Sustainable antenatal care services in an urban Indigenous community: the Townsville experience

Panaretto, Kathryn S., Mitchell, Melvina R., Anderson, Lynette, Larkins, Sarah L., Manessis, Vivienne, Buettner, Petra G., and Watson, David (2007) Sustainable antenatal care services in an urban Indigenous community: the Townsville experience. Medical Journal of Australia, 187 (1). pp. 18-22.

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Abstract

Objective: To evaluate the impact of a sustained, community-based collaborative approach to antenatal care services for Indigenous women.

Design: Prospective quality improvement intervention, the Mums and Babies program, in a cohort of women attending Townsville Aboriginal and Islanders Health Service, 1 January 2000 – 31 December 2005 (MB group), compared with a historical control group (PreMB group), 1 January 1998 – 30 June 1999.

Main outcome measures: Proportion of women having inadequate antenatal care and screening; perinatal indicators.

Results: The number of antenatal visits per pregnancy increased from three (interquartile range [IQR], two to six) in the PreMB group to six (IQR, four to ten) in the MB group (P < 0.001). There were significant improvements in care planning, completion of cycle-of-care, and antenatal education activities throughout the study period. About 90% of all women attending for antenatal care were screened for sexually transmitted diseases, 89% had measurement of haemoglobin level, and serological tests for hepatitis B and syphilis (minimum antenatal screening). There was increased attendance for dating and morphology scans. In the MB group compared with the PreMB group, there was a significant reduction in perinatal mortality (14 v 60 per 1000 births; P = 0.014).

Conclusion: Sustained access to a community-based, integrated, shared antenatal service has improved perinatal outcomes among Indigenous women in Townsville.

Item ID: 2237
Item Type: Article (Refereed Research - C1)
Keywords: antenatal care; Indigenous health; health care services
Additional Information:

Reproduced with permission from the Medical Journal of Australia.

Panaretto, Kathryn S., Mitchell, Melvina R., Anderson, Lynette, Larkins, Sarah L., Manessis, Vivienne, Buettner, Petra G., and Watson, David (2007) Sustainable antenatal care services in an urban Indigenous community: the Townsville experience. Medical Journal of Australia, 187 (1). pp. 18-22.

ISSN: 1326-5377
Date Deposited: 27 May 2009 22:24
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified @ 50%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111717 Primary Health Care @ 40%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111708 Health and Community Services @ 10%
SEO Codes: 92 HEALTH > 9203 Indigenous Health > 920399 Indigenous Health not elsewhere classified @ 40%
92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920501 Child Health @ 30%
92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920507 Womens Health @ 30%
Citation Count from Web of Science Web of Science 16
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