Trial reportAmerican journal of public health2016
Cluster Randomized Controlled Trial of Group Prenatal Care: Perinatal Outcomes Among Adolescents in New York City Health Centers.
Trial report in American journal of public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00628771 (Integrating Prenatal Care to Reduce HIV/STDs Among Teens), which is not on this map. Cited by 84 papers, 12 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.
Integrating Prenatal Care to Reduce HIV/STDs Among Teens: A Translational Study
Who cites it
84 citing papers in PubMed, 12 syntheses or guidelines pooled it.
- Feasibility, acceptability and effectiveness of group antenatal care on maternal health continuum of care and perinatal outcomes in sub-Saharan Africa: a systematic review and meta-analysis.BMJ global health · 2026Pooled it
- Informing the Development of Tailored Antenatal Care Services for Pregnant Adolescents: A Systematic Review and Stakeholder Survey.Nutrients · 2026Pooled it
- A systematic literature review of breastfeeding interventions among Black populations using the RE-AIM framework.International breastfeeding journal · 2022Pooled it
- Group Medical Care: A Systematic Review of Health Service Performance.International journal of environmental research and public health · 2021Pooled it
- Improving retention in antenatal and postnatal care: a systematic review of evidence to inform strategies for adolescents and young women living with HIV.Journal of the International AIDS Society · 2021Pooled it
- A Systematic Review of Programs to Promote Aspects of Teen Parents' Self-sufficiency: Supporting Educational Outcomes and Healthy Birth Spacing.Maternal and child health journal · 2020Pooled it
- Group antenatal care models in low- and middle-income countries: a systematic evidence synthesis.Reproductive health · 2018Pooled it
- A systematic review of concepts related to women's empowerment in the perinatal period and their associations with perinatal depressive symptoms and premature birth.BMC pregnancy and childbirth · 2017Pooled it
- A systematic overview of the literature regarding group prenatal care for high-risk pregnant women.BMC pregnancy and childbirth · 2017Pooled it
- Theory-based interventions for contraception.The Cochrane database of systematic reviews · 2016Pooled it
- Interventions for promoting the initiation of breastfeeding.The Cochrane database of systematic reviews · 2016Pooled it
- Group Prenatal Care Compared With Traditional Prenatal Care: A Systematic Review and Meta-analysis.Obstetrics and gynecology · 2016Pooled it
- Optimal group and individual prenatal care visit patterns and preterm birth.BMC pregnancy and childbirth · 2025Trial
- Group antenatal care positively transforms the care experience: Results of an effectiveness trial in Malawi.PloS one · 2025Trial
- The impact of group antenatal care on newborns: Results of a cluster randomized control trial in Eastern Region, Ghana.BMC pediatrics · 2024Trial
- Inflammatory markers in serum and placenta in a randomized controlled trial of group prenatal care.American journal of obstetrics & gynecology MFM · 2023Trial
- Group vs Individual Prenatal Care and Gestational Diabetes Outcomes: A Secondary Analysis of a Randomized Clinical Trial.JAMA network open · 2023Trial
- Group vs traditional prenatal care for improving racial equity in preterm birth and low birthweight: the Centering and Racial Disparities randomized clinical trial study.American journal of obstetrics and gynecology · 2022Trial
- Impact of group prenatal care on key prenatal services and educational topics in Malawi and Tanzania.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2021Trial
- Assessing the impact of group antenatal care on gestational length in Rwanda: A cluster-randomized trial.PloS one · 2021Trial
24 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
objectivesWe compared an evidence-based model of group prenatal care to traditional individual prenatal care on birth, neonatal, and reproductive health outcomes.
methodsWe performed a multisite cluster randomized controlled trial in 14 health centers in New York City (2008-2012). We analyzed 1148 pregnant women aged 14 to 21 years, at less than 24 weeks of gestation, and not at high obstetrical risk. We assessed outcomes via medical records and surveys.
resultsIn intention-to-treat analyses, women at intervention sites were significantly less likely to have infants small for gestational age (< 10th percentile; 11.0% vs 15.8%; odds ratio = 0.66; 95% confidence interval = 0.44, 0.99). In as-treated analyses, women with more group visits had better outcomes, including small for gestational age, gestational age, birth weight, days in neonatal intensive care unit, rapid repeat pregnancy, condom use, and unprotected sex (P = .030 to < .001). There were no associated risks.
conclusionsCenteringPregnancy Plus group prenatal care resulted in more favorable birth, neonatal, and reproductive outcomes. Successful translation of clinical innovations to enhance care, improve outcomes, and reduce cost requires strategies that facilitate patient adherence and support organizational change.
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