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Antenatal care [QS22]

Measuring the use of this guidance

Statement: 1

Pregnant women are supported to access antenatal care, ideally by 10 weeks 0 days.

Quality standard measure: Pregnant women accessing antenatal care who are seen for booking by 12 weeks 6 days.
What was measured: Percentage of women who answered 'When I was 0 to 7 weeks pregnant', 'When I was 8 or 9 weeks pregnant', 'When I was 10 or 11 weeks pregnant' or 'When I was 12 weeks pregnant' to the question 'Roughly how many weeks pregnant were you when you had your ‘booking’ appointment (the appointment where you were given your pregnancy notes)?'.
Data collection end: February 2010
89%
Data collection end: February 2013
93%
Data collection end: February 2015
92%
Area covered: England
Source: Care Quality Commission. Survey of women's experiences of maternity care.

Quality standard measure: Pregnant women accessing antenatal care who are seen for booking by 10 weeks 0 days.
What was measured: Percentage of women who answered 'When I was 0 to 7 weeks pregnant' or 'When I was 8 or 9 weeks pregnant' to the question 'Roughly how many weeks pregnant were you when you had your ‘booking’ appointment (the appointment where you were given your pregnancy notes)?'.
Data collection end: February 2010
53%
Data collection end: February 2013
60%
Data collection end: February 2015
59%
Area covered: England
Source: Care Quality Commission. Survey of women's experiences of maternity care.

Quality standard measure: Pregnant women accessing antenatal care who are seen for booking by 10 weeks 0 days.
What was measured: The proportion of booking appointments before or at 10 weeks gestation.
Data collection end: December 2016
55%
Area covered: England
Source: Maternity Services Monthly Statistics, England - Experimental statistics.

Quality standard measure: Pregnant women accessing antenatal care who are seen for booking by 10 weeks 0 days.
What was measured: Percentage of women who answered 'When I was 0 to 7 weeks pregnant', 'When I was 8 or 9 weeks pregnant', 'When I was 10 or 11 weeks pregnant' or 'When I was 12 weeks pregnant' to the question 'Roughly how many weeks pregnant were you when you had your ‘booking’ appointment (the appointment where you were given your pregnancy notes)?'.
Data collection end: February 2017
92%
Area covered: England
Source: Care Quality Commission. Survey of women's experiences of maternity care.

Quality standard measure: Pregnant women accessing antenatal care who are seen for booking by 10 weeks 0 days.
What was measured: Percentage of women who answered 'When I was 0 to 7 weeks pregnant' or 'When I was 8 or 9 weeks pregnant' to the question 'Roughly how many weeks pregnant were you when you had your ‘booking’ appointment (the appointment where you were given your pregnancy notes)?'.
Data collection end: February 2017
61%
Area covered: England
Source: Care Quality Commission. Survey of women's experiences of maternity care.

Quality standard measure: Evidence of local services that ensure antenatal care is readily and easily accessible.
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

Quality standard measure: Evidence of local services that ensure antenatal care is readily and easily accessible.
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


Statement: 2

Pregnant women are cared for by a named midwife throughout their pregnancy.

Quality standard measure: Pregnant women's satisfaction with the continuity of their antenatal care.
What was measured: Proportion of women who answered 'Yes' or 'No, but I did not mind' to the question 'If you saw a midwife for your antenatal check-ups, did you see the same one every time?'.
Data collection end: February 2013
71%
Data collection end: February 2015
71%
Area covered: England
Source: Care Quality Commission. Survey of women's experiences of maternity care.

Quality standard measure: Pregnant women's satisfaction with the continuity of their antenatal care.
What was measured: Percentage of women who answered 'Yes' or 'No, but I did not mind' to the question 'If you saw a midwife for your antenatal check-ups, did you see the same one every time?'.
Data collection end: February 2017
72%
Area covered: England
Source: Care Quality Commission. Survey of women's experiences of maternity care.


Statement: 5

Pregnant women who smoke are referred to an evidence-based stop smoking service at the booking appointment

Quality standard measure: Smoking rates in pregnancy
What was measured: Percentage of mothers known to be non-smokers at time of delivery
Data collection end: March 2010
84.3%
Number that met the criteria: 550242 / 652967
Data collection end: March 2011
85.5%
Number that met the criteria: 563749 / 659543
Data collection end: March 2012
85.9%
Number that met the criteria: 570786 / 664691
Data collection end: March 2013
86%
Number that met the criteria: 566101 / 658122
Data collection end: March 2014
86.6%
Number that met the criteria: 548203 / 632956
Data collection end: March 2015
85.6%
Number that met the criteria: 533178 / 622643
Area covered: England
Source: Health and Social Care Information Centre. Statistics on Women's Smoking Status at Time of Delivery, England.

Quality standard measure: Smoking rates in pregnancy
What was measured: Percentage of mothers known to be non-smokers at time of delivery
Data collection end: March 2017
87.5%
Number that met the criteria: 542096 / 619234
Area covered: England
Source: Health and Social Care Information Centre. Statistics on Women's Smoking Status at Time of Delivery, England.

Quality standard measure: Quit rates for pregnant women.
What was measured: Proportion of pregnant women who set a quit date through NHS stop smoking services that successfully quit at 4 week follow up (self reported)
Data collection end: March 2010
45%
Data collection end: March 2011
45%
Data collection end: March 2012
45%
Data collection end: March 2013
47%
Data collection end: March 2014
47%
Data collection end: March 2015
47%
Area covered: England
Source: Health and Social Care Information Centre. National Stop Smoking Service Data

Quality standard measure: Proportion of pregnant women accessing antenatal care whose smoking status is recorded at the booking appointment.
What was measured: Proportion of women whose smoking status at time of delivery was known.
Data collection end: March 2015
97%
Number that met the criteria: 604057 / 622643
Area covered: England
Source: Health and Social Care Information Centre. Statistics on Women's Smoking Status at Time of Delivery, England.


Statement: 8

Pregnant women at intermediate risk of venous thromboembolism at the booking appointment have specialist advice provided about their care.

Quality standard measure: Proportion of pregnant women accessing antenatal care who have their risk of VTE recorded at the booking appointment.
What was measured: Proportion of pregnant women who were formally risk assessed for venous thomboembolism at booking appointment.
Data collection end: March 2013
72%
Area covered: Local
Source: Gibson H & Thamban S (2014). BJOG: An International Journal of Obstetrics and Gynaecology



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