The effect of antenatal education in small classes on obstetric and psycho-social outcomes - a systematic review.
The effect of antenatal education in small classes on obstetric and psycho-social outcomes - a systematic review.
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小班阶级产前教育对产科和心理社会成果的影响 - 系统评价。
DOI：
10.1186/s13643-015-0010-x
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发表时间：
2015-02-28
影响因子：
3.7
通讯作者：
Koushede V
中科院分区：
文献类型：
--
作者：
Brixval CS;Axelsen SF;Lauemøller SG;Andersen SK;Due P;Koushede V
产前教育的目标很广泛，包括与怀孕、分娩和为人父母有关的结果。产前教育的形式和内容都随着时间的推移发生了变化，但没有证据表明对相关结果产生了影响。在少数参与者的参与下，小组产前教育的效果可能与其他形式的产前教育的效果不同，例如，由于群体动态。本系统综述的目的是评估产前教育对产科和心理社会结果的影响。检索文献数据库（Medline、EMBASE、CENTRAL、CINAHL、Web of Science和PsycINFO）。我们纳入了随机和半随机试验，不考虑语言、出版年份、出版类型和出版状态。本综述仅考虑在西方世界进行的试验。使用科克伦偏倚风险工具评估研究偏倚。结果以纳入试验的结构化总结和森林图的形式呈现。我们发现了5,708条记录。其中，17项研究符合纳入标准。研究在实验和对照条件的内容上差异很大。所有结果仅在一项或几项试验中报告，导致效果估计的置信度有限或不确定。鉴于干预措施和结果的异质性以及研究偏倚的高风险，我们无法得出明确的结论，以小组产前教育对产科和心理社会结果的影响。关于小班产前教育在产科和心理社会结果方面是否有效，证据不足。我们建议在出现良好的随机对照试验后更新这篇综述，这些试验的偏倚风险较低。PROSPERO CRD 42013004319本文的在线版本（doi：10.1186/s13643-015-0010-x）包含补充材料，可供授权用户使用。
The aims of antenatal education are broad and encompass outcomes related to pregnancy, birth, and parenthood. Both form and content of antenatal education have changed over time without evidence of effects on relevant outcomes. The effect of antenatal education in groups, with participation of a small number of participants, may differ from the effect of other forms of antenatal education due to, for example, group dynamic. The objective of this systematic review is to assess the effects of antenatal education in small groups on obstetric as well as psycho-social outcomes. Bibliographic databases (Medline, EMBASE, CENTRAL, CINAHL, Web of Science, and PsycINFO) were searched. We included randomized and quasi-randomized trials irrespective of language, publication year, publication type, and publication status. Only trials carried out in the Western world were considered in this review. Studies were assessed for bias using the Cochrane risk of bias tool. Results are presented as structured summaries of the included trials and as forest plots. We identified 5,708 records. Of these, 17 studies met inclusion criteria. Studies varied greatly in content of the experimental and control condition. All outcomes were only reported in a single or a few trials, leading to limited or uncertain confidence in effect estimates. Given the heterogeneity in interventions and outcomes and also the high risk of bias of studies, we are unable to draw definitive conclusions as to the impact of small group antenatal education on obstetric and psycho-social outcomes. Insufficient evidence exists as to whether antenatal education in small classes is effective in regard to obstetric and psycho-social outcomes. We recommend updating this review following the emergence of well-conducted randomized controlled trials with a low risk of bias. PROSPERO CRD42013004319 The online version of this article (doi:10.1186/s13643-015-0010-x) contains supplementary material, which is available to authorized users.