ArticleInternational journal of integrated care
An instrument for broadened risk assessment in antenatal health care including non-medical issues.
Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Antenatal non-medical risk assessment and care pathways to improve pregnancy outcomes: a cluster randomised controlled trial.European journal of epidemiology · 2018Trial
- Integrated care for multi-domain vulnerability during pregnancy: a retrospective cohort study.Archives of women's mental health · 2025Article
- Building Cross-sectoral Collaborations to Address Perinatal Health Inequities: Insights From the Dutch Healthy Pregnancy 4 All-3 Program.International journal of health policy and management · 2024Article
- A Comprehensive Review on Social Inequalities and Pregnancy Outcome-Identification of Relevant Pathways and Mechanisms.International journal of environmental research and public health · 2022Review
- Streamlining Universal Prenatal Screening for Risk for Adverse Birth Outcomes.Maternal and child health journal · 2022Article
- An innovative postnatal risk assessment and corresponding care pathways in Preventive Child Healthcare.Journal of advanced nursing · 2022Article
- Assessing Concerns and Care Needs of Expectant Parents: Development and Feasibility of a Structured Interview.International journal of environmental research and public health · 2021Article
- Born in Brussels screening tool: the development of a screening tool measuring antenatal psychosocial vulnerability.BMC public health · 2021Article
- Development of a Comprehensive Antenatal Risk Assessment Tool to Predict Adverse Maternal and Perinatal Outcomes in Rural Areas: An Exploratory Study.Journal of family & reproductive health · 2020Article
- Associations Between a Healthy Start Program Prenatal Risk Screening Tool and Adverse Birth Outcomes: A Study Using the Mother/Infant Dyad Screening Cohort.Journal of women's health (2002) · 2020Article
- Methodology for sampling women at high maternal risk in administrative data.BMC pregnancy and childbirth · 2019Article
- Reducing growth and developmental problems in children: Development of an innovative postnatal risk assessment.PloS one · 2019Article
- Towards a universal concept of vulnerability: Broadening the evidence from the elderly to perinatal health using a Delphi approach.PloS one · 2019Article
- Postnatal screening and care for non-medical risk factors by preventive child healthcare in deprived and non-deprived neighbourhoods.BMC health services research · 2018Article
- The prevalence of adverse postnatal outcomes for mother and infant in the Netherlands.PloS one · 2018Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionGrowing evidence on the risk contributing role of non-medical factors on pregnancy outcomes urged for a new approach in early antenatal risk selection. The evidence invites to more integration, in particular between the clinical working area and the public health domain. We developed a non-invasive, standardized instrument for comprehensive antenatal risk assessment. The current study presents the application-oriented development of a risk screening instrument for early antenatal detection of risk factors and tailored prevention in an integrated care setting.
methodsA review of published instruments complemented with evidence from cohort studies. Selection and standardization of risk factors associated with small for gestational age, preterm birth, congenital anomalies and perinatal mortality. Risk factors were weighted to obtain a cumulative risk score. Responses were then connected to corresponding care pathways. A cumulative risk threshold was defined, which can be adapted to the population and the availability of preventive facilities. A score above the threshold implies multidisciplinary consultation between caregivers.
resultsThe resulting digital score card consisted of 70 items, subdivided into four non-medical and two medical domains. Weighing of risk factors was based on existing evidence. Pilot-evidence from a cohort of 218 pregnancies in a multi-practice urban setting showed a cut-off of 16 points would imply 20% of all pregnant women to be assessed in a multidisciplinary setting. A total of 28 care pathways were defined.
conclusionThe resulting score card is a universal risk screening instrument which incorporates recent evidence on non-medical risk factors for adverse pregnancy outcomes and enables systematic risk management in an integrated antenatal health care setting.
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