[Quality control of the monitoring of normal pregnancy in primary care].
OBJECTIVE
GENERAL: to increase the quality of mother-baby care in our population. SPECIFIC: to improve by at least 10% the record of activities with poorest compliance at the first evaluation on the quality cycle.


METHODS
Quality cycle of the normal pregnancy monitoring programme in primary care (PC). The scientific-technical dimension of quality was the one studied. There was a retrospective, crossed evaluation, on internal initiative, about the clinical records of the pregnant women. SEQUENCE: first evaluation of pregnancies in 1994-95; application of corrective measures in 1996; second evaluation of pregnancies in 1997-98.


METHODS
Primary care.


METHODS
All the pregnancies monitored by our PC team during the periods described.


RESULTS
CRITERIA EVALUATED: care activities of the programme for monitoring normal pregnancies in Area 10. First evaluation (n = 54): 11.5% overall non-compliance. The criteria with under 80% compliance were: folic acid supplement, counselling, diagnosis of pregnancy diabetes and attendance in the month after delivery. Second evaluation (n = 69): 6.3% overall non-compliance. All activities surpassed 80% compliance except obstetric examination on the first visit, attendance a week after delivery and attendance a month after delivery.


CONCLUSIONS
After introducing certain simple corrective measures, we achieved overall improvement of over 40% and increased compliance in most activities, except for attendance after delivery and obstetric examination on the first visit. We think a continuous cycle of quality improvement needs to be maintained in order to achieve adequate mother-baby care.
Sánchez González
R
R
Centro de Salud San Blas. Parla. Area 10. Madrid. RAYOL@inicia.es
Alvarez Nido
R
R
Aroca Caballero
M
M
del Río Martín
L
L
Fernández Horcajuelo
J
J
Campoo Cobo
C
C
D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D011247:Pregnancy; D011295:Prenatal Care / Q000592:standards*; D011320:Primary Health Care / Q000592:standards*; D011785:Quality Assurance, Health Care; D011786:Quality Control; D012189:Retrospective Studies; D013030:Spain