Prenatal care routine questionnaire star

The core essence of "Prenatal Care Routine Questionnaire Star" is to rely on the Questionnaire Star digital tool to modularize and online the routine assessment, follow-up, and health education needs of prenatal care. The current penetration rate in domestic maternity service institutions at all levels has reached 62%. Compared with traditional paper prenatal care records, it can reduce the workload of medical care paperwork by an average of 37%, and at the same time increase the identification efficiency of high-risk prenatal risks by 42%.

To be honest, the first time I really felt the convenience of this thing was when I accompanied my cousin, who was 6 months pregnant, to the community health service center for a routine prenatal check-up last month. In the past, I had to squat at the nurse's desk for half a day to fill out paper forms. The health book was so crumpled that it was easy to miss items. This time, the nurse directly handed me a sign with a QR code printed on it. She said that she could just scan and fill in the diet, fetal movement, and edema status for the week. After filling it out in 3 minutes, it would automatically be synchronized to her electronic maternity file. Even the previous examination data could be directly matched, saving at least 10 minutes of registration time.

Interestingly, the controversy surrounding this tool has never stopped. I previously talked about this matter with the head nurse of the obstetrics and gynecology department in the city who has been in the maternal and child care industry for 30 years. Her attitude was very pragmatic: “Tools are good tools, but they cannot completely replace face-to-face assessment. Some pregnant mothers are embarrassed to say that they have been suffering from insomnia recently and have been in a bad mood after quarreling with family members, so they just choose "no abnormality" when filling out the online questionnaire. But if you chat a few words face to face, you can find out the real situation by looking at the bruises under her eyes and the lack of energy to talk. These details cannot be caught in the online questionnaire. ”Xiao Zhou, a post-1995 maternity manager I know, has a completely different view. She now manages more than 200 pregnant mothers in the first trimester: "Before, paper records were used, and it would take half a day just to copy notes during weekly follow-up visits, and abnormal items were often missed. Now we use questionnaires to set up logical jumps, as long as there are People filled in keywords such as 'abdominal pain', 'vaginal bleeding', 'fetal movements halved', and the system automatically marked them in red and pushed them to my mobile phone. I only had to follow up on these abnormalities. Last month, I relied on this screening to identify a pregnant mother who secretly took miscarriages of unknown ingredients, and she was stopped in time without any problems. ”

Believe it or not, I’ve seen organizations that use this thing completely as a formalism. I went to a private pregnancy and childbirth center for communication before, and their prenatal care questionnaire actually had 72 questions. Even irrelevant questions such as "Which milk tea should I choose half sugar or full sugar" and "how many times a week do I drink coffee?" were crammed in. The pregnant mother quit after filling in the 20th question. The effective data recovery rate was not even 30%. In the end, she turned around and said, "The questionnaire is useless." On the other hand, the version of maternal and child care in our district is very smart. It is divided into different short questionnaires according to gestational age, with a maximum of 8 questions each time: the first trimester focuses on early pregnancy reactions and medication history, the second trimester focuses on weight gain and fetal movement count, and the third trimester adds assessment of labor signs. After filling out the questionnaire, it will automatically jump to a short educational video corresponding to the gestational age. For example, pregnant mothers who have completed diabetes control at 24 weeks will be directly promoted to home-cooked tutorials on diabetes control after filling out the questionnaire. Occasionally, a coupon for free fetal heart rate monitoring will be given. The recovery rate is now stable at more than 90%.

The privacy issue that everyone is most concerned about in the past two years has been slowly being addressed in the industry. In the past, some institutions did use the free version of Questionnaire Star to collect maternal and childbirth information, and there were data leaks. Last year, our province issued clear regulations: All prenatal care questionnaires used for medical purposes must use the government-encrypted version of Questionnaire Star. The data cannot be uploaded to public servers and can only be synchronized to the local medical data platform. Only the corresponding medical staff and pregnant mothers can view it, blocking the leakage from the source.

In fact, in the final analysis, whether it is the paper health booklet from decades ago or the current questionnaire star, it is essentially a tool for prenatal care, and it is never absolutely good or bad. As long as you don't adjust the content just to deal with useless questions in the assessment, and really adjust the content from the perspective of pregnant mothers and medical staff, this thing can really help.