Implementation of the Zambia Electronic Perinatal Record System for comprehensive prenatal and delivery care

被引：34

作者：

Chi, Benjamin H. ^{[1
,2
]}

Vwalika, Bellington ^{[3
]}

Killam, William P. ^{[1
,2
]}

Wamalume, Chibesa ^{[4
]}

Giganti, Mark J. ^{[1
,2
]}

Mbewe, Reuben ^{[5
]}

Stringer, Elizabeth M. ^{[1
,2
]}

Chintu, Namwinga T. ^{[1
]}

Putta, Nande B. ^{[1
]}

Liu, Katherine C. ^{[1
,2
]}

Chibwesha, Carla J. ^{[1
,2
]}

Rouse, Dwight J. ^{[1
,6
]}

Stringer, Jeffrey S. A. ^{[1
,2
]}

机构：

[1] Ctr Infect Dis Res Zambia, Lusaka, Zambia

[2] Univ Alabama Birmingham, Dept Obstet & Gynecol, Sch Med, Birmingham, AL 35294 USA

[3] Univ Zambia, Dept Obstet & Gynecol, Sch Med, Lusaka, Zambia

[4] Lusaka Urban Dist Hlth Management Team, Lusaka, Zambia

[5] Zambian Minist Hlth, Lusaka, Zambia

[6] Brown Univ, Warren Alpert Med Sch, Dept Obstet & Gynecol, Providence, RI 02912 USA

来源：

INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS | 2011年 / 113卷 / 02期

基金：

美国国家卫生研究院;

关键词：

Electronic medical record; Newborn care; Perinatal audit; Prenatal care; Sub-Saharan Africa; MATERNAL MORTALITY; SCALING-UP; LUSAKA; AUDIT; CHALLENGES; OBSTETRICS; HIV;

D O I：

10.1016/j.ijgo.2010.11.013

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective: To characterize prenatal and delivery care in an urban African setting. Methods: The Zambia Electronic Perinatal Record System (ZEPRS) was implemented to record demographic characteristics, past medical and obstetric history, prenatal care, and delivery and newborn care for pregnant women across 25 facilities in the Lusaka public health sector. Results: From June 1, 2007, to January 31, 2010, 115 552 pregnant women had prenatal and delivery information recorded in ZEPRS. Median gestation age at first prenatal visit was 23 weeks (interquartile range [IQR] 19-26). Syphilis screening was documented in 95 663 (83%) pregnancies: 2449 (2.6%) women tested positive, of whom 1589 (64.9%) were treated appropriately. 111 108 (96%) women agreed to HIV testing, of whom 22% were diagnosed with HIV. Overall, 112 813 (98%) of recorded pregnancies resulted in a live birth, and 2739 (2%) in a stillbirth. The median gestational age was 38 weeks (IQR 35-40) at delivery; the median birth weight of newborns was 3000 g (IQR 2700-3300 g). Conclusion: The results demonstrate the feasibility of using a comprehensive electronic medical record in an urban African setting, and highlight its important role in ongoing efforts to improve clinical care. (C) 2011 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

引用

页码：131 / 136

页数：6

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