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首页> 外文期刊>Australian and New Zealand Journal of Obstetrics and Gynecology >Impact of service‐wide initiatives to support healthy pregnancy weight gain on weight‐related documentation
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Impact of service‐wide initiatives to support healthy pregnancy weight gain on weight‐related documentation

机译：服务范围的措施的影响支持体重相关文件的健康怀孕体重增加

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Background Excess gestational weight gain is associated with adverse pregnancy outcomes. Addressing barriers to the provision of best practice care that supports healthy pregnancy weight gain could assist staff in clinical care; however, little is known about changes to staff practices after ameliorating barriers. Aims To evaluate if service initiatives to promote healthy pregnancy weight gain improve weight‐related documentation by antenatal staff throughout pregnancy care. Materials and Methods Service initiatives including staff training, familiarisation with a pregnancy weight gain chart and placement of scales in clinic rooms were introduced. Pregnancy health records were audited for deliveries pre‐ (2014) and post‐implementation (2017) to obtain weight‐related measures. Measures assessed included the documentation of pre‐pregnancy weight, height, pre‐pregnancy body mass index ( BMI) , referral to dietetic services (if overweight) and the accuracy of pre‐pregnancy BMI calculation. The proportion of visits with weight recorded during pregnancy was also audited. Results A total of 1003 and 1050 records were included from the pre‐ and post‐intervention groups respectively. Significant improvements over time were observed in the documentation of pre‐pregnancy weight ( P ??0.001), BMI ( P ??0.001), accuracy of BMI calculation ( P ??0.001) and for obese women proportion of visits with weight recorded ( P ?=?0.02). There was a non‐significant increase in the documentation of dietetic referral for overweight women (1.1% vs 2.2%, P ?=?0.27) and proportion of visits with weight recorded for women across all pre‐pregnancy BMI groups (49% vs 51%, P ?=?0.07). Conclusions Addressing barriers to supporting healthy pregnancy weight gain through service‐wide initiatives may improve weight‐related documentation by antenatal staff.
机译：背景技术多余的妊娠重量增益与不良妊娠结果有关。解决支持健康怀孕体重增加的最佳实践护理的障碍可以帮助临床护理人员;但是，在改善障碍后对员工实践的变化很少有人。旨在评估服务举措是否促进健康的怀孕体重，通过在整个妊娠护理中通过产前工作人员提高与体重相关的文件。引入了材料和方法服务举措，包括员工培训，熟悉怀孕体重增加图和诊所房间的尺度的放置。妊娠健康记录被审核为交付前（2014年）和实施后（2017年）以获得有关的权衡措施。评估的措施包括妊娠预体重，身高，妊娠前体重指数（BMI）的文件，转诊到饮食服务（如果超重）和妊娠前BMI计算的准确性。怀孕期间录制的重量比例也受到审核。结果共有1003和1050条记​​录分别包括在后期和后期后组。在妊娠前重量的文献中观察到随时间的显着改善（p≤≤0.001），BMI（p≤≤0.001），BMI计算的精度（p≤≤0.001）和肥胖女性比例记录重量的访问（p？= 0.02）。超重女性的饮食转介文档有一个非显着的增加（1.1％vs 2.2％，p？= 0.27）以及所有妊娠前BMI组妇女的妇女重量的比例（49％VS 51 ％，p？= 0.07）。结论通过服务范围的举措解决支持健康怀孕体重增加的障碍可能会通过产前劳动人员改善与体重相关的文件。

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