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Table 4 Characteristics of the review included for interpersonal care and social support

From: Evidence from facility level inputs to improve quality of care for maternal and newborn health: interventions and findings

Reviews (n=5) Description of included interventions Type of studies included (no) Targeted health care providers Outcome reported Pooled data (Y/N) Results
     Outcomes MNCH specific outcomes   
Flenady 2008[43] Any intervention provided by professional or non-professional individuals or groups aimed at improving psychological wellbeing after perinatal death. No trials included Professional or non-professional    N/A No studies identified for inclusion
Hodnett 2010[41] Standardized or individualized programs of additional social support, provided in either home visits, during regular antenatal clinic visits, and/or by telephone on several occasions during pregnancy. RCT’s: 17 Pregnant women at risk of having preterm or growth restricted babies, or both in developed countries   Antenatal hospital admission Yes 0.79 (0.68-0.92)
      Caesarean birth   0.87 (0.78-0.97)
      Preterm birth   0.92 (0.83-1.01)
      Perinatal mortality   0.96 (0.74-1.26)
Hodnett 2011[23] Labour support by either a familiar or unfamiliar person (with or without healthcare professional qualifications). Trials: 21 Healthcare professional (nurse, midwife) or training as a doula or childbirth educator, or be a family member, spouse/partner, friend or stranger with little or no special training in labour support in developed countries   Spontaneous vaginal birth Yes 1.08 (1.04-1.12)
      Intrapartum analgesia   0.90 (0.84-0.97)
      Dissatisfaction   0.69 (0.59-0.79)
      Labour duration   -0.58 (-0.86 to -0.30)
      Caesarean   0.79 (0.67-0.92)
      Instrumental vaginal birth   0.90 (0.84-0.96)
      Regional analgesia   0.93 (0.88-0.99)
      Baby with a low 5-minute Apgar score   0.70 (0.50-0.96)
Logsdon 2004[63] Paraprofessional (individuals who have received specialized training in order to meet the needs of a patient population or to implement a research or project intervention) support to pregnant and parenting women. Total : 8 studies
RCT: 3
Descriptive: 1
Paraprofessionals in developed countries   Incidence of premature birth and low birth weight and small for gestational age infants, use of healthcare services, school retention in mothers and repeat pregnancies, child abuse, discipline, and maternal-infant interaction No Narrative
Renfrew 2012[42] ‘Support’ interventions include elements such as reassurance, praise, information, and the opportunity to discuss and to respond to the mother’s questions, and it could also include staff training to improve the supportive care given to women during breast feeding. RCT’s / Quasi: 52 Health professionals or lay people, trained or untrained, in hospital and community settings. Mostly in HIC   Stopping ‘any breastfeeding’ before 6 months Yes 0.91 (0.88-0.96)