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User perspectives on the Swedish Maternal Health Care Register.

Petersson K, Persson M, Lindkvist M, Hammarström M, Haglund I, Nilses C, Skogsdal Y, Mogren I - BMC Health Serv Res (2014)

Bottom Line: Midwives exclusively engaged in patient-related work tasks perceived the register as burdensome (70.3%) and 44.2% questioned the benefit of the register.Direct electronic transfer of data from the medical records to the MHCR was emphasised as significant future improvement.Finally, the data suggest that the MHCR is an underused source for operational planning and quality assessment in local ANC centres.

View Article: PubMed Central - PubMed

Affiliation: Department of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Umeå, Sweden. kerstin.petersson@sodersjukhuset.se.

ABSTRACT

Background: Established in 1999, the Swedish Maternal Health Care Register (MHCR) collects data on pregnancy, birth, and the postpartum period for most pregnant women in Sweden. Antenatal care (ANC) midwives manually enter data into the Web-application that is designed for MHCR. The aim of this study was to investigate midwives' experiences, opinions and use of the MHCR.

Method: A national, cross-sectional, questionnaire survey, addressing all Swedish midwives working in ANC, was conducted January to March 2012. The questionnaire included demographic data, preformed statements with six response options ranging from zero to five (0 = totally disagree and 5 = totally agree), and opportunities to add information or further clarification in the form of free text comments. Parametric and non-parametric methods and logistic regression analyses were applied, and content analysis was used for free text comments.

Results: The estimated response rate was 53.1%. Most participants were positive towards the Web-application and the included variables in the MHCR. Midwives exclusively engaged in patient-related work tasks perceived the register as burdensome (70.3%) and 44.2% questioned the benefit of the register. The corresponding figures for midwives also engaged in administrative supervision were 37.8% and 18.5%, respectively. Direct electronic transfer of data from the medical records to the MHCR was emphasised as significant future improvement. In addition, the midwives suggested that new variables of interest should be included in the MHCR - e.g., infertility, outcomes of previous pregnancy and birth, and complications of the index pregnancy.

Conclusions: In general, the MHCR was valued positively, although perceived as burdensome. Direct electronic transfer of data from the medical records to the MHCR is a prioritized issue to facilitate the working situation for midwives. Finally, the data suggest that the MHCR is an underused source for operational planning and quality assessment in local ANC centres.

No MeSH data available.


Related in: MedlinePlus

Participant age distribution.
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Fig1: Participant age distribution.

Mentions: Background characteristics of the participants are presented in Table 2 and the age-distribution of participants is presented in Figure 1. The percentage of midwives with patient-related work exclusively (group A) was 89.1%. The percentage of midwives with patient-related work and part-time administrative supervision (group B) was 8.5%. The percentage of midwives with administrative supervision exclusively (group C) was 2.4%. One participant did not report a category. The mean age of all participants was 51.1 years, ranging from 27 to 69 years. The mean age was highest (53.7 years) in group C. The mean age of all midwives in category B and C (53.6 years) was significantly higher than midwives included in category A (50.8 years, p = 0.002). For all participants, the mean number of years of work as a midwife was 21.4 years, whereas the corresponding figure for midwives included in categories B and C were significantly higher (24.8 years, p = 0.001). For all participants, the mean number of years as an ANC midwife was 13.3 years, a finding that suggested that during their career as a midwife the participants had performed other work tasks apart from working in an ANC centre (mean time of 8.1 years). A minor part of the midwives (6.0%) worked less than 0.50 of a full time equivalent while the majority (69.9%) reported a level of employment of 0.75 of a full time equivalent or more. Most midwives (80.4%) entered data in the MHCR at least once a week; this percentage included midwives who entered data daily (7.7%).Table 2


User perspectives on the Swedish Maternal Health Care Register.

Petersson K, Persson M, Lindkvist M, Hammarström M, Haglund I, Nilses C, Skogsdal Y, Mogren I - BMC Health Serv Res (2014)

Participant age distribution.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4274728&req=5

Fig1: Participant age distribution.
Mentions: Background characteristics of the participants are presented in Table 2 and the age-distribution of participants is presented in Figure 1. The percentage of midwives with patient-related work exclusively (group A) was 89.1%. The percentage of midwives with patient-related work and part-time administrative supervision (group B) was 8.5%. The percentage of midwives with administrative supervision exclusively (group C) was 2.4%. One participant did not report a category. The mean age of all participants was 51.1 years, ranging from 27 to 69 years. The mean age was highest (53.7 years) in group C. The mean age of all midwives in category B and C (53.6 years) was significantly higher than midwives included in category A (50.8 years, p = 0.002). For all participants, the mean number of years of work as a midwife was 21.4 years, whereas the corresponding figure for midwives included in categories B and C were significantly higher (24.8 years, p = 0.001). For all participants, the mean number of years as an ANC midwife was 13.3 years, a finding that suggested that during their career as a midwife the participants had performed other work tasks apart from working in an ANC centre (mean time of 8.1 years). A minor part of the midwives (6.0%) worked less than 0.50 of a full time equivalent while the majority (69.9%) reported a level of employment of 0.75 of a full time equivalent or more. Most midwives (80.4%) entered data in the MHCR at least once a week; this percentage included midwives who entered data daily (7.7%).Table 2

Bottom Line: Midwives exclusively engaged in patient-related work tasks perceived the register as burdensome (70.3%) and 44.2% questioned the benefit of the register.Direct electronic transfer of data from the medical records to the MHCR was emphasised as significant future improvement.Finally, the data suggest that the MHCR is an underused source for operational planning and quality assessment in local ANC centres.

View Article: PubMed Central - PubMed

Affiliation: Department of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Umeå, Sweden. kerstin.petersson@sodersjukhuset.se.

ABSTRACT

Background: Established in 1999, the Swedish Maternal Health Care Register (MHCR) collects data on pregnancy, birth, and the postpartum period for most pregnant women in Sweden. Antenatal care (ANC) midwives manually enter data into the Web-application that is designed for MHCR. The aim of this study was to investigate midwives' experiences, opinions and use of the MHCR.

Method: A national, cross-sectional, questionnaire survey, addressing all Swedish midwives working in ANC, was conducted January to March 2012. The questionnaire included demographic data, preformed statements with six response options ranging from zero to five (0 = totally disagree and 5 = totally agree), and opportunities to add information or further clarification in the form of free text comments. Parametric and non-parametric methods and logistic regression analyses were applied, and content analysis was used for free text comments.

Results: The estimated response rate was 53.1%. Most participants were positive towards the Web-application and the included variables in the MHCR. Midwives exclusively engaged in patient-related work tasks perceived the register as burdensome (70.3%) and 44.2% questioned the benefit of the register. The corresponding figures for midwives also engaged in administrative supervision were 37.8% and 18.5%, respectively. Direct electronic transfer of data from the medical records to the MHCR was emphasised as significant future improvement. In addition, the midwives suggested that new variables of interest should be included in the MHCR - e.g., infertility, outcomes of previous pregnancy and birth, and complications of the index pregnancy.

Conclusions: In general, the MHCR was valued positively, although perceived as burdensome. Direct electronic transfer of data from the medical records to the MHCR is a prioritized issue to facilitate the working situation for midwives. Finally, the data suggest that the MHCR is an underused source for operational planning and quality assessment in local ANC centres.

No MeSH data available.


Related in: MedlinePlus