ArticleCureus2025
Development and Implementation of an Antenatal Care Follow-Up Passport at Almanagil Teaching Hospital: A Departmental Initiative in Obstetrics and Gynecology.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
19 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMaternal healthcare continuity depends on the accurate documentation, effective communication, and active participation of women in their own care. Patient-held health records, including pregnancy passports, have been proven internationally to enhance information sharing and record completeness. Nonetheless, antenatal care (ANC) documentation lapses remain a significant issue in low- and middle-income countries (LMICs) such as Sudan.
aimThis project, developed by the Department of Obstetrics and Gynecology at Almanagil Teaching Hospital, aimed to improve the completeness of ANC documentation through the introduction of a patient-held ANC passport.
methodsA two-cycle quality improvement project (QIP) audit was conducted during August 3-13, 2025. Cycle 1 (baseline; n=54) involved consecutive ANC records reviewed against departmental standards. This was followed by the introduction of the ANC passport, with structured staff training and patient orientation. Cycle 2 (post-intervention; n=26) again included all consecutive eligible records during the audit window. The unequal numbers between cycles reflected actual clinic attendance rather than sampling. Data were extracted using a structured checklist, and comparisons were performed using chi-squared (χ²) tests. To control for multiple comparisons, Bonferroni adjustments were applied. Analyses were conducted using IBM SPSS Statistics for Windows, Version 25.0 (Released 2019; IBM Corp., Armonk, New York, United States). Improvements were categorized as highest (≥75%), significant (50-74%), moderate (25-49%), or mild (<25%).
findingsBaseline audit revealed major deficiencies, with many parameters undocumented (address, body mass index (BMI), bleeding history, drug and allergy history, partner name, and social history: all 0%). Post-intervention, these domains achieved 100% completeness. Significant gains were also observed for parity (0% → 96.2%), blood group (24.1% → 100%), and first-visit investigations (40.7% → 100%). Documentation of post-obstetric history improved from 0% to >50%. Most improvements were statistically significant (p<0.001).
conclusionImplementation of the ANC passport led to substantial improvements in the completeness of ANC documentation across nearly all parameters. This audit demonstrates that audit-driven, structured, patient-held records can enhance the accountability, continuity, and quality of ANC in resource-constrained settings. Clinical outcomes were not assessed and should be explored in future studies.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.