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The South Australian Pregnancy Record (SAPR) is a hand-held antenatal medical record developed and successfully piloted in South Australia during 1998. In late 1999 the Department of Health endorsed its use and availability for all antenatal providers in South Australia. The Record has been reviewed, with the revised version available from January 2008.

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Availability and how to order records

The South Australian Pregnancy Record is available free of charge to all antenatal providers in South Australia, both in the public and private sectors.

Administrative Guidelines for the use of the SAPR can be viewed here.

To order the South Australian Pregnancy Record contact:

SA Health Distribution Centre
Phone: (08) 8350 4160
Fax: (08) 8350 4161
Email: sahealthdc@health.sa.gov.au

To discuss medical record issues contact:

BELINDA SYDES
Health Information Manager
Medical Record Advisory Unit
Department of Health
PO Box 287 RUNDLE MALL, ADELAIDE SA 5000
Phone: 08  8226 8837
Fax: 08  8226 8150
Email: Belinda.Sydes@health.sa.gov.au

About the South Australian Pregnancy Record

The South Australian Pregnancy Record MR31 (SAPR) is contained in a bright orange vinyl folder along with information brochures.

The colour orange is recommended for obstetric medical records and makes the SAPR very distinctive. The SAPR is designed to be held by pregnant women rather than their health provider. Notes are made and added to the SAPR by all the health providers consulted during pregnancy and provision is also made for women to add their own notes, comments or questions. Hand-held records are not a new concept, and have been in use for many years in the United Kingdom and elsewhere

Instructions for women using the SAPR

On the front cover of the SAPR you will find the following brief instructional information. For more detailed information go to page 14 of the Record.

Please take care of this record as it is the only official record of your pregnancy.

You should bring this record with you when you visit any health professional.

Translations of instructions

Brief instructional information is provided in the following languages (PDF help):

A South Australian initiative

Several key South Australian reports reiterated recommendations from the World Health Organisation and Australia’s National Health and Medical Research Council for the introduction of hand-held antenatal records.

In 1996, a South Australian steering committee was formed to oversee the development and trial of a hand-held antenatal record. Funding was provided by the Department of Health Primary Health Care Initiatives Program.

The Steering Committee was chaired by the late Dr Brian Pridmore of The Queen Elizabeth Hospital, Woodville, South Australia and included other obstetricians, midwives, general practitioners, consumer representatives and staff from the Department of Health.

About the trial

A prototype hand-held record was developed and 5,000 were prepared for the trial. The prototype, titled the Pregnancy Health Record, was distributed in kits with the vinyl folder, information brochure, translations and a hospital medical record.

The trial was held in Adelaide, the capital city of South Australia and two rural areas. The metropolitan teaching hospitals in the trial included Flinders Medical Centre, The Queen Elizabeth Hospital and Lyell McEwin Health Service. The Pregnancy Health Record was issued in their antenatal clinics and through general practitioners involved in shared antenatal care programs. General practitioners providing antenatal care in the two rural areas of Crystal Brook and Port Augusta also were involved.

The trial was very successful. Some of the key findings included

  • 91% of health professionals strongly supported or supported the concept of a standard South Australian hand-held antenatal record.
  • 94.1% of health professionals encouraged women to carry the hand-held record all the time.
  • Over 50% of health professionals reported that the hand-held record improved communication with women and with other health professionals.
  • 88.1% of women found the hand-held record very helpful or helpful.
  • 94.7% found the hand-held record helped them know what was happening in their pregnancy.
  • 94% looked at the hand-held record between antenatal visits.

Following the trial the hand-held record has undergone review every second year. The Record is now called the South Australian Pregnancy Record.

The SAPR

Each SAPR contains the Record itself and information brochures as follows:

Having a baby:

Breastfeeding: What you should know:

Topic links

Pregnancy Outcome Statistics Unit

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