Evidence map›Paper›PMID 37261946›Full record

ArticleJMIR research protocols2023

Frequency of Prenatal Care Visits: Protocol to Develop a Core Outcome Set for Prenatal Care Schedules.

Mark Turrentine, Buu-Hac Nguyen, Beth Choby, Susan Kendig, Tekoa L King, Milton Kotelchuck, Tiffany A Moore Simas, Sindhu K Srinivas, Christopher M Zahn, Alex Friedman Peahl

Open access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.9field-weighted citation impact, top 9% of its field
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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
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

10 authors at 9 institutions in 1 country.

Mark TurrentineDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, United States.ORCID https://orcid.org/0000-0002-3909-3131
Buu-Hac NguyenCollege of Literature, Science, and the Arts, University of Michigan, Ann Arbor, MI, United States.ORCID https://orcid.org/0009-0007-5433-7038
Beth ChobyDepartment of Medical Education, University of Tennessee College of Medicine, Memphis, TN, United States.ORCID https://orcid.org/0000-0001-8677-4653
Susan KendigMaternal Services, SSM Health-St Louis Region, Shiloh, IL, United States.ORCID https://orcid.org/0000-0003-1588-5078
Tekoa L KingDepartment of Family Health Care Nursing, San Francisco School of Nursing, University of California, San Francisco, CA, United States.ORCID https://orcid.org/0000-0003-0511-2506
Milton KotelchuckDepartment of Pediatrics, Harvard Medical School, Boston, MA, United States.ORCID https://orcid.org/0000-0002-2667-0227
Tiffany A Moore SimasDepartment of Obstetrics & Gynecology, University of Massachusetts Medical School, Worcester, MA, United States.ORCID https://orcid.org/0000-0002-8356-6418
Sindhu K SrinivasDepartment of Obstetrics and Gynecology, Penn Medicine, Philadelphia, PA, United States.ORCID https://orcid.org/0000-0001-7655-3013
Christopher M ZahnClinical Practice and Health Equity and Quality, American College of Obstetricians and Gynecologists, Washington, DC, United States.ORCID https://orcid.org/0009-0006-4811-3321
Alex Friedman PeahlDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, United States.ORCID https://orcid.org/0000-0002-1186-9866
University of Michigan · USAmerican Congress of Obstetricians and Gynecologists · USBaylor College of Medicine · USHarvard University · USPenn Center for AIDS Research · USSSM Health Care · USUniversity of California, San Francisco · USUniversity of Massachusetts Chan Medical School · USUniversity of Tennessee Health Science Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrenatal care, one of the most common preventive care services in the United States, endeavors to improve pregnancy outcomes through evidence-based screenings and interventions. Despite the prevalence of prenatal care and its importance to maternal and infant health, there are several debates about the best methods of prenatal care delivery, including the most appropriate schedule frequency and content of prenatal visits. Current US national guidelines recommend that low-risk individuals receive a standard schedule of 12 to 14 in-office visits, a care delivery model that has remained unchanged for almost a century.

objectiveIn early 2020, to mitigate individuals' exposure to the SARS-CoV-2 virus, prenatal care providers implemented new paradigms that altered the schedule frequency, interval, and modality (eg, telemedicine) of how prenatal care services were offered. In this paper, we describe the development of a core outcome set (COS) that can be used to evaluate the effect of the frequency of prenatal care schedules on maternal and infant outcomes.

methodsWe will systematically review the literature to identify previously reported outcomes important to individuals who receive prenatal care and the people who care for them. Stakeholders with expertise in prenatal care delivery (ie, patients or family members, health care providers, and public health professionals and policy makers) will rate the importance of identified outcomes in a web-based survey using a 3-round Delphi process. A digital consensus meeting will be held for a group of stakeholder representatives to discuss and vote on the outcomes to include in the final COS.

resultsThe Delphi survey was initiated in July 2022 with invited 71 stakeholders. A digital consensus conference was conducted on October 11, 2022. Data are currently under analysis with plans to submit them in a subsequent manuscript.

conclusionsMore research about the optimal schedule frequency and modality for prenatal care delivery is needed. Standardizing outcomes that are measured and reported in evaluations of the recommended prenatal care schedules will assist evidence synthesis and results reported in systematic reviews and meta-analyses. Overall, this COS will expand the consistency and patient-centeredness of reported outcomes for various prenatal care delivery schedules and modalities, hopefully improving the overall efficacy of recommended care delivery for pregnant people and their families. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/43962.

Indexed as

care deliverycare schedulecore outcomecore outcome setDelphiinfantmaternalobstetricpediatricpregnancypregnantprenatalprenatal care schedulesreview methodsystematic reviewtelemedicine

Identifiers

PMID37261946
PMCPMC10366963
OpenAlexW4379054973

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.