title: [Electronic Medical Record for Prenatal Care of Diabetic Women].
abstract: OBJECTIVE
  To present and validate a multifunctional electronic medical record (EMR) for outpatient care to women with endocrine disorders in pregnancy and to compare health information data fill rate to conventional medical records.
  
  
  METHODS
  We developed an EMR named Ambulatory of Endocrine Diseases in Pregnancy (AMBEG) for systematic registration of health information The AMBEG was used for obstetric and endocrine care in a sample of pregnant women admitted to the maternity reference in high-risk pregnancies in Bahia from January 2010 to December 2013. We randomly selected 100 patients accompanied with AMBEG and 100 patients monitored with conventional consultation and compared the health information data fill rate of the electronic consultation to that performed using conventional medical records.
  
  
  RESULTS
  1461 consultations were held, of which 253, 963 and 245 were first, follow-up and puerperium consultations, respectively. Most patients were pregnant women with diabetes (77.2%) and 60.1% were women with pre-gestational diabetes. The AMBEG satisfactorily replaced the conventional medical record. The percentage of registered information was significantly higher in the AMBEG: clinical symptoms (87% versus 100, p < 0.01), uterine height (89 versus 75%, p = 0.01), total weight gain (91 versus 40%, p < 0.01) and specific diabetes data (diet, insulin regimen, glycemic control and management of hypoglycemia) revealed a significant difference (p < 0.01). The ability to export data to worksheets greatly facilitated and accelerated the statistical analysis of the data.
  
  
  CONCLUSIONS
  AMBEG is a useful tool in clinical care for women with endocrine diseases during pregnancy. The fill rate of clinical information was superior to that registered in conventional medical records.
authors.affiliation: Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brasil.
authors.forename: Alina Coutinho Rodrigues
authors.initials: AC
authors.lastname: Feitosa
authors.affiliation: Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brasil.
authors.forename: Amado Nizarala
authors.initials: AN
authors.lastname: de Ávila
mesh_terms: D000328:Adult; D001786:Blood Glucose; D016640:Diabetes, Gestational; D057286:Electronic Health Records; D005260:Female; D006801:Humans; D011247:Pregnancy; D011254:Pregnancy in Diabetics; D011295:Prenatal Care
chemical_list: D001786:Blood Glucose
references.citation: J Midwifery Womens Health. 2012 Jul-Aug;57(4):315-20
references.pmid: 22758354
references.citation: J Diabetes Sci Technol. 2015 Aug 20;10(2):429-34
references.pmid: 26292961
references.citation: J Healthc Qual. 2017 May/Jun;39(3):144-152
references.pmid: 28481842
references.citation: JAMA. 2013 Sep 11;310(10):1060-5
references.pmid: 24026601
references.citation: N Engl J Med. 2007 Jun 14;356(24):2527-34
references.pmid: 17568035
references.citation: J Am Med Inform Assoc. 2015 Jul;22(4):864-71
references.pmid: 25896648
references.citation: Diabetes Care. 2010 Mar;33(3):676-82
references.pmid: 20190296
references.citation: Curr Diab Rep. 2014 Apr;14(4):479
references.pmid: 24615333
references.citation: Int J Med Inform. 2014 Nov;83(11):779-96
references.pmid: 25085286
references.citation: Am J Obstet Gynecol. 2015 Feb;212(2):224.e1-9
references.pmid: 25173183
references.citation: Trials. 2014 Jan 10;15:18
references.pmid: 24410735
references.citation: Int J Gynaecol Obstet. 2012 Sep;118(3):198-201
references.pmid: 22727054
references.citation: Diabetes Care. 2015 Jan;38 Suppl:S77-9
references.pmid: 25537713
references.citation: Ann Intern Med. 2012 Oct 2;157(7):482-9
references.pmid: 23027319
references.citation: J Am Med Inform Assoc. 2015 Mar;22(2):453-8
references.pmid: 25755124
references.citation: J Am Med Inform Assoc. 2015 Jan;22(1):199-205
references.pmid: 25342178
references.citation: Med J Aust. 2012 Feb 20;196(3):184-8
references.pmid: 22339524
references.citation: Birth. 2014 Sep;41(3):254-61
references.pmid: 24750400
references.citation: J Med Econ. 2015;18(7):533-41
references.pmid: 25714263