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Related Experiment Videos

Evidence-based prenatal care visits: when less is more.

D S Walker1, L McCully, V Vest

  • 1Nurse-Midwifery Education Program at the University of Michigan School of Nursing, Ann Arbor 48109-0482, USA.

Journal of Midwifery & Women'S Health
|August 2, 2001
PubMed
Summary

Reduced prenatal visit schedules for low-risk pregnancies show no adverse effects on maternal or neonatal outcomes. This evidence supports considering fewer visits for healthy pregnant women and their healthcare providers.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Evidence-Based Healthcare

Background:

  • The standard prenatal care schedule for low-risk pregnancies in the U.S. involves 14-16 visits, as recommended by the American College of Obstetricians and Gynecologists.
  • A 1989 proposal suggested a reduced visit frequency for low-risk women, based on the timing of key pregnancy events and tests.

Purpose of the Study:

  • To evaluate the impact of reduced-frequency prenatal visit schedules on maternal and neonatal outcomes in low-risk pregnancies.
  • To provide evidence-based information for healthcare providers and pregnant women regarding prenatal visit frequency.

Main Methods:

  • Review of available evidence on the outcomes of reduced prenatal visit schedules.
  • Analysis of maternal and neonatal health indicators in women following different visit frequencies.

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Main Results:

  • Current evidence indicates no adverse effects on maternal or neonatal outcomes for low-risk pregnant women adhering to a reduced prenatal visit schedule.
  • The reduced schedule is a viable and important consideration for optimizing prenatal care delivery.

Conclusions:

  • Reduced prenatal visit schedules are safe and effective for low-risk pregnancies.
  • Evidence supports the consideration of fewer prenatal visits without compromising maternal and infant health.