Clinical examination of pregnant women by paramedical and medical personnel: an assessment of consistency of findings in a field study.
Artigo
em Inglês
| IMSEAR
| ID: sea-118691
ABSTRACT
BACKGROUND:
As a part of a project to improve the maternal and child health services in 4 primary health centres (PHCs) in Bellary and Raichur districts of Karnataka, we assessed the consistency in recording symptoms, signs and some clinical observations of pregnant women by three examiners-the junior health assistant, medical officer of the PHC and a private medical practitioner.METHODS:
One hundred seventy-four pregnant women were examined independently by the three examiners on the same day for 4 symptoms reported by the women themselves, 4 signs assessed by the examining person and 9 simple clinical observations. Agreement rates in each examiner pair for each parameter were assessed.RESULTS:
We found poor rates of agreement in assesment of various parameters by each observer pair. The disagreement rates were lower between the two doctors compared with those between the junior health assistant and each doctor.CONCLUSION:
The agreement rates between various healthcare personnel in assessing pregnant women are low. There is a need for measures to correct this situation.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Equipe de Assistência ao Paciente
/
Exame Físico
/
Complicações na Gravidez
/
Cuidado Pré-Natal
/
Atenção Primária à Saúde
/
Feminino
/
Humanos
/
Recém-Nascido
/
Gravidez
/
Estudos Prospectivos
Tipo de estudo:
Estudo observacional
País/Região como assunto:
Ásia
Idioma:
Inglês
Ano de publicação:
2006
Tipo de documento:
Artigo
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