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Table 1 Main medical content in the standard antenatal care program (SAC) and the modified antenatal care program (MAC)

From: Study protocol for a modified antenatal care program for pregnant women with a low risk for adverse outcomes—a stepped wedge cluster non-inferiority randomized trial

 

SAC

 

MAC

  

Gestational

week

In-person visit

Medical content e.g

In-person visit

Virtual visit

Medical content e.g

6 to 10

 

Lifestyle recommendations

  

Lifestyle recommendations

11 to 15

# 1

Risk assessment

Gynecological examination

Blood pressure

Prenatal labs

Urine testing for protein

# 1

 

Risk assessment

Gynecological examination

Blood pressure

Prenatal labs

Urine testing for protein

11 to 13 + 6

yes

Obstetrical ultrasound with preeclampsia risk assessment

yes

 

Obstetrical ultrasound with preeclampsia risk assessment

18 + 0 to 20 + 0

yes

Obstetrical ultrasound

yes

 

Obstetrical ultrasound

25

# 2

Blood pressure Fetal heart rate with Doppler

Symphysis fundus height Plasma-glucose

 

# 1

Up-dating history

29

# 3

Blood pressure Fetal heart rate with Doppler

Symphysis fundus height Plasma-glucose

Blood tests

Urine testing for protein

# 2

 

Blood pressure Fetal heart rate with Doppler

Symphysis fundus height Plasma-glucose

Blood tests

Urine testing for protein

32

# 4

Blood pressure Fetal heart rate with Doppler

Symphysis fundus height

   

35

# 5

Blood pressure Fetal heart rate with Doppler

Symphysis fundus height

Fetal presentation

# 3

 

Blood pressure Fetal heart rate with Doppler

Symphysis fundus height

Fetal presentation

37

# 6

Blood pressure Fetal heart rate with Doppler

Symphysis fundus height

Fetal presentation

   

38

  

# 4

 

Blood pressure Fetal heart rate with Doppler

Symphysis fundus height

Fetal presentation

39

# 7

Blood pressure Fetal heart rate with Doppler

Symphysis fundus height

Fetal presentation

   

41

# 8

Blood pressure Fetal heart rate with Doppler

Symphysis fundus height

Fetal presentation Membrane sweep

 

# 2

Up-dating history