Abstract：
OBJECTIVE: Antenatal care guidelines used in Australia are inconsistent in their recommendations for childbirth and parenting education (CBPE) classes for preparation of women and parents for pregnancy, childbirth, and early parenting.
BACKGROUND: Clinical practice guidelines in maternity care are developed to assist healthcare practitioners and consumers to make decisions about appropriate care. The benefit of such guidelines relies on the translation and quality of the evidence contained within them. In the context of antenatal care guidelines, there is a potential evidence-practice gap with regard to CBPE.
OBJECTIVE: This review aims to appraise the quality of Australian antenatal care guidelines in their recommendations for CBPE for women and partners.
METHODS: Publicly available Australian antenatal care guidelines were identified including local health district websites and professional organisations pertaining to maternity care. Guidelines were reviewed independently, and the quality was assessed using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool.
RESULTS: Five guidelines were included in the review and appraised using AGREE II. With the exception of the Department of Health Pregnancy Care Guidelines, guidelines scored poorly across all six domains. When appraised according to specific CBPE recommendations for rigour of development, presentation, and applicability; all guidelines received low scores.
CONCLUSIONS: Prenatal services remain largely unregulated across the board, with no systematic approach to make recommendations for CBPE and guidelines lacking in rigour with regard to CBPE.
CONCLUSIONS: Within the guidelines reviewed there was a lack of evidence-based recommendations provided for educators or consumers regarding childbirth and parenting education.
BACKGROUND: Clinical practice guidelines in maternity care are developed to assist healthcare practitioners and consumers to make decisions about appropriate care. The benefit of such guidelines relies on the translation and quality of the evidence contained within them. In the context of antenatal care guidelines, there is a potential evidence-practice gap with regard to CBPE.
OBJECTIVE: This review aims to appraise the quality of Australian antenatal care guidelines in their recommendations for CBPE for women and partners.
METHODS: Publicly available Australian antenatal care guidelines were identified including local health district websites and professional organisations pertaining to maternity care. Guidelines were reviewed independently, and the quality was assessed using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool.
RESULTS: Five guidelines were included in the review and appraised using AGREE II. With the exception of the Department of Health Pregnancy Care Guidelines, guidelines scored poorly across all six domains. When appraised according to specific CBPE recommendations for rigour of development, presentation, and applicability; all guidelines received low scores.
CONCLUSIONS: Prenatal services remain largely unregulated across the board, with no systematic approach to make recommendations for CBPE and guidelines lacking in rigour with regard to CBPE.
CONCLUSIONS: Within the guidelines reviewed there was a lack of evidence-based recommendations provided for educators or consumers regarding childbirth and parenting education.
摘要：
目的：澳大利亚使用的产前保健指南在为妇女和父母准备怀孕的分娩和育儿教育（CBPE）课程的建议中不一致。分娩,早期育儿
背景：制定了产妇护理临床实践指南，以帮助医疗保健从业人员和消费者做出有关适当护理的决定。此类准则的好处取决于其中包含的证据的翻译和质量。在产前保健指南的背景下，关于CBPE，存在潜在的证据-实践差距。
目的：本综述旨在评估澳大利亚产前护理指南对女性和伴侣的CBPE建议的质量。
方法：确定了公开可用的澳大利亚产前护理指南，包括当地卫生区网站和与产妇护理有关的专业组织。指南进行了独立审查，并使用评估指南II（AGREEII）工具评估质量。
结果：在审查中包括了5个指南，并使用AGREEII进行了评估。除了卫生部的怀孕护理指南，指南在所有六个领域的得分都很低。当根据具体的CBPE严格开发建议进行评估时，介绍,和适用性；所有指南得分较低。
结论：产前服务在很大程度上仍然不受全面监管，没有系统的方法来为CBPE和缺乏严格的CBPE指南提出建议。
结论：在所审查的指南中，缺乏为教育工作者或消费者提供的关于分娩和育儿教育的循证建议。
背景：制定了产妇护理临床实践指南，以帮助医疗保健从业人员和消费者做出有关适当护理的决定。此类准则的好处取决于其中包含的证据的翻译和质量。在产前保健指南的背景下，关于CBPE，存在潜在的证据-实践差距。
目的：本综述旨在评估澳大利亚产前护理指南对女性和伴侣的CBPE建议的质量。
方法：确定了公开可用的澳大利亚产前护理指南，包括当地卫生区网站和与产妇护理有关的专业组织。指南进行了独立审查，并使用评估指南II（AGREEII）工具评估质量。
结果：在审查中包括了5个指南，并使用AGREEII进行了评估。除了卫生部的怀孕护理指南，指南在所有六个领域的得分都很低。当根据具体的CBPE严格开发建议进行评估时，介绍,和适用性；所有指南得分较低。
结论：产前服务在很大程度上仍然不受全面监管，没有系统的方法来为CBPE和缺乏严格的CBPE指南提出建议。
结论：在所审查的指南中，缺乏为教育工作者或消费者提供的关于分娩和育儿教育的循证建议。
