Quality of records in clinical forms of childbirth in the Maternity Hospital of Lubango, Angola

Autores da FMUP

• Ricardo João Cruz Correia

  Autor

Participantes de fora da FMUP

• Sanjuluca, Tomas Hambili
• Almeida, Anabela
• Costas, Tiago

Unidades de investigação

• Laboratório Associado RISE- Rede de Investigação em Saúde

  

  Investigador

  Fernando Carlos De Landér Schmitt

• Medicina da Comunidade, Informação e Decisão em Saúde

• RISE-Health

  

  Investigador

  Fernando Carlos De Landér Schmitt

Abstract

Objective: To describe the quality of clinical records of deliveries and births by quantitative assessing the unfilled variables in birth data collection forms and their implications at Maternity Hospital, in the municipality of Lubango, Angola.Method: The study was conducted from January to August 2018. It adopted a quantitative research design, analysed variables not filled in a total of 202 birth record forms collected for 3 months (secondary data).Results: The findings revealed that 80% of the sections of the entire set of information about obstetrical history were not filled in. This occurred with a relatively high frequency resulting in some of the relevant variables being left blank, such as antenatal diagnosis (94%) and the number of last menstruation (91%).Conclusions: The rate of missing fundamental information from the clinical birth record are high. This result has important implications in evaluating the quality of data and may, consequently, jeopardize: 1) the evaluation of the prenatal assistance, 2) the clinical assistance at delivery, and 3) decision-making for preventive and intervening procedures.(c) 2022 SESPAS. Published by Elsevier Espan similar to a, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Keywords

• Medical records; Obstetrics; Quality; Information; Angola