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Table 15 Impact of a fetal surveillance unit on stillbirth and perinatal outcomes

From: Reducing stillbirths: screening and monitoring during pregnancy and labour

Source Location and Type of Study Intervention Stillbirths/Perinatal Outcomes
Reviews and meta-analyses
Kröner et al. 2001 [135] UK.
Cochrane review. 1 RCT included (N = 54 women).
Compared the impact on perinatal mortality of antenatal day care units (intervention) vs. inpatient care (controls) for women with complicated pregnancy. PMR: OR not estimable.
[0/30 vs. 0/24 in intervention and control groups, respectively].
Intervention studies
Menzies et al. 2007 [138] Canada. Tertiary perinatal unit.
Before-after design. Pregnant women (N = 700) admitted to hospital with pre-eclampsia.
Compared the impact after (intervention) and before (controls) introducing standardised assessment and surveillance for pre-eclampsia. SBR: OR = 1.47 (95% CI: 0.50–4.34, P = 0.602) [NS]
10/405 vs. 5/295 in the intervention and control groups, respectively.
Soothill et al. 1991 [134] UK (London). Kings College.
Before-after design. Pregnancies (N = 2666).
Compared the number and length of antenatal admissions for 6 months before compared to 5 months after the opening of a fetal surveillance unit. SB: 6/1294 vs. 8/1372 in before and after periods, respectively; (P = 0.336) [NS]