The Introduction of a Woman‐Held Record into a Hospital Antenatal Clinic: The Bring Your Own Records Study

Summary: We report the introduction of a woman‐held record into an antenatal clinic in a NSW teaching hospital using a randomized controlled trial. In 1997, 150 women were randomized to either retaining their entire antenatal record through pregnancy (women‐held group) or to holding a small, abbreviated card, as was standard practice (control group). A questionnaire was distributed to women to measure sense of control, involvement in care and levels of communication. Availability of records at antenatal visits was also measured. Women in both groups were satisfied with their allocated method of record keeping, however, those in the women‐held group were significantly more likely to report feeling in ‘control’ during pregnancy. Women in the control group were more likely to feel anxious and helpless and less likely to have information on their records explained to them by their caregiver. The number of records available at each clinic was similar in both groups.

[1]  A P Ross The case against showing patients their records. , 1986, British medical journal.

[2]  D Elbourne,et al.  The Newbury Maternity Care Study: a randomized controlled trial to assess a policy of women holding their own obstetric records , 1987, British journal of obstetrics and gynaecology.

[3]  N. Smeeton,et al.  A randomised controlled trial comparing two schedules of antenatal visits: the antenatal care project , 1996, BMJ.

[4]  J. Donovan,et al.  Men's experiences during their partner's first pregnancy: a grounded theory analysis. , 1996, The Australian journal of advanced nursing : a quarterly publication of the Royal Australian Nursing Federation.

[5]  P. Field Effectiveness and efficacy of antenatal care. , 1990, Midwifery.

[6]  J Draper,et al.  Should women carry their antenatal records? , 1986, British medical journal.

[7]  M. Hensley,et al.  Continuity of care by a midwife team versus routine care during pregnancy and birth: a randomised trial , 1995, The Medical journal of Australia.

[8]  A Lovell,et al.  The St. Thomas's Hospital maternity case notes study: a randomised controlled trial to assess the effects of giving expectant mothers their own maternity case notes. , 1987, Paediatric and perinatal epidemiology.

[9]  J. Kitzinger,et al.  Expectations, experiences, and psychological outcomes of childbirth: a prospective study of 825 women. , 1990, Birth.

[10]  J Webster,et al.  Sharing Antenatal Care: Client Satisfaction and Use of the ‘Patient‐held Record’ , 1996, The Australian & New Zealand journal of obstetrics & gynaecology.