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Table 10 Studies of facility based ANC in high-income countries and effect on stillbirths

From: Reducing stillbirths: behavioural and nutritional interventions before and during pregnancy

Source Location and Type of Study Intervention Stillbirths/Perinatal Outcomes
Intervention/observational studies of facility based ANC in developed countries
Homer et al. 2001 [67] Australia (Sydney). Hospital-based study.
RCT. N = 1089 (N = 550 intervention group, N = 539 controls).
Compared the impact of a community-based model of continuity of care employing midwives and obstetricians to standard hospital-based care. Women were randomised prior to ANC booking. SBR: 7.3/1000 (4/550) vs. 3.7/1000 (2/539) in intervention vs. control groups, respectively [No statistical significance data].
Ratten 1992 [66] Australia (Melbourne). Tertiary referral hospital.
Prospective cohort study at The Royal Women's Hospital. N = 780 low-risk pregnant women in shared care (intervention group), N = 15436 hospital patients (control group).
Compared pregnancy outcomes among participants in a public hospital based shared ANC program to those of hospital patients who received standard care. SBR: 5.1/1000 vs 12.5/1000 in intervention group (those who completed the ANC program) vs. controls, respectively. No statistical significance data.
PMR: 6.4/1000 vs 20.5/1000 in intervention group (those who completed the ANC program) vs. controls, respectively. No statistical significance data.
Siegel et al. 1985 [69] USA (North Carolina). Rural community.
Quasi-experimental, controlled, before-after pilot study. Pregnant women (N = 3384 intervention, N = 2996 controls).
Assessed the impact of a rural regional perinatal care program Fetal deaths: [NS]
NMR: [NS]
Note: Fetal deaths, NMR, and birth-weight specific mortality rates declined in both pilot and control regions, for both races, and especially for 1501–2500 g infants.
Sokol et al 1980 [68] USA (Cleveland, Ohio). Hospital-based study.
Case-control study. N = 5416 women.
Compared pregnancy outcomes among women enrolled in a multidisciplinary maternal and infant care project (cases) with women who received standard ANC/infant care (controls). SBR: 57% reduction (P < 0.003)
[6.29/1000 vs 14.77/1000 in intervention vs. control groups, respectively]
PMR: 60% reduction (P < 0.0001)
[14.97/1000 vs 38.39/1000 in intervention vs. control groups, respectively]
  1. aNS = Non-significant