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Table 4 Quality of care

From: Evaluation of the quality of antenatal care using electronic health record information in family medicine clinics of Mexico City

Indicators

%

Initiation and number of antenatal visits

 

Pregnant women who began ANC during the first trimester of gestation

n = 5342

40.6

Women with low risk pregnancy† who at the end of the pregnancy had at least 4 ANC visits

n = 4300

63.5

Education for health

 

Pregnant women with documented educational activities provided by the maternity nurse or social worker

n = 5342

20.7

Overweight/obese (pre-pregnancy BMI ≥ 25 kg/m2) pregnant women who had documented nutritional counseling provided by the nutrition service

n = 1754

26.0

Screening

n = 5342

Pregnant women referred to or had documented Rh and blood group test

23.9

Pregnant women referred to hemoglobin test during the first 2 ANC visits

41.9

Pregnant women referred to fasting plasma glucose test during the first 2 ANC visits and between weeks 24 and 28 of gestation

41.1

Pregnant women referred to obstetric ultrasound between weeks 18 and 22 of gestation

4.4

Pregnant women referred to VDRL test (syphilis screening) during the first 2 ANC visits

40.1

Supplementation

n = 2169

Pregnant women prescribed folic acid during the first trimester of gestation

64.6

Treatment and references to the obstetrician-gynecologists consultation at the second level of care

 

Pregnant women diagnosed with bacterial vaginosis or trichomoniasis who had vaginal metronidazol prescription

n = 95

45.3

Pregnant women with systolic blood pressure ≥140 mmHg, or diastolic ≥ 90 mmHg referred to the second or third level of care

n = 291

69.1

Pregnant women with pre-existing degenerative chronic disease (diabetes, hypertension, lupus, heart disease) referred to the second or third level of care

n = 54

92.6

Pregnant women between 20–32 weeks with symphysis-fundal height 4 cm less than indicated by their gestational age, referred to ultrasound or another level of care

n = 1445

60.3

Percentage of recommended care ††,

mean (standard deviation)

32.7 (22.2)

  1. n: indicates the number of women eligible for the evaluated indicator; †Low risk pregnancy: <4 points at the obstetric risk scored system of EHR; ††Proportion of antenatal care procedures that a woman received relative the total number of indicators for which she was eligible.