jackie mcgeagh regional antenatal screening coordinator pha
TRANSCRIPT
JACKIE McGEAGHRegional Antenatal Screening Coordinator
PHA
Background Screening pregnant women since 1970s Formalised in 1998 by DHSSPS Aim to detect and prevent infection of infant HBeAG +ve 70-90% transmission HBeAG –ve 10% transmission Hepatitis B vaccine +/- HBIG at birth Further vaccine dose 1, 2, 12 months, serology at 12
months for surface antigen Vaccination confers 90% infection prevention
Standards/Guidance 2010 Antenatal Screening Standards 2011 DH Best Practice Guidance Maternal referral and appt 6 wks within
receiving positive result DNA testing for all women May require treatment in 3rd trimester Referral standard implemented Aug 11 Also is a KPI standard
Audit of Referrals
Retrospective audit conducted in March 2012Number of women confirmed positive in NIBTS
during 2011Number of pregnant women referred to Liver Unit
from Maternity UnitsTimeline from referral to apptNumber seen within 6 wks of screening resultCompare pre August 11 and post August 11
Findings 35 women identified for 2011 30 HBeAG –ve 5 HBeAG +ve 28 referrals received in 2011 25 referred by Maternity Units, 3 by GP 10 not referred by MU
7 GP 3 in 2011, 4 referred in previous years1 Gastro referral 2008, not seen since then1 2009 A/N referral had appt to attend in 20111 not referred – left country
Referrals 35 total positives for 2011 21 positives Jan – July 2011 14 positives August – December
2011
Maternity referrals Jan - July
12/21 were referred 57% 9 not referred to Liver Unit 43% Reasons for non referral during
3 referred from GP in 20111 left country prior to referral5 previously referred before 2011 (4 GP, 1 Gastro)
Maternity referrals Aug - Dec 13/14 were referred 93% 1 not referred but as existing pt was seen
during pregnancy
Appointments 12/21 received appointments within 6 wks 13/14 received appointments within 6 wks
50% DNA/Canc first appointment
Non Maternity Referrals Of the 10 not referred from Maternity
9 were yearly review patients1 was never referred (had care in England)
Of the 9 yearly review patients1 moved to England and transferred care8 were seen during pregnancy
Conclusions Overall 32/35 women were seen Improvements from August 2011
Referral from Maternity units improved from 57% to 93%All women referred met the 6 wk standard
Attendance is still poor with 50% DNA/CNA 1st appointment
High number of repeat DNA/CNA Screening Coordinators following up in local area
Recommendations Health professionals need to refer all
pregnant women during each pregnancy Women need to be advised to attend during
each pregnancy even if previously seen Further work and research to improve the
attendance rates of these women