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The problem
Intervention: Early antenatal care initiation (first appointment at ≤12 weeks gestation)
Who it was tested with: Mothers in an ethnically diverse, socially disadvantaged UK maternity unit (46,307 singleton births); 34.8% from Black African, Black Caribbean, Indian, Pakistani, and Bangladeshi backgrounds.
Experience from people who deliver programmes: stories, case studies and lessons learned. Valuable for understanding how and why, and for spotting what to test next, but not a measure of effect.
"A retrospective cross sectional study using routinely collected anonymous data of singleton births between April 2007 - March 2016 from a large UK National Health Service maternity unit in an ethnically diverse, socially disadvantaged area. Univariate and multivariate logistic regression models were used to examine the associations between late antenatal care initiation and prevalence of preterm birth and low birth weight." The study demonstrates a clear association between timing of antenatal care booking and neonatal outcomes, with mothers booking later showing substantially increased risks of adverse outcomes.
Retrospective observational design cannot determine causation; unmeasured confounding factors may explain associations; reasons for late booking not explored; data from single UK maternity unit may limit generalisability
Across countries and designs
1 study · 1 country
