Open AccessThe antenatal care debate
Author(s) -
Baldo Mh
Publication year - 2001
Publication title -
eastern mediterranean health journal/eastern mediterranean health journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.442
H-Index - 47
eISSN - 1687-1634
pISSN - 1020-3397
DOI - 10.26719/2001.7.6.1046
Subject(s) - protocol (science) , medicine , maternity care , randomized controlled trial , obstetrics and gynaecology , prenatal care , family medicine , quality (philosophy) , pregnancy , obstetrics , nursing , population , alternative medicine , environmental health , philosophy , surgery , epistemology , pathology , biology , genetics
The antenatal care debate has focused on the frequency of antenatal care, its content, continuity, quality, organization, effectiveness and impact on morbidity and mortality. Established antenatal care schedules have been called into question. Randomized controlled trials comparing reduced schedules with routine antenatal care have shown similar or better outcomes for the reduced protocols. Furthermore, midwives, with or without physicians, can provide continuous maternity care comparable to obstetrician-led care. Some women disliked the new protocol, but a reduced protocol of high quality provided by competent midwives is cost-effective, spares scarce physicians and ensures women’s satisfaction. It is recommended globally.