Development and evaluation of a standardized registry for XXXX in pregnancy using data from the Northern, North West and East Anglia regional audits.

@entity1 @entity1501 @entity6 @entity2209 @entity600 @entity164
OBJECTIVES: To develop and evaluate a standardized data set for measuring pregnancy outcomes in @entity1 with @entity164 1 and @entity164 2 @entity6 and to compare recent outcomes with those of the 2002-2003 Confidential Enquiry into Maternal and @entity1 Health. METHODS: Existing regional, national and international data sets were compared for content, consistency and validity to develop a standardized data set for @entity6 in pregnancy of 46 key clinical items. The data set was tested retrospectively using data from 2007-2008 pregnancies included in three regional audits (Northern, North West and East Anglia). Obstetric and neonatal outcomes of pregnancies resulting in a @entity2209 or live birth were compared with those from the same regions during 2002-2003. RESULTS: Details of 1381 pregnancies, 812 (58.9%) in @entity1 with @entity164 1 @entity6 and 556 (40.3%) in @entity1 with @entity164 2 @entity6 , were available to test the proposed standardized data set. Of the 46 data items proposed, only 16 (34.8%), predominantly the delivery and neonatal items, achieved >=  85% completeness. Ethnic group data were available for 746 (54.0%) pregnancies and BMI for 627 (46.5%) pregnancies. Glycaemic control data were most complete-available for 1217 pregnancies (88.1%), during the first trimester. Only 239 @entity1 (19.9%) had adequate pregnancy preparation, defined as pre-conception @entity1501 and first trimester HbA(1c)  <= 7% ( <= 53 mmol/mol). Serious adverse outcome rates (major @entity600 and perinatal mortality) were 55/1000 and had not improved since 2002-2003. CONCLUSIONS: A standardized data set for @entity6 in pregnancy may improve consistency of data collection and allow for more meaningful evaluation of pregnancy outcomes in @entity1 with pregestational @entity6 .
