Improving Pregnancy Outcomes through Maternity Care Coordination: A Systematic Review
Clinical & Population Health Research
Department of Quantitative Health Sciences; Department of Medicine, Division of Preventive and Behavioral Medicine; Department of Obstetrics and Gynecology
Female Urogenital Diseases and Pregnancy Complications | Maternal and Child Health | Obstetrics and Gynecology | Women's Health
BACKGROUND: Care during pregnancy is multifaceted and often goes beyond traditional prenatal care from an obstetrical care provider. Coordinating care between multiple providers can be challenging, but is beneficial for providers and patients. Care coordination is associated with decreased costs, greater patient satisfaction, and a reduction in medical errors. To our knowledge, no previous review has examined maternity care coordination (MCC) programs and their association with pregnancy outcomes.
METHODS: Using a search algorithm comprised of relevant MCC terminology, studies were identified through a systematic search of PubMed, Scopus, ClinicalTrials.gov, and Google Scholar. Studies meeting eligibility criteria (e.g., defining the care coordination components and examining at least one quantitative outcome) were fully abstracted and quality rated using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist.
MAIN FINDINGS: Thirty-three observational studies of MCC were included in this review. Quality scores ranged from 27% to 100%. Most studies included strategies with a team approach to decision making and/or individual case management. Social service referrals to outside organizations were also common. Twenty-seven studies reported infant birth weight as a main outcome; 12 found a significant improvement in birth weights among care coordination participants.
CONCLUSIONS: Roughly one-third of the included studies reported improved birth weights among care coordination participants. However, it remains unknown what effect care coordination strategies have on patient and provider satisfaction in the prenatal care setting, two aspects of maternity care that may advance the quality and utilization of prenatal health services.
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Citation: Kroll-Desrosiers AR, Crawford SL, Moore Simas TA, Rosen AK, Mattocks KM (2016). Improving Pregnancy Outcomes through Maternity Care Coordination: A Systematic Review. Women's Health Issues, 26(1), 87–99. doi: 10.1016/j.whi.2015.10.003.
Women's health issues : official publication of the Jacobs Institute of Women's Health
Kroll-Desrosiers, Aimee R.; Crawford, Sybil L.; Moore Simas, Tiffany A.; Rosen, Amy K.; and Mattocks, Kristin M., "Improving Pregnancy Outcomes through Maternity Care Coordination: A Systematic Review" (2016). GSBS Student Publications. 1952.