Antenatal care trial interventions: a systematic scoping review and taxonomy development of care models

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• 作者：Andrew Symon ; Jan Pringle ; Soo Downe ; Vanora Hundley…
• 关键词：Pregnancy ; Prenatal care ; Antenatal care ; Model of care ; Health services research ; Randomised controlled trial ; Systematic review ; Pregnancy outcome ; Taxonomy
• 刊名：BMC Pregnancy and Childbirth
• 出版年：2017
• 出版时间：December 2017
• 年：2017
• 卷：17
• 期：1
• 全文大小：617KB
• 刊物主题：Reproductive Medicine; Maternal and Child Health; Gynecology;
• 出版者：BioMed Central
• ISSN：1471-2393
• 卷排序：17

文摘

BackgroundAntenatal care models vary widely around the world, reflecting local contexts, drivers and resources. Randomised controlled trials (RCTs) have tested the impact of multi-component antenatal care interventions on service delivery and outcomes in many countries since the 1980s. Some have applied entirely new schemes, while others have modified existing care delivery approaches. Systematic reviews (SRs) indicate that some specific antenatal interventions are more effective than others; however the causal mechanisms leading to better outcomes are poorly understood, limiting implementation and future research. As a first step in identifying what might be making the difference we conducted a scoping review of interventions tested in RCTs in order to establish a taxonomy of antenatal care models.