Table 15

Impact of a fetal surveillance unit on stillbirth and perinatal outcomes

Source

Location and Type of Study

Intervention

Stillbirths/Perinatal Outcomes


Reviews and meta-analyses


Kröner et al. 2001 [135]

UK.

Cochrane review. 1 RCT included (N = 54 women).

Compared the impact on perinatal mortality of antenatal day care units (intervention) vs. inpatient care (controls) for women with complicated pregnancy.

PMR: OR not estimable.

[0/30 vs. 0/24 in intervention and control groups, respectively].


Intervention studies


Menzies et al. 2007 [138]

Canada. Tertiary perinatal unit.

Before-after design. Pregnant women (N = 700) admitted to hospital with pre-eclampsia.

Compared the impact after (intervention) and before (controls) introducing standardised assessment and surveillance for pre-eclampsia.

SBR: OR = 1.47 (95% CI: 0.50–4.34, P = 0.602) [NS]

10/405 vs. 5/295 in the intervention and control groups, respectively.


Soothill et al. 1991 [134]

UK (London). Kings College.

Before-after design. Pregnancies (N = 2666).

Compared the number and length of antenatal admissions for 6 months before compared to 5 months after the opening of a fetal surveillance unit.

SB: 6/1294 vs. 8/1372 in before and after periods, respectively; (P = 0.336) [NS]


Haws et al. BMC Pregnancy and Childbirth 2009 9(Suppl 1):S5   doi:10.1186/1471-2393-9-S1-S5

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