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Summary of Results

Health Topic:   Gynaecology, pregnancy and birth
Guidance:   Antenatal care
Description:   The summary of the published clinical guideline on Antenatal care. It links to the published guidance and key documents.

NICE implementation uptake reports

Implementation uptake report Assessment Published Date Coverage

External literature

External literature Assessment Coverage

Care Quality Commission (2010) Survey of women's experiences of maternity services 2010

Description: The 2010 survey of women?s experiences of maternity services involved 142 NHS acute trusts and 2 primary care trusts (PCTs) in England. We received responses from over 25,000 women, a response rate of 52%. Results found that of expectant mothers offered scans for Down's syndrome in their baby: 52% had a blood test only, 6% had a nuchal test only and 38% had a nuchal and blood test. Only 3% of expectant mothers were offered no scan at all.

Doubts about or mixed impact in practice National

Jain V et al (2011) A survey of healthcare professionals' awareness of Vitamin D supplementation in Pregnancy, infancy and childhood-midwives, GP's and health visitors have their say Archives of Disease in Childhood (var.pagings). 96 (pp A16-A17)

Description: Questionnaires were distributed to health visitors, GP's and midwives within a South London borough from June to July 2010. A total of 77/116 healthcare professionals responded. Pregnant women were routinely advised about suplementation by 8/34 (24%) midwives and 2/21 (10%) GPs. Supplementation advice for breastfeeding women and breast-fed babies was given by 10/22 (45%) health visitors and 3/21 (14%) GP's.

Doubts about or mixed impact in practice Local

Galea, P. et al (2012) Antenatal vitamin D supplementation in a multicultural population in a West London Hospital An International Journal of Obstetrics and Gynaecology. Conference Publication: (var.pagings). 119 (pp 64), 2012. Date of Publication: June 2012.

Description: This prospective audit measured compliance with NICE guidance, which recommends vitamin D supplementation for all pregnant women. All 162 women booked into Ealing Hospital NHS Trust were verbally interviewed using a standard questionnaire between 5th Feb and 5th April 2011. Results showed that 52% of mothers took vitamin D supplements, and within the ?high risk? ethnicities compliance was less than a third. Similarly, only 37% of women with a BMI > 30kg/m2 were given vitamin D supplements.

Doubts about or mixed impact in practice Local

The Royal College of Midwives (2010) The Royal College of Midwives audit of midwifery practice

Description: One of the audit aims was to explore midwives? activities in antenatal, intranatal and postnatal care in relation to national guidelines. Questionnaires were sent to 13,782 Royal College of Midwives (RCM) members between 28/10/2009 ? 02/12/2009, the response rate was 15.6%. Findings show that the majority (75%) of women recalled in this survey who were initially identified as suitable for midwifery led care had intermittent auscultation either with a Doppler (61%) or Pinard stethoscope (13%).

Practice appears to be in line with guidance National

Lee, R. et al (2013) An audit of screening for gestational diabetes mellitus BJOG: An International Journal of Obstetrics and Gynaecology. 2013 Conference (var.pagings) PAGES June -

Description: This retrospective audit, conducted October - December 2012, measured current screening practice for gestational diabetes at University Hospital Wales, Cardiff. Results from questionnaires completed by 96 women found that 66.6% of women with at least one risk factor were given an oral glucose tolerance test, 3% of which were positive.

Doubts about or mixed impact in practice Local

Oo, T. et al (2013) The management and the outcome of gestational diabetic women in North tees and Hartlepool NHS trust, United Kingdom: Departmental Audit 2012 BJOG: An International Journal of Obstetrics and Gynaecology. 2013 Conference (var.pagings) PAGES June -

Description: This study aimed to investigate the management and the outcome of gestational diabetes at North Tees and Hartlepool NHS Trust. Retrospective review of 52 patients between July 2010 and May 2011 found screening for diabetes was performed as per guidance but cut off level for BMI >35 was used instead of 30. All patients received health education and 75% were seen by a dietician.

Practice appears not to be in line with guidance Local

National Audit Office (2013) Maternity services in England

Description: This report examines the performance and management of maternity services in England. Evidence was collected between January and September 2013 using a variety of methods, including a web-based survey of all acute trusts and individual maternity units. Findings show mixed experiences relating to continuity of care. In 2010, 92% of women reported having a named midwife. However, 22% stated that they had been left alone, during or shortly after birth, at a time when it worried them.

Doubts about or mixed impact in practice National

This page was last updated: 01 November 2013

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Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.