The beneficial use of risk scoring in a remote and high-risk pregnant population.
The Peninsula and Torres Strait Health Region in Far North Queensland is a large and remote region with a high incidence of at-risk pregnancies and few experienced caregivers to provide antenatal care. Pregnancy Risk Scoring was trialled as a means of best allocating meagre resources. All 3,679 women with singleton pregnancies who gave birth at Cairns Base Hospital were studied over a 30-month period, during which time the Hospital and Regional perinatal mortality rates fell by more than 50%. Risk scoring was applied to 2,875 of these pregnancies. Preterm birth, the birth of low birth-weight babies, and birth intervention were less likely to occur in those women with a low-risk score, with the lower likelihood of preterm birth reaching clear statistical significance. Where pregnancy care resources are scarce and large numbers of high-risk pregnant women are scattered throughout a remote area it would appear that risk scoring assists positively with decisions about the best use of resources.
Humphrey
M D
MD
Cairns Base Hospital, Queensland.
D000328:Adult; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D015994:Incidence; D007226:Infant Mortality; D007231:Infant, Newborn; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D018566:Pregnancy, High-Risk; D011446:Prospective Studies; D011793:Queensland / Q000453:epidemiology; D012307:Risk Factors; D012424:Rural Population