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https://ciane.net/id=1938

Created on : 09 Apr 2006
Modified on : 07 Jan 2018

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Bibliographical entry (without author) :

Patterns of routine antenatal care for low-risk pregnancy. The Cochrane Database of Systematic Reviews, 2006 Issue 1. John Wiley & Sons.

Author(s) :

Villar J, Carroli G, Khan-Neelofur D, Piaggio G, Gülmezoglu M

Year of publication :

2006

URL(s) :

http://www.cochrane.org/reviews/en/ab000934.html

Résumé (français)  :

Abstract (English)  :

Main results

Ten trials involving over 60,000 women were included. Seven trials evaluated the number of antenatal clinic visits, and three trials evaluated the type of care provider. Most trials were of acceptable quality. A reduction in the number of antenatal visits was not associated with an increase in any of the negative maternal and perinatal outcomes reviewed. However, trials from developed countries suggest that women can be less satisfied with the reduced number of visits and feel that their expectations with care are not fulfilled. Antenatal care provided by a midwife/general practitioner was associated with improved perception of care by women. Clinical effectiveness of midwife/general practitioner managed care was similar to that of obstetrician/gynaecologist led shared care.

Authors’ conclusions

A reduction in the number of antenatal care visits with or without an increased emphasis on the content of the visits could be implemented without any increase in adverse biological maternal and perinatal outcomes. Women can be less satisfied with reduced visits. Lower costs for the mothers and providers could be achieved. While clinical effectiveness seemed similar, women appeared to be slightly more satisfied with midwife/general practitioner managed care compared with obstetrician/gynaecologist led shared care.

Sumário (português)  :

Resumen (español)  :

Comments :

Argument (français) :

La réduction du nombre de visites prénatales n’a pas nécessairement des conséquences fâcheuses sur les résultats périnataux ni la satisfaction maternelle.

Argument (English):

A reduction in the number of antenatal care visits with or without an increased emphasis on the content of the visits could be implemented without any increase in adverse biological maternal and perinatal outcomes.

Argumento (português):

Argumento (español):

Keywords :

➡ antenatal diagnosis ; ultrasound scanning

Author of this record :

Bernard Bel — 09 Apr 2006
➡ latest update : Bernard Bel — 07 Jan 2018