PMID: 8596222Mar 20, 1996Paper

Effect of frequency of prenatal care visits on perinatal outcome among low-risk women. A randomized controlled trial

JAMA : the Journal of the American Medical Association
R S McDuffieM Orleans

Abstract

In 1989, the Expert Panel on the Content of Prenatal Care established guidelines on the timing and content of prenatal care, including a schedule consisting of fewer prenatal visits than traditionally provided, for women at low risk of adverse perinatal outcomes. We tested the hypothesis that there are no significant increases in adverse perinatal outcomes when low-risk women are seen in a prenatal care visit schedule of fewer visits than routinely advised. Randomized controlled trial. Group-model health maintenance organization. A total of 2764 pregnant women, judged to be at low risk of adverse perinatal outcomes. Following risk assessment, participants were randomly assigned to an experimental schedule (nine visits) or a control schedule (14 visits) with additional visits as indicated or as desired by the patient. Preterm delivery, preeclampsia, cesarean delivery, low birth weight and patient's satisfaction with care. On average, there were 2.7 fewer visits observed in the experimental group than in the control group. There were no significant increases in the main outcomes of the experimental group; preterm delivery (relative risk [RR], 1.08; 95% confidence interval [CI], 0.92 to 1.27; P = .19), preeclampsia (RR, 0.94; 95% ...Continue Reading

Citations

Jan 7, 1999·Journal of Epidemiology and Community Health·B Blondel, B Marshall
Jan 22, 2009·BMC Pregnancy and Childbirth·Elaine KidneyChristine Macarthur
May 14, 2009·BMC Pregnancy and Childbirth·Mohammad Yawar YakoobZulfiqar A Bhutta
Jul 16, 2004·The New England Journal of Medicine·Erik K AlexanderP Reed Larsen
Nov 14, 2007·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·C GilliganC D'Este
Jun 3, 1998·British Journal of Obstetrics and Gynaecology·J SikorskiS Clement
Oct 12, 2000·BJOG : an International Journal of Obstetrics and Gynaecology·D JewellT J Peters
Apr 20, 2006·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Merry-K Moos
May 14, 2011·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Sharada WeirRobin E Clark
Oct 17, 2015·MCN. the American Journal of Maternal Child Nursing·Bethann M PflugeisenRichard Schroeder
Jul 18, 2006·Midwifery·Jeong-Hwan ParkMarie Hastings-Tolsma
Aug 22, 2006·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Kimberly D GregoryStephen S Entman
Sep 6, 2011·American Journal of Obstetrics and Gynecology·Elizabeth E Krans, Matthew M Davis
Dec 18, 2001·Statistics in Medicine·G Piaggio, A P Pinol
Jun 7, 2003·Western Journal of Nursing Research·Susan C VonderheidKathleen F Norr
Sep 2, 2008·Obstetrics and Gynecology Clinics of North America·Sharon T Phelan
Nov 26, 1999·Clinical Obstetrics and Gynecology·K D Gregory, E Davidson
Dec 18, 2002·Journal of Midwifery & Women's Health·Ruth Parker

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