Evidence map›Paper›PMID 26694196›Full record

ReviewBJOG : an international journal of obstetrics and gynaecology2016

Antenatal care for healthy pregnant women: a mapping of interventions from existing guidelines to inform the development of new WHO guidance on antenatal care.

E Abalos, M Chamillard, V Diaz, Ӧ Tuncalp, A M Gülmezoglu

Abstract readReview
In one paragraph

Review in BJOG : an international journal of obstetrics and gynaecology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  16. Adequacy of prenatal care services and associated factors in Southern Ethiopia.Archives of public health = Archives belges de sante publique · 2021
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  17. Suboptimal prenatal screening ofCanada communicable disease report = Releve des maladies transmissibles au Canada · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

E AbalosCentro Rosarinos de Estudios Perinatales (CREP), Rosario, Argentina.
M ChamillardCentro Rosarinos de Estudios Perinatales (CREP), Rosario, Argentina.
V DiazCentro Rosarinos de Estudios Perinatales (CREP), Rosario, Argentina.
Ӧ TuncalpDepartment of Reproductive Health and Research including UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, Geneva, Switzerland.
A M GülmezogluDepartment of Reproductive Health and Research including UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, Geneva, Switzerland.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundThe World Health Organization (WHO) is in the process of updating antenatal care (ANC) guidelines.

objectivesTo map the existing clinical practice guidelines related to routine ANC for healthy women and to summarise all practices considered during routine ANC. SEARCH STRATEGY: A systematic search in four databases for all clinical practice guidelines published after January 2000. SELECTION CRITERIA: Two researchers independently assessed the list of potentially eligible publications. DATA COLLECTION AND ANALYSIS: Information on scope of the guideline, type of practice, associated gestational age, recommendation type and the source of evidence were mapped. MAIN

resultsOf 1866 references, we identified 85 guidelines focusing on the ANC period: 15 pertaining to routine ANC and 70 pertaining to specific situations. A total of 135 interventions from routine ANC guidelines were extracted, and categorised as clinical interventions (n = 80), screening/diagnostic procedures (n = 47) and health systems related (n = 8). Screening interventions, (syphilis, anaemia) were the most common practices. Within the 70 specific situation guidelines, 102 recommendations were identified. Overall, for 33 (out of 171) interventions there were conflicting recommendations provided by the different guidelines.

conclusionMapping the current guidelines including practices related to routine ANC informed the scoping phase for the WHO guideline for ANC. Our analysis indicates that guideline development processes may lead to different recommendations, due to context, evidence base or assessment of evidence. It would be useful for guideline developers to map and refer to other similar guidelines and, where relevant, explore the discrepancies in recommendations and others. TWEETABLE ABSTRACT: We identified existing ANC guidelines and mapped scope, practices, recommendations and source of evidence.

Indexed as

Prenatal CarePrenatal DiagnosisAdultAnemiaFemaleHealth Services ResearchHumansPoint-of-Care SystemsPractice Guidelines as TopicPractice Patterns, Physicians'PregnancyPregnancy Complications, InfectiousProgram DevelopmentRandomized Controlled Trials as TopicSyphilis, CongenitalWorld Health OrganizationAntenatal careguidelinespregnancyroutine careWorld Health Organization

Identifiers

PMID26694196
PMCPMC5019265

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.