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Antenatal care for uncomplicated pregnancies [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%
Data collection end: February 2017
77%
Area covered: England
Source: Care Quality Commission. Survey of women's experiences of maternity care.


Recommendation: 1.2.3.1

Antenatal care should be readily and easily accessible to all pregnant women and should be sensitive to the needs of individual women and the local community.

What was measured: The proportion of trusts and boards offering women a choice of evenings and/or weekends for their antenatal appointments.
Data collection end: August 2017
65%
Area covered: Great Britain
Source: The National Maternity and Perinatal Audit

What was measured: The proportion of trusts and boards offering women a choice of location for their antenatal appointments.
Data collection end: August 2017
73%
Area covered: Great Britain
Source: The National Maternity and Perinatal Audit


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 2016
10.6%
Number that met the criteria: 67195 / 631225
Data collection end: March 2017
10.5%
Number that met the criteria: 65023 / 619234
Data collection end: March 2018
10.8%
Number that met the criteria: 64391 / 607294
Area covered: England
Source: NHS Digital. Statistics on Women's Smoking Status at Time of Delivery, England.


Recommendation: 1.4.12

The newborn blood spot test should be offered to parents when their baby is 5‑8 days old.

What was measured: The proportion of babies who are eligible for newborn blood spot (NBS) screening and have a conclusive result recorded on the child health information system by 17 days of age.
Data collection end: March 2017
96.5%
Number that met the criteria: 584695 / 606160
Area covered: England
Source: Public Health England: National Screening Programme Key Performance Indicators.


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: The proportion of women having antenatal sickle cell and thalassaemia screening for whom a conclusive screening result is available by 10 weeks’ gestation.
Data collection end: December 2014
50.4%
Number that met the criteria: 338769 / 672797
Data collection end: December 2015
51.2%
Number that met the criteria: 334423 / 652702
Data collection end: December 2016
51.8%
Number that met the criteria: 352742 / 680558
Data collection end: March 2017
53.1%
Number that met the criteria: 373420 / 703391
Data collection end: March 2018
55.9%
Number that met the criteria: 385665 / 690495
Area covered: England
Source: Public Health England: National Screening Programme Key Performance Indicators.


Recommendation: 1.8.7.1

Pregnant women should be offered screening for HIV infection early in antenatal care because appropriate antenatal interventions can reduce mother‑to‑child transmission of HIV infection.

What was measured: The proportion of pregnant women eligible for HIV screening for whom a confirmed screening result is available at the day of report.
Data collection end: March 2017
99.5%
Number that met the criteria: 630681 / 634017
Data collection end: March 2018
99.6%
Number that met the criteria: 673677 / 676547
Area covered: England
Source: Public Health England: National Screening Programme Key Performance Indicators.



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