the proportion of women smoking at any time in pregnancy is higher than in either the first or third trimester is that of the 228 (43%) who had smoked at any stage during pregnancy, 101 smoked in both 1^st and 3^rd trimesters, 66 smoked only in 1^st trimester, and 61 smoked only in 3^rd trimester. Thus a proportion of women appear to have taken up smoking between the 1^st and 3^rd trimesters and a proportion who smoked in the first trimester were reported to no longer smoke in the 3^rd trimester.
‡ Among those who used cigarettes: NT Top End (n = 56); NT Central Aust (n = 18); Far West NSW (n = 40); WA (n = 82); North Qld (n = 32); total N = 228.

ISSN: 1471-2393