The Introduction of a Woman-Held Record into a Hospital Antenatal Clinic: The Bring Your Own Records Study

Authors

  • Caroline S.E. Homer CM MN,,

    Corresponding author
    1. Midwifery Practice and Research Centre, Family Health Research Unit, St George Hospital, New South Wales
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    • 1

      Research Midwife.

  • Gregory K. Davis MD FRACOG,

    1. Department of Obstetrics and Gynaecology, St George Hospital, New South Wales
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    • 2

      Staff Specialist.

  • Louise S. Everitt CM Grad Dip Com H1th

    1. Midwifery Practice and Research Centre, Family Health Research Unit, St George Hospital, New South Wales
    2. Department of Obstetrics and Gynaecology, St George Hospital, New South Wales
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    • 3

      Clinical Midwifery Consultant.


6 Family Health Research Unit, St George Hospital, Gray Street, Kogarah, New South Wales 2217.

Abstract

Summary: We report the introduction of a woman-held record into an antenatal clinic in a NSW teaching hospital using a randomized controlled trial. In 1997, 150 women were randomized to either retaining their entire antenatal record through pregnancy (women-held group) or to holding a small, abbreviated card, as was standard practice (control group). A questionnaire was distributed to women to measure sense of control, involvement in care and levels of communication. Availability of records at antenatal visits was also measured. Women in both groups were satisfied with their allocated method of record keeping, however, those in the women-held group were significantly more likely to report feeling in ‘control’ during pregnancy. Women in the control group were more likely to feel anxious and helpless and less likely to have information on their records explained to them by their caregiver. The number of records available at each clinic was similar in both groups.

Ancillary