Q6 What holistic preventative strategies including models of maternity care, reduce the incidence and impact of premature labour and birth? Group antenatal care compared to standard care Study ref Design LoE N Aim/methods Results Comments SLR IV 11 studies Aim: To estimate the effect of group The rate of preterm birth was not () prenatal care on perinatal outcomes significantly different with group care compared with traditional prenatal compared with traditional care care. (pooled rates 7.9% vs 9.3%, pooled RR 0.87, 95%CI 0.70 to 1.09). Methods: We searched MEDLINE through PubMed, EMBASE, Scopus, Cumulative Index of Nursing and Allied Health literature, the Cochrane Database of Systematic Reviews, the Database of Abstracts of Reviews of Effects, the Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov. Midwifery-led care Study ref Design LoE N Aim/methods Results Comments SLR I 15 trials Aim: To compare midwife-led Women who had midwife-led () continuity models of care with other continuity models of care were less 17,674 models of care for childbearing women likely to experience preterm birth <37 women and their infants. weeks (average RR 0.76, 95%CI 0.64 to 0.91; n=13,238; 8 studies; high Methods: We searched the Cochrane quality) than women who received Pregnancy and Childbirth Group's Trials other models of care. Register (25 January 2016) and reference lists of retrieved studies. All published and unpublished trials in which pregnant women were randomly allocated to midwife-led continuity models of care or other models of care during pregnancy and birth were included.
Q6 What holistic preventative strategies including models of maternity care, reduce the incidence and impact of premature labour and birth? Group antenatal care compared to standard care Study ref Design LoE N Aim/methods Results Comments () SLR IV 11 studies Aim: To estimate the effect of group prenatal care on perinatal outcomes compared with traditional prenatal care. Methods: We searched MEDLINE through PubMed, EMBASE, Scopus, Cumulative Index of Nursing and Allied Health literature, the Cochrane Database of Systematic Reviews, the Database of Abstracts of Reviews of Effects, the Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov. The rate of preterm birth was not significantly different with group care compared with traditional care (pooled rates 7.9% vs 9.3%, pooled RR 0.87, 95%CI 0.70 to 1.09). Midwifery-led care Study ref Design LoE N Aim/methods Results Comments () SLR I 15 trials 17,674 women Aim: To compare midwife-led continuity models of care with other models of care for childbearing women and their infants. Methods: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (25 January 2016) and reference lists of retrieved studies. All published and unpublished trials in which pregnant women were randomly allocated to midwife-led continuity models of care or other models of care during pregnancy and birth were included. Women who had midwife-led continuity models of care were less likely to experience preterm birth <37 weeks (average RR 0.76, 95%CI 0.64 to 0.91; n=13,238; 8 studies; high quality) than women who received other models of care.
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