Journal article
Antenatal care packages with reduced visits and perinatal mortality: A secondary analysis of the WHO Antenatal Care Trial
JP Vogel, NA Habib, JP Souza, AM Gülmezoglu, T Dowswell, G Carroli, HS Baaqeel, P Lumbiganon, G Piaggio, OT Oladapo
Reproductive Health | BMC | Published : 2013
Abstract
Background: In 2001, the WHO Antenatal Care Trial (WHOACT) concluded that an antenatal care package of evidence-based screening, therapeutic interventions and education across four antenatal visits for low-risk women was not inferior to standard antenatal care and may reduce cost. However, an updated Cochrane review in 2010 identified an increased risk of perinatal mortality of borderline statistical significance in three cluster-randomized trials (including the WHOACT) in developing countries. We conducted a secondary analysis of the WHOACT data to determine the relationship between the reduced visits, goal-oriented antenatal care package and perinatal mortality. Methods. Exploratory analys..
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Funding Acknowledgements
JPV is supported by an Australian Postgraduate Award and the A & A Saw Scholarship. The WHO Antenatal Care Trial was supported by the UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction of WHO. Additional support was provided by: Municipal Government, City of Rosario, Argentina; Ministry of Health, Cuba; National Institute of Public Health, Mexico; The Population Council-Regional Office for Latin America and the Caribbean; Ministry of Health, Saudi Arabia; Swedish Agency for Research Cooperation with Developing Countries; Ministry of Public Health and Faculty of Medicine, Khon Kaen University, Thailand; Department for International Development, UK; Mother Care-John Snow Inc; National Institute for Child Health and Human Development, National Institutes of Health, USA; and The World Bank. For the preparatory phase: University of Western Ontario, Department of Epidemiology and Biostatistics, Canada; National Institute of Public Health, Norway; United Nations Development Programme, and the University of Uppsala, Department of Obstetrics and Gynaecology, Sweden.