Cochrane · systematic review · CD000934

Alternative versus standard packages of antenatal care for low‐risk pregnancy

Dowswell, T, Carroli, G, Duley, L, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

Pregnancy and ChildbirthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 33.3%Moderate 4 · 66.7%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Reduced number of antenatal care visits/goal‐oriented compared with standard antenatal care visits for low‐risk pregnancy

Population: low‐risk pregnancy
6 questions
OutcomeEffectEvidenceStatus / GRADE
Maternal death
Reduced number of antenatal care visits/goal‐oriented vs standard antenatal care visits
RR 1.13 [0.5, 2.57]3 studies · 51504 participantsLow
Downgraded: risk of bias
Hypertensive disorders of pregnancy (including pre‐eclampsia)
Reduced number of antenatal care visits/goal‐oriented vs standard antenatal care visits
RR 0.95 [0.8, 1.12]6 studies · 54108 participantsLow
Downgraded: risk of bias
Perinatal death
Reduced number of antenatal care visits/goal‐oriented vs standard antenatal care visits
RR 1.14 [1, 1.31]5 studies · 56431 participantsModerate
Downgraded: risk of bias
Preterm birth
Reduced number of antenatal care visits/goal‐oriented vs standard antenatal care visits
RR 1.02 [0.94, 1.11]7 studies · 53661 participantsModerate
Downgraded: risk of bias
Small‐for‐gestational age
Reduced number of antenatal care visits/goal‐oriented vs standard antenatal care visits
RR 0.99 [0.91, 1.09]4 studies · 43045 participantsModerate
Downgraded: risk of bias
Neonatal intensive care unit admission
Reduced number of antenatal care visits/goal‐oriented vs standard antenatal care visits
RR 0.89 [0.79, 1.02]5 studies · 43048 participantsModerate
Downgraded: risk of bias