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BMC Health Services Research

, 14:613

Organization, structure and delivery of healthcare


BackgroundEstablished in 1999, the Swedish Maternal Health Care Register MHCR collects data on pregnancy, birth, and the postpartum period for most pregnant women in Sweden. Antenatal care ANC midwives manually enter data into the Web-application that is designed for MHCR. The aim of this study was to investigate midwives’ experiences, opinions and use of the MHCR.

MethodA national, cross-sectional, questionnaire survey, addressing all Swedish midwives working in ANC, was conducted January to March 2012. The questionnaire included demographic data, preformed statements with six response options ranging from zero to five 0 = totally disagree and 5 = totally agree, and opportunities to add information or further clarification in the form of free text comments. Parametric and non-parametric methods and logistic regression analyses were applied, and content analysis was used for free text comments.

ResultsThe estimated response rate was 53.1%. Most participants were positive towards the Web-application and the included variables in the MHCR. Midwives exclusively engaged in patient-related work tasks perceived the register as burdensome 70.3% and 44.2% questioned the benefit of the register. The corresponding figures for midwives also engaged in administrative supervision were 37.8% and 18.5%, respectively. Direct electronic transfer of data from the medical records to the MHCR was emphasised as significant future improvement. In addition, the midwives suggested that new variables of interest should be included in the MHCR – e.g., infertility, outcomes of previous pregnancy and birth, and complications of the index pregnancy.

ConclusionsIn general, the MHCR was valued positively, although perceived as burdensome. Direct electronic transfer of data from the medical records to the MHCR is a prioritized issue to facilitate the working situation for midwives. Finally, the data suggest that the MHCR is an underused source for operational planning and quality assessment in local ANC centres.

Electronic supplementary materialThe online version of this article doi:10.1186-s12913-014-0613-2 contains supplementary material, which is available to authorized users.

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Autor: Kerstin Petersson - Margareta Persson - Marie Lindkvist - Margareta Hammarström - Ingrid Haglund - Carin Nilses - Yvonne S


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