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Randomized Controlled Trial
. 2011 May 4:11:92.
doi: 10.1186/1472-6963-11-92.

Evaluation of a community-based randomized controlled prenatal care trial in rural China

Zhuochun Wu  1 , Kirsi Viisainen, Ying Wang, Elina Hemminki
Affiliations
Randomized Controlled Trial

Evaluation of a community-based randomized controlled prenatal care trial in rural China

Zhuochun Wu et al. BMC Health Serv Res. .

Abstract

Background: A community-based randomized control prenatal care trial was performed in a rural county of China during 2000-2003. The purpose of this paper is to describe the trial implementation and the impact of the trial on the utilization of prenatal care and perinatal outcomes.

Materials and methods: In the study county, 10 townships (from a total of 55) were each paired with a control (20 study townships in total), with the criteria for pairing being the township's socioeconomic development, perinatal health, and maternal care utilization and provision. One of each township pair was randomly allocated to the intervention or control groups. The trial interventions were: 1) training township hospital midwives and instructing them in how to provide systematic maternal care, 2) informing women in the community of the importance of prenatal care, 3) if needed, providing basic medical instruments to the hospitals. A variety of data sources were used to describe the trial implementation (observations, group discussions, field notes, survey to women). The data on pregnancy and perinatal outcomes were from the original hand-written work-records in the village family planning centers of the study townships.

Results: Implementation of the intervention was deficient. The factors hindering the trial implementation included poor coordination between midwives and family planning officers, broader policy changes implemented by the provincial government during the trial, the decentralization of county governance, and the lack of government funding for maternal care. There was only little difference in the use of maternal care, in women's opinions related to maternal care or content of prenatal care, and no difference in the perinatal outcomes between the intervention and control townships.

Conclusions: A community based randomized controlled trial could not be fully carried out in rural China as planned due to the changing political landscape, the complexity of the socio-economic situation and a lengthy planning stage. The study could not answer if perinatal outcomes could be improved by increased use of prenatal care.

Trial registration: NCT 01054235.

Trial registration: ClinicalTrials.gov NCT01054235.

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References

    1. Drazancic A. Antenatal care in developing countries. What shoud be done? Journal of Perinatal Medicine. 2001;29(3):188–98. doi: 10.1515/JPM.2001.028. - DOI - PubMed
    1. Lumbiganon P, Winiyakul N, Chongsomchai C, Chaisiri K. From research to practice: the example of antenatal care in Thailand. Bulletin of World Health Organization. 2004;82(10):746–9. - PMC - PubMed
    1. Zanconato G, Msolomba R, Guarenti L, Franchi M. Antenatal care in developing countries: the need for a tailored model. Seminars in Fetal and neonatal Medicine. 2006;11(1):15–20. doi: 10.1016/j.siny.2005.10.002. - DOI - PubMed
    1. Hong R, Ruiz-Beltran Martin. Impact of prenatal care on infant survival in Bangladesh. Maternal and Child Health Journal. 2007;11(2):199–206. doi: 10.1007/s10995-006-0147-2. - DOI - PubMed
    1. Khan-Neelofur D, Gulmezoglu M, Villar J. WHO antenatal care trial group. Who should provide antenatal care for low-risk women, and how often? A systematic review of randomized controlled trials. Paediatric and Perinatal Epidemiology. 1998;12(suppl 2):7–26. - PubMed

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