Effect of frequency of prenatal care visits on perinatal outcome among low-risk women: a randomized controlled trial

Article Abstract:

A reduced schedule of doctor visits does not appear to increase the risk of complications in healthy pregnant women at low risk of complications. Of 2,328 pregnant women at low risk of complications, 1,163 scheduled 14 doctor visits throughout their pregnancy and 1,165 scheduled only 9 visits. Fourteen visits is the standard in the US, but a 1989 advisory panel recommended fewer visits for healthy women. There were no significant differences between the two groups in the percentage of women who developed preeclampsia, delivered prematurely or had to have a cesarean delivery. There were also no differences in neonatal outcomes such as low birth weight. Approximately 600 women in each group returned a questionnaire that assessed satisfaction with their schedule of doctor visits. Sixteen percent of the women on the standard schedule said they had too many visits, compared to just 2% of those on the reduced schedule.

Care and treatment, Innovations, Pregnant women

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Entry Into Prenatal Care--United States, 1989-1997

Article Abstract:

The Medicaid expansion program in the mid-1980s has increased the number of women who receive adequate prenatal care. This program made many pregnant women eligible for Medicaid. Women who receive delayed prenatal care or no prenatal care have a higher risk of pregnancy complications. Between 1989 and 1997, the percentage of women who received delayed or non prenatal care decreased from 25% to 18%. However, many women did not receive prenatal care soon enough because they did not know they were pregnant or could not get an appointment for a prenatal checkup.

Statistical Data Included, Statistics

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Surveillance for Possible Estuary-Associated Syndrome--Six States, 1998-1999

Article Abstract:

Residents of the east coast should avoid swimming in estuaries and bays that contain dead or dying fish. Pfiesteria piscicida (PP) is a species of algae that can kill fish. It is commonly found in estuaries where fresh water from rivers mixes with seawater. It is not clear whether people can become ill from eating diseased fish or from contact with the fish while swimming. Between June 1, 1998 and December 31, 1999, no cases of PP illness in people were reported to health authorities.

Health aspects, Algae, Diseases, Fishes, Estuaries

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