Specialised antenatal clinics for women at risk Study ref Design LoE N Aim/methods Results Comments SLR I 15 RCTs Aim: to analyse the of The risk of preterm birth was not () integrative packages of antenatal care significantly reduced in women or models of care as a means of randomised to specialist preterm birth reducing PTB rates in all pregnant programmes (RR 0.92, 95%CI 0.76 to women. 1.12). Methods: Systematic search of seven electronic databases and reference lists of retrieved studies from 2014. Systematic review and of trials of alternative antenatal care models (specialist PTB programmes and midwife-led continuity models of care) versus standard care. Reduced visits versus standard care Study ref Design LoE N Aim/methods Results Comments 7 RCTs Aim: To compare the effects of In high-income countries, the number () antenatal care programmes with of visits was reduced to 8; in reduced visits for low-risk women with countries many women in the standard care. reduced visits group had fewer than 5 visits but content was altered so as to Methods: We searched the Cochrane focus on specific goals. Pregnancy and Childbirth Group's Trials Register (23 March 2015), reference lists There was no clear difference of articles and contacted researchers between groups for preterm birth (RR in the field. Randomised trials 1.02, 95%CI 0.94 to 1.11; 7 studies, comparing a reduced number of n=53,661, moderate-quality). antenatal visits, with or without care, versus standard care were included.
Specialised antenatal clinics for women at risk Study ref Design LoE N Aim/methods Results Comments () SLR I 15 RCTs Aim: to analyse the of integrative packages of antenatal care or models of care as a means of reducing PTB rates in all pregnant women. Methods: Systematic search of seven electronic databases and reference lists of retrieved studies from 2014. Systematic review and of trials of alternative antenatal care models (specialist PTB programmes and midwife-led continuity models of care) versus standard care. The risk of preterm birth was not significantly reduced in women randomised to specialist preterm birth programmes (RR 0.92, 95%CI 0.76 to 1.12). Reduced visits versus standard care Study ref Design LoE N Aim/methods Results Comments () 7 RCTs Aim: To compare the effects of antenatal care programmes with reduced visits for low-risk women with standard care. Methods: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (23 March 2015), reference lists of articles and contacted researchers in the field. Randomised trials comparing a reduced number of antenatal visits, with or without care, versus standard care were included. In high-income countries, the number of visits was reduced to 8; in countries many women in the reduced visits group had fewer than 5 visits but content was altered so as to focus on specific goals. There was no clear difference between groups for preterm birth (RR 1.02, 95%CI 0.94 to 1.11; 7 studies, n=53,661, moderate-quality).
Preterm%20evaluation%20report%2021May17.docx