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A Review of the Impact of Antenatal Care for Australian Indigenous Women and Attempts to Strengthen these Services

Rumbold, Alice R. and Cunningham, Joan (2008). A Review of the Impact of Antenatal Care for Australian Indigenous Women and Attempts to Strengthen these Services. Maternal and Child Health Journal,12(1):83-100.

Document type: Journal Article

IRMA ID 0HON0185xPUB16
Title A Review of the Impact of Antenatal Care for Australian Indigenous Women and Attempts to Strengthen these Services
Author Rumbold, Alice R.
Cunningham, Joan
Journal Name Maternal and Child Health Journal
Publication Date 2008
Volume Number 12
Issue Number 1
ISSN 1092-7875   (check CDU catalogue  open catalogue search in new window)
Start Page 83
End Page 100
Total Pages 18
Place of Publication United States
Publisher Springer New York LLC
Field of Research 1110 - Nursing
1117 - Public Health and Health Services
HERDC Category C1 - Journal Article (DEST)
Abstract Objectives
To review evaluations of changes in the delivery of antenatal care for Australian Indigenous women and the impact on care utilization and quality, birth outcomes and women’s views about care.

Methods

Seven databases were searched electronically for articles describing evaluations of antenatal care programs developed for Australian Indigenous women. Manual searches were performed of the publication sections of websites of Australian Government Departments responsible for health and Indigenous affairs.

Results

Evaluations of 10 antenatal care programs were identified. Wide variations were present in the design, quality and reported outcomes of each evaluation. There was a lack of consistency in the findings across all care programs for many outcomes. Modest increases were reported for measures of care utilization, including the proportion of women initiating care in the first trimester and the mean number of antenatal visits overall. For birth outcomes, benefits were reported by some but not all care programs for perinatal mortality, preterm birth, mean birth weight and the proportion of low birth weight infants. Of the four care programs reporting women’s views about care, most comments were positive reflections about care, including the use of female staff and the continuity of care providers.

Conclusions

The impact of the antenatal care programs evaluated and published to date remains inconclusive. Limitations arose from the diversity in the design of evaluations and the quality of reported data. This review has highlighted the need for good quality long-term data collection about the health services providing antenatal care for Australian Indigenous women.
Keywords Australia
Birth outcomes
Indigenous women
Maternity services
Prenatal care
DOI http://dx.doi.org/10.1007/s10995-007-0216-1   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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Created: Tue, 05 May 2009, 11:22:17 CST by Sarena Wegener