Ante-natal care [CG62]

Measuring the use of this guidance

Recommendation: 1.1.1.5

At each antenatal appointment, healthcare professionals should offer consistent information and clear explanations, and should provide pregnant women with an opportunity to discuss issues and ask questions.

What was measured: Percentage of women who answered 'yes' to the question 'During your antenatal check-ups, were you given enough time to ask questions or discuss your pregnancy?'

Data collection end: February 2013

74%

Data collection end: February 2015

75%

Area covered:	England
Source:	Care Quality Commission. Survey of women's experiences of maternity care.

Recommendation: 1.3.2.4

New All women should be informed at the booking appointment about the importance for their own and their baby’s health of maintaining adequate vitamin D stores during pregnancy and whilst breastfeeding. In order to achieve this, women may choose to take 10 micrograms of vitamin D per day, as found in the Healthy Start multivitamin supplement. Particular care should be taken to enquire as to whether women at greatest risk are following advice to take this daily supplement. These include: • women of South Asian, African, Caribbean or Middle Eastern family origin • women who have limited exposure to sunlight, such as women who are predominantly housebound, or usually remain covered when outdoors • women who eat a diet particularly low in vitamin D, such as • women who consume no oily fish, eggs, meat, vitamin D-fortified margarine or breakfast cereal • women with a pre-pregnancy body mass index above 30 kgm2

What was measured: Proportion of women overall who took vitamin D supplementation

Data collection end: April 2011

52%

Area covered:	Local
Source:	Galea P, et al. (2012) Antenatal vitamin D supplementation in a multicultural population in a West London Hospital. British Journal of Obstetrics and Gynaecology. Vol 119, p64

What was measured: Women with BMI > 30 kg/m2 who were taking vitamin D supplements

Data collection end: April 2011

37%

Area covered:	Local
Source:	Galea P, et al. (2012) Antenatal vitamin D supplementation in a multicultural population in a West London Hospital. British Journal of Obstetrics and Gynaecology. Vol 119, p64

Recommendation: 1.3.10.4

Monitor smoking status and offer smoking cessation advice, encouragement and support throughout the pregnancy and beyond.

What was measured: Public Health Outcomes Framework indicator 2.03: Proportion of women who smoke at time of delivery.

Data collection end: March 2011

13.5%

Data collection end: March 2012

13.2%

Data collection end: March 2013

12.7%

Data collection end: March 2014

12%

Data collection end: March 2015

11.4%

Area covered:	England
Source:	Health and Social Care Information Centre. Statistics on Women's Smoking Status at Time of Delivery, England.

Recommendation: 1.6.2.2

It is recommended that routine antenatal anti‑D prophylaxis is offered to all non‑sensitised pregnant women who are rhesus D‑negative.

What was measured: Proportion of pregnant RhD-negative women who received anti-D prophylaxis during the antenatal period.

Data collection end: December 2012

95%

Area covered:	Local
Source:	Myint HHG (2015) Audit of use of anti-d in rhesus negative pregnant women at noble's hospital, isle of man. International Journal of Gynecology and Obstetrics Conference: October

Recommendation: 1.6.3.3

New Screening for sickle cell diseases and thalassaemias should be offered to all women as early as possible in pregnancy (ideally by 10 weeks). The type of screening depends upon the prevalence and can be carried out in either primary or secondary care.

What was measured: Public Health Outcomes Framework indicator 2.21iii: The percentage of pregnant women eligible for antenatal sickle cell and thalassaemia screening for whom a conclusive screening result is available at the day of report.

Data collection end: March 2014

98.87%

Data collection end: March 2015

98.86%

Area covered:	England
Source:	Public Health England. Public Health Outcomes Framework

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