Objective Summary

Darling et al. conducted a study between 2001 and 2018 to examine the efficiency of qualified interventions in preterm birth, small for gestational age, low birth weight, neonatal death, cesarean deliveries, maternal care satisfaction, and coast effectiveness programs. A systematic review was used to collect data from the United States, France, Spain, and the Netherlands. The studies consisted of mostly non- Caucasian women from low-income population ranging from 12 to 46 years of age and being between 20 to 32 weeks’ gestation. Interventional programs were implemented into three categories: group prenatal care, augmented prenatal care, or a combination of both group and augmented prenatal care. The researchers found that certain interventions, such as prenatal care and augmented care, or a combination of both, may decrease adverse outcomes in small-for-gestational-age and preterm birth, and could aid in increasing maternal care satisfaction. Interventions that worked on enhancing coordination of care were found to result in providing more effective cost savings. The researchers also found disparities in the quality of access to care in the vulnerable population. There was insufficient evidence of suitable quality to confirm that the interventions were successful at enhancing clinical outcomes in prenatal care for at risk populations