Schedule of Visits and Televisits for Routine Antenatal Care
The American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine (SMFM) nominated the topic of antenatal care to the Agency for Healthcare Research and Quality for systematic review. AGOG and SMFM develop clinical practice guidelines and consensus statements both individually and jointly based on the needs of its members who are clinicians that provide gynecologic, obstetric, and high-risk pregnancy care. The scope of the current systematic review was developed to support ACOG and SMFM in their effort to create a new joint consensus statement that will address the preferred frequency, timing, and cadence of routine antenatal care schedules. It will also address use of telemedicine for routine antenatal care.
Specifically, the systematic review will summarize (1) the findings from studies of the effectiveness of antenatal care schedules that vary by number and timing of visits for uncomplicated pregnancies, including studies comparing group and individual visits; (2) studies of the effectiveness of telemedicine modalities for providing antenatal care for uncomplicated pregnancies; and (3) qualitative evidence of the patient and provider perspectives, preferences, and perceptions related to the frequency and timing of antenatal care visits and telemedicine approaches to prenatal care.
The intended audience includes guideline developers, clinicians and other providers of antenatal care, healthcare policymakers, and patients.
Brown Evidence-based Practice Center
KQ 1: What are the benefits and harms of different antenatal care schedules that vary by number or timing of visits for pregnancies requiring routine care and monitoring?
KQ 2: What are the benefits and harms of televisits for providing routine antenatal care during pregnancy?
(KQ 3, a qualitative evidence synthesis, was not extracted into SRDRplus.)
Protocol available at https://effectivehealthcare.ahrq.gov/products/schedule-visits-antenatal-care/protocol.
Data were entered prospectively into SRDRplus.
Systematic review will be available at https://effectivehealthcare.ahrq.gov/search.
- Funding Source
Agency for Healthcare Research and Quality