Antenatal care trial interventions

a systematic scoping review and taxonomy development of care models

Andrew Symon (Lead / Corresponding author), Jan Pringle, Soo Downe, Vanora Hundley, Elaine Lee, Fiona Lynn, Alison McFadden, Jenny McNeill, Mary Renfrew, Mary Ross-Davie, Edwin R. van Teijlingen, Heather Whitford, Fiona Alderdice

Research output: Contribution to journalArticle

2 Citations (Scopus)
96 Downloads (Pure)

Abstract

Antenatal 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.
Original languageEnglish
Article number8
Pages (from-to)1-16
Number of pages16
JournalBMC Pregnancy and Childbirth
Volume17
DOIs
Publication statusPublished - 6 Jan 2017

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Prenatal Care
Randomized Controlled Trials

Keywords

  • Pregnancy
  • Prenatal care
  • Antenatal care
  • Model of care
  • Health services research
  • Randomised controlled trial
  • Systematic review
  • Pregnancy outcome
  • Taxonomy

Cite this

Symon, Andrew ; Pringle, Jan ; Downe, Soo ; Hundley, Vanora ; Lee, Elaine ; Lynn, Fiona ; McFadden, Alison ; McNeill, Jenny ; Renfrew, Mary ; Ross-Davie, Mary ; van Teijlingen, Edwin R. ; Whitford, Heather ; Alderdice, Fiona. / Antenatal care trial interventions : a systematic scoping review and taxonomy development of care models. In: BMC Pregnancy and Childbirth. 2017 ; Vol. 17. pp. 1-16.
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abstract = "Antenatal 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.",
keywords = "Pregnancy , Prenatal care, Antenatal care , Model of care, Health services research, Randomised controlled trial , Systematic review , Pregnancy outcome, Taxonomy",
author = "Andrew Symon and Jan Pringle and Soo Downe and Vanora Hundley and Elaine Lee and Fiona Lynn and Alison McFadden and Jenny McNeill and Mary Renfrew and Mary Ross-Davie and {van Teijlingen}, {Edwin R.} and Heather Whitford and Fiona Alderdice",
note = "Funding: This project was undertaken as part of a programme grant from the Scottish Government Chief Nurse’s Office to the SMART (Scottish Midwives Advancing Research Together) collaboration. The views expressed are those of the authors and not of the Scottish Government Chief Nurse’s Office.",
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Antenatal care trial interventions : a systematic scoping review and taxonomy development of care models. / Symon, Andrew (Lead / Corresponding author); Pringle, Jan; Downe, Soo; Hundley, Vanora; Lee, Elaine; Lynn, Fiona; McFadden, Alison; McNeill, Jenny; Renfrew, Mary; Ross-Davie, Mary; van Teijlingen, Edwin R.; Whitford, Heather; Alderdice, Fiona.

In: BMC Pregnancy and Childbirth, Vol. 17, 8, 06.01.2017, p. 1-16.

Research output: Contribution to journalArticle

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AU - Symon, Andrew

AU - Pringle, Jan

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AU - Hundley, Vanora

AU - Lee, Elaine

AU - Lynn, Fiona

AU - McFadden, Alison

AU - McNeill, Jenny

AU - Renfrew, Mary

AU - Ross-Davie, Mary

AU - van Teijlingen, Edwin R.

AU - Whitford, Heather

AU - Alderdice, Fiona

N1 - Funding: This project was undertaken as part of a programme grant from the Scottish Government Chief Nurse’s Office to the SMART (Scottish Midwives Advancing Research Together) collaboration. The views expressed are those of the authors and not of the Scottish Government Chief Nurse’s Office.

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