Frequency of Prenatal Care Visits: Protocol to Develop a Core Outcome Set for Prenatal Care Schedules
BackgroundPrenatal care, one of the most common preventive care services in the United States, endeavors to improve pregnancy outcomes through evidence-based screenings and interventions. Despite the prevalence of prenatal care and its importance to maternal and infant health...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2023-07-01
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| Series: | JMIR Research Protocols |
| Online Access: | https://www.researchprotocols.org/2023/1/e43962 |
| _version_ | 1827857300352663552 |
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| author | Mark Turrentine Buu-Hac Nguyen Beth Choby Susan Kendig Tekoa L King Milton Kotelchuck Tiffany A Moore Simas Sindhu K Srinivas Christopher M Zahn Alex Friedman Peahl |
| author_facet | Mark Turrentine Buu-Hac Nguyen Beth Choby Susan Kendig Tekoa L King Milton Kotelchuck Tiffany A Moore Simas Sindhu K Srinivas Christopher M Zahn Alex Friedman Peahl |
| author_sort | Mark Turrentine |
| collection | DOAJ |
| description |
BackgroundPrenatal care, one of the most common preventive care services in the United States, endeavors to improve pregnancy outcomes through evidence-based screenings and interventions. Despite the prevalence of prenatal care and its importance to maternal and infant health, there are several debates about the best methods of prenatal care delivery, including the most appropriate schedule frequency and content of prenatal visits. Current US national guidelines recommend that low-risk individuals receive a standard schedule of 12 to 14 in-office visits, a care delivery model that has remained unchanged for almost a century.
ObjectiveIn early 2020, to mitigate individuals’ exposure to the SARS-CoV-2 virus, prenatal care providers implemented new paradigms that altered the schedule frequency, interval, and modality (eg, telemedicine) of how prenatal care services were offered. In this paper, we describe the development of a core outcome set (COS) that can be used to evaluate the effect of the frequency of prenatal care schedules on maternal and infant outcomes.
MethodsWe will systematically review the literature to identify previously reported outcomes important to individuals who receive prenatal care and the people who care for them. Stakeholders with expertise in prenatal care delivery (ie, patients or family members, health care providers, and public health professionals and policy makers) will rate the importance of identified outcomes in a web-based survey using a 3-round Delphi process. A digital consensus meeting will be held for a group of stakeholder representatives to discuss and vote on the outcomes to include in the final COS.
ResultsThe Delphi survey was initiated in July 2022 with invited 71 stakeholders. A digital consensus conference was conducted on October 11, 2022. Data are currently under analysis with plans to submit them in a subsequent manuscript.
ConclusionsMore research about the optimal schedule frequency and modality for prenatal care delivery is needed. Standardizing outcomes that are measured and reported in evaluations of the recommended prenatal care schedules will assist evidence synthesis and results reported in systematic reviews and meta-analyses. Overall, this COS will expand the consistency and patient-centeredness of reported outcomes for various prenatal care delivery schedules and modalities, hopefully improving the overall efficacy of recommended care delivery for pregnant people and their families.
International Registered Report Identifier (IRRID)DERR1-10.2196/43962 |
| first_indexed | 2024-03-12T12:38:31Z |
| format | Article |
| id | doaj.art-917936b7785e4f73a30db6547aaf1183 |
| institution | Directory Open Access Journal |
| issn | 1929-0748 |
| language | English |
| last_indexed | 2024-03-12T12:38:31Z |
| publishDate | 2023-07-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Research Protocols |
| spelling | doaj.art-917936b7785e4f73a30db6547aaf11832023-08-29T00:02:16ZengJMIR PublicationsJMIR Research Protocols1929-07482023-07-0112e4396210.2196/43962Frequency of Prenatal Care Visits: Protocol to Develop a Core Outcome Set for Prenatal Care SchedulesMark Turrentinehttps://orcid.org/0000-0002-3909-3131Buu-Hac Nguyenhttps://orcid.org/0009-0007-5433-7038Beth Chobyhttps://orcid.org/0000-0001-8677-4653Susan Kendighttps://orcid.org/0000-0003-1588-5078Tekoa L Kinghttps://orcid.org/0000-0003-0511-2506Milton Kotelchuckhttps://orcid.org/0000-0002-2667-0227Tiffany A Moore Simashttps://orcid.org/0000-0002-8356-6418Sindhu K Srinivashttps://orcid.org/0000-0001-7655-3013Christopher M Zahnhttps://orcid.org/0009-0006-4811-3321Alex Friedman Peahlhttps://orcid.org/0000-0002-1186-9866 BackgroundPrenatal care, one of the most common preventive care services in the United States, endeavors to improve pregnancy outcomes through evidence-based screenings and interventions. Despite the prevalence of prenatal care and its importance to maternal and infant health, there are several debates about the best methods of prenatal care delivery, including the most appropriate schedule frequency and content of prenatal visits. Current US national guidelines recommend that low-risk individuals receive a standard schedule of 12 to 14 in-office visits, a care delivery model that has remained unchanged for almost a century. ObjectiveIn early 2020, to mitigate individuals’ exposure to the SARS-CoV-2 virus, prenatal care providers implemented new paradigms that altered the schedule frequency, interval, and modality (eg, telemedicine) of how prenatal care services were offered. In this paper, we describe the development of a core outcome set (COS) that can be used to evaluate the effect of the frequency of prenatal care schedules on maternal and infant outcomes. MethodsWe will systematically review the literature to identify previously reported outcomes important to individuals who receive prenatal care and the people who care for them. Stakeholders with expertise in prenatal care delivery (ie, patients or family members, health care providers, and public health professionals and policy makers) will rate the importance of identified outcomes in a web-based survey using a 3-round Delphi process. A digital consensus meeting will be held for a group of stakeholder representatives to discuss and vote on the outcomes to include in the final COS. ResultsThe Delphi survey was initiated in July 2022 with invited 71 stakeholders. A digital consensus conference was conducted on October 11, 2022. Data are currently under analysis with plans to submit them in a subsequent manuscript. ConclusionsMore research about the optimal schedule frequency and modality for prenatal care delivery is needed. Standardizing outcomes that are measured and reported in evaluations of the recommended prenatal care schedules will assist evidence synthesis and results reported in systematic reviews and meta-analyses. Overall, this COS will expand the consistency and patient-centeredness of reported outcomes for various prenatal care delivery schedules and modalities, hopefully improving the overall efficacy of recommended care delivery for pregnant people and their families. International Registered Report Identifier (IRRID)DERR1-10.2196/43962https://www.researchprotocols.org/2023/1/e43962 |
| spellingShingle | Mark Turrentine Buu-Hac Nguyen Beth Choby Susan Kendig Tekoa L King Milton Kotelchuck Tiffany A Moore Simas Sindhu K Srinivas Christopher M Zahn Alex Friedman Peahl Frequency of Prenatal Care Visits: Protocol to Develop a Core Outcome Set for Prenatal Care Schedules JMIR Research Protocols |
| title | Frequency of Prenatal Care Visits: Protocol to Develop a Core Outcome Set for Prenatal Care Schedules |
| title_full | Frequency of Prenatal Care Visits: Protocol to Develop a Core Outcome Set for Prenatal Care Schedules |
| title_fullStr | Frequency of Prenatal Care Visits: Protocol to Develop a Core Outcome Set for Prenatal Care Schedules |
| title_full_unstemmed | Frequency of Prenatal Care Visits: Protocol to Develop a Core Outcome Set for Prenatal Care Schedules |
| title_short | Frequency of Prenatal Care Visits: Protocol to Develop a Core Outcome Set for Prenatal Care Schedules |
| title_sort | frequency of prenatal care visits protocol to develop a core outcome set for prenatal care schedules |
| url | https://www.researchprotocols.org/2023/1/e43962 |
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