Clinical examination of pregnant women by paramedical and medical personnel: an assessment of consistency of findings in a field study

• Published in: The National medical journal of India Vol. 19; no. 2; pp. 69 - 72
• Main Authors: Srinivasan, K, Prakasam, C P, Rajaretnam, T, Praharaj, Purujit
• Format: Journal Article
• Language: English
• Published: India 01.03.2006
• Subjects: Clinical Competence - statistics & numerical data; Family Practice - standards; Female; Humans; India; Infant Care - manpower; Infant Care - standards; Infant, Newborn; Medical Audit; Midwifery - standards; Nursing Audit; Patient Care Team - classification; Patient Care Team - standards; Physical Examination - standards; Pregnancy; Pregnancy Complications - diagnosis; Prenatal Care - manpower; Prenatal Care - standards; Primary Health Care - manpower; Primary Health Care - standards; Prospective Studies; Reproducibility of Results; Rural Health Services - manpower; Rural Health Services - standards; India
• ISSN: 0970-258X

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. 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. 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. The agreement rates between various healthcare personnel in assessing pregnant women are low. There is a need for measures to correct this situation.