Current practices should be re-examined in light of current evidence
Antenatal care includes screening asymptomatic pregnant women, with the aim of detecting, and thereby preventing, both maternal and neonatal adverse events. The introduction of antenatal care in 1913 has been widely attributed to the efforts of Ballantyne at the University of Edinburgh. He suggested that the high maternal and perinatal mortality rates observed at the beginning of the 20th century reflected inadequate maternity care during pregnancy and lack of supervision of the progress of labour. Ballantyne's flow diagram, an antecedent of guidelines, defined interactions of many disciplines in antenatal care.
The full article is accessible to AMA members and paid subscribers. Login to read more or purchase a subscription now.
Please note: institutional and Research4Life access to the MJA is now provided through Wiley Online Library.
- Faculty of Health Sciences, Adelaide University, Adelaide, SA.
- 1. Hall MH, Chng PK, MacGillivray I. Is routine antenatal care worthwhile? Lancet 1980; ii: 78-80.
- 2. Cochrane A. Effectiveness and efficiency. Random reflections on health services. London: Nuffield Provincial Hospitals Trust, 1972.
- 3. Villar J, Ba'aqeel H, Piaggio G, et al. WHO antenatal care randomised trial for the evaluation of a new model of routine antenatal care. Lancet 2001; 357: 1551-1564.
- 4. Carroli G, Villar J, Piaggio G, et al. WHO systematic review of randomised controlled trials of routine antenatal care. Lancet 2001; 357: 1565-1570.
- 5. Hunt JM, Lumley J. Are recommendations about routine antenatal care in Australia consistent and evidence-based? Med J Aust 2002; 176: 255-259. <eMJA full text>
- 6. Public Health Laboratory Service Syphilis Working Group. Antenatal syphilis screening in the UK: a systematic review and national options appraisal with recommendations. 1998. <http://www.phls.org.uk/publications/syphil~1.pdf> {no longer available}.
- 7. Lumley J, Oliver S, Waters E. Interventions for promoting smoking cessation during pregnancy (Cochrane Review). In: The CochraneLibrary, Issue4, 2001. Oxford: UpdateSoftware.