Intervention Review

Specialised antenatal clinics for women with a multiple pregnancy for improving maternal and infant outcomes

  1. Jodie M Dodd1,*,
  2. Caroline A Crowther2

Editorial Group: Cochrane Pregnancy and Childbirth Group

Published Online: 21 JAN 2009

Assessed as up-to-date: 18 DEC 2006

DOI: 10.1002/14651858.CD005300.pub2

Database Title

Additional Information

How to Cite

Dodd JM, Crowther CA. Specialised antenatal clinics for women with a multiple pregnancy for improving maternal and infant outcomes. Cochrane Database of Systematic Reviews 2007, Issue 2. Art. No.: CD005300. DOI: 10.1002/14651858.CD005300.pub2.

Author Information

  1. 1

    The University of Adelaide, School of Paediatrics and Reproductive Health, Discipline of Obstetrics and Gynaecology, Adelaide, South Australia, Australia

  2. 2

    The University of Adelaide, ARCH: Australian Research Centre for Health of Women and Babies, Discipline of Obstetrics and Gynaecology, Adelaide, South Australia, Australia

*Jodie M Dodd, School of Paediatrics and Reproductive Health, Discipline of Obstetrics and Gynaecology, The University of Adelaide, Women's and Children's Hospital, 72 King William Road, Adelaide, South Australia, 5006, Australia. jodie.dodd@adelaide.edu.au.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 21 JAN 2009

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Abstract

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

Background

Regular antenatal care for women with a multiple pregnancy is accepted practice, and while most women have an increase in the number of antenatal visits, there is no consensus as to what constitutes optimal care. 'Specialised' antenatal clinics have been advocated as a way of improving outcomes for women and their infants.

Objectives

To assess, using the best available evidence, the benefits and harms of 'specialised' antenatal clinics compared with 'standard' antenatal care for women with a multiple pregnancy.

Search methods

We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (October 2006), the Cochrane Central Register of Controlled Trials (CENTRAL)(The Cochrane Library 2005, Issue 4), and PubMed (January 1966 to January 2006).

Selection criteria

Randomised controlled trials with reported data that compared outcomes in mothers and babies who received 'specialised' antenatal care with outcomes in mothers and babies who received 'standard' antenatal care.

Data collection and analysis

Both review authors independently assessed trial quality and extracted data.

Main results

There are no included studies.

Authors' conclusions

There is no information available from randomised controlled trials to support the role of 'specialised' antenatal clinics for women with a multiple pregnancy compared with 'standard' antenatal care in improving maternal and infant health outcomes. The value of 'specialised' multiple pregnancy clinics in improving health outcomes for women and their infants requires evaluation in appropriately powered and designed randomised controlled trials.

 

Plain language summary

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

Specialised antenatal clinics for women with a multiple pregnancy for improving maternal and infant outcomes

Specialised' antenatal clinics versus 'standard' antenatal care for women with a multiple pregnancy.

Women carrying more than one baby are at increased risk of complications in pregnancy, which can affect the health of both mother and babies. 'Specialised' antenatal clinics have been suggested for women with a multiple pregnancy as a means of improving health outcomes for women and their infants. The review found no randomised trials to help determine the best form of antenatal care. A trial is underway which may provide further information.

 

摘要

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

背景

針對懷有多胞胎的婦女進行特定的產前門診，以改善母體與嬰兒的狀況

對於懷有多胞胎之婦女進行規律的產前照顧，是眾人認可的方式，而且當大多數的婦女接受的產前門診次數增加時，對於最佳照顧中應該要有什麼內容，卻沒有一致的見解。針對改善母體與她們的嬰兒之狀況，有提倡要有「特定的」產前門診，以當作其中的一種方式。

目標

使用可取得的最佳證據後，針對懷有多胞胎的婦女，跟「標準的」產前照顧比較起來，要評估「特定的」產前門診之優點與危害。

搜尋策略

我們搜尋了the Cochrane Pregnancy and Childbirth Group's Trials Register(October 2006年十月)、the Cochrane Central Register of Controlled Trials(CENTRAL)(The Cochrane Librar 005年，Issu)，以及PubMed(1966年一月到2006年一月)。

選擇標準

接受「特定的」產前照顧之孕婦，以及在接受「標準的」產前照顧者，針對二者之母親與嬰兒預後進行比較的隨機對照試驗。

資料收集與分析

2位審稿的作者都獨立地評估了品質，並擷取出資料。

主要結論

並沒有研究包含在內。

作者結論

目前從隨機對照試驗無法獲得資訊支持「特定的」產前門診與「標準」'產前照顧，對於改善多胞胎產婦和嬰兒的健康結果。「特定的」多胞胎門診在改善婦女和她們的嬰兒的健康情形方面，需要有適當評估與適當的檢力之隨機對照試驗設計。

翻譯人

此翻譯計畫由臺灣國家衛生研究院(National Health Research Institutes, Taiwan)統籌。

總結

針對懷有多胞胎的婦女，將「特定的」產前門診相對於「標準的」產前照顧進行比較。 懷有多胞胎的婦女，在懷孕期間都處於較高的併發症風險之中，而這種情形可能會影響母親與嬰兒雙方面的健康。對於懷有多胞胎的婦女而言，針對她們有進行「特定的」產前門診，已經被認為是一種可以提升婦女與她們的嬰兒之健康狀況的方法。本篇回顧發現，並沒有隨機試驗可以幫助我們確認最佳的產前護理型式。有1組試驗正在進行的階段，而此試驗或許能夠提供更進一步的資訊。

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