Making beneficial forms of care part of routine care Beneficial forms of care provide the opportunity to develop a standard review of clinical practice. Every ambulatory care setting for pregnant women should evaluate and support beneficial forms of care under category one. These include, for example, the pre- and periconceptual use of folic acid to prevent neural tube defects, vitamin D supplementation for women with inadequate exposure to sunlight, external version to avoid breech birth at term, steroids to promote fetal lung maturity in premature infants, and antibiotic treatment for asymptomatic urinary tract infection. Use of category one should become a part of the ongoing quality assessment process for pregnancy care. Improving clinicians' access to information Many physicians and nurses embrace evidence-based care databases because of the rapid increase in medical information.
Few practitioners have the time, skills, or background to adequately assess the quality of research.
By relying on the expertise of formal reviewers from Cochrane or the ACOG, clinicians can rapidly assess a topic and the basis upon which a recommendation was made. Table 4 outlines the steps involved in accessing the Cochrane Database on-line. 8 Table 4. Steps for accessing Cochrane database through Allina's Library Services Web site 1. Enter the user ID and password assigned by Allina Library Services.