SynthesisThe Cochrane database of systematic reviews2001
Antenatal day care units versus hospital admission for women with complicated pregnancy.
Synthesis in The Cochrane database of systematic reviews, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
5 citing papers in PubMed, 4 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- Antenatal day care units versus hospital admission for women with complicated pregnancy.The Cochrane database of systematic reviews · 2009Pooled it
- Reducing stillbirths: screening and monitoring during pregnancy and labour.BMC pregnancy and childbirth · 2009Pooled it
- Pre-eclampsia, eclampsia, and hypertension.BMJ clinical evidence · 2008Pooled it
- Bed rest with or without hospitalisation for hypertension during pregnancy.The Cochrane database of systematic reviews · 2005Pooled it
- A review of the methodological features of systematic reviews in maternal medicine.BMC medicine · 2007Review
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe use of antenatal day care units is widely recognized as an alternative for inpatient care for women with complicated pregnancy.
objectivesThe objective of this review was to assess the clinical safety, plus maternal, perinatal and psychosocial consequences for the women and cost effectiveness of this type of care. SEARCH STRATEGY: The Group's Specialised Register of Controlled Trials was searched in May 2001 as well as the Cochrane Controlled Trials Register (CENTRAL/CCTR), CINAHL (1982-04 to 1998-10) and Current Contents (Life Sciences/Clinical Medicine 1995-05 to 1999). Conference proceedings of PSANZ (Perinatal Society of Australia and New Zealand) and FIGO (Fédération Internationale de Gynécologie et d'Obstétrie) (1997) were searched. SELECTION CRITERIA: Randomized trial comparing day care with inpatient care for women with complicated pregnancy. DATA COLLECTION AND ANALYSIS: Trial quality was assessed by two reviewers independently. The author of the study was contacted for additional information. Data were extracted by the same two reviewers independently. MAIN
resultsOne trial involving 54 women was included. This trial was of average quality. It was found that day care assessment for non-proteinuric hypertension can reduce inpatient stay (difference in mean stay: 4.0 days; 95% confidence interval (CI): 2.1 to 5.9 days). Also a significant increase in the rate of induction of labour in the control group was found (4.9 times more likely: 95% CI: 1.6 to 13.8). The other clinical outcomes did not show a statistically significant difference between the control and intervention group. No other significant differences were observed. REVIEWER'S
conclusionsAdmission to day care for non-proteinuric hypertension reduces the amount of time spent in the hospital and proportion of women induced for labour. However, one trial of 54 women is not sufficient to draw sound conclusions. Additional studies are needed to give more solid evidence to confirm the advantages of antenatal day care units.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.