Effects of a Reduced-Visit Prenatal Care Clinical Practice Guideline

Article Figures & Data

Table 2.

Demographic Data for Pre- and Post- 9-Visit Guideline Patients

	Preguideline	Postguideline	P Value
Deliveries	1923	1933
Data incomplete	276	223
Available for analysis	1647	1710	.05
Age in years	23.6 ± 4.57	23.9 ± 4.76	.11
Gravidity	2.1 ± 1.30	2.2 ± 1.30	.58
Parity	1.2 ± 0.96	1.4 ± 1.22	.01
Aborted	0.58 ± 0.94	0.50 ± 0.88	.03
Gestational age at delivery in weeks	39.05 ± 2.77	39.13 ± 1.94	.19
Percentage cared for by family practitioner	22.7	21.8	.35
Percentage transferred to tertiary facility	7.2	7.5	.12
Percentage with complications^*	12.6	16.2	<.001
Percentage of twins	1.06	0.21	<.001

* Defined as any complication listed in the inpatient record such oligohydramnios, twin gestation, gestational diabetes.

Table 3.

Comparison of Prenatal Visits

	Preguideline	Postguideline	P Value
Clinic visits per delivery	10.9 ± 3.9	9.2 ± 2.6	<.001
Outpatient visits to L&D^* per month	370 ± 40.6	401 ± 16	<.001
Outpatient visits to L&D per delivery	2.5 ± 0.2	2.9 ± 0.4	.01

Table 4.

Comparison of Obstetric Outcomes (Percentage)

Table 5.

Comparison of Neonatal Outcomes

	Preguideline	Postguideline	P Value
Birth weight	3441 ± 511	3402 ± 516	.03
Percentage of small for gestational age
<2500 g (%)	3.5	4.0	.5
<1500 g (%)	0.2	0.4	.7
<1000 g (%)	0.2	0.1	.62
Percentage of large for gestational age
>4000 g (%)	13.0	10.6	.03
>4500 g (%)	1.6	1.3	.41
1-min Apgar	8.1 ± 1.5	8.2 ± 1.3	.72
5-min Apgar	8.8 ± 0.9	8.8 ± 0.9	.56
10-min Apgar	8.1 ± 1.9	8.2 ± 1.6	.56
Admission to level 2 nursery (%)	8.9	8.7	.77
Neonatal deaths (%)	0.85	0.54	.43