Pregnancy, Risk selection, Care pathway, Preterm birth, Intra uterine growth retardation.
Conditions
Interventions
The intervention comprises of systematic risk selection with the Rotterdam Reproductive Risk Reduction (R4U) score card in pregnant women at the initial booking visit. A predefined threshold, based on
Sponsors
Erasmus Medical Center - Department of Obstetrics and Gynaecology.
Eligibility
Inclusion criteria
Inclusion criteria: All pregnant women (singleton or multiple) in selected postal code areas within the 14 selected municipalities, who have their initial booking visit with their midwife or gynaecologist.
Exclusion criteria
Exclusion criteria: 1. No informed consent given; 2. (Suspected) miscarriage, missed abortion, or in labour at booking visit.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main outcomes are small for gestational age (birthweight < p10), preterm birth (<37 weeks), and efficacy of implementation. Data regarding birthweight and preterm birth will be obtained from medical records. Efficacy will be measured by the number of R4Us filled out by the health care professional. Data regarding risk guided use of care pathways, actually performed multidisciplinary assessment and patient and healthcare professional satisfaction will be obtained from several questionnaires. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Prevalence of perinatal mortality (subdivided in fetal and neonatal mortality) and low apgar score (<7 after 5 minutes), which will be obtained from medical records; 2. Antenatal detection rate of small for gestational age and unexpected preterm births (according to place of birth and responsible healthcare professional), obtained from questionnaires and medical records; 3. Distribution of non-medical risk factors according to some population based characteristics (both separately and combined) obtained from the R4U. | — |
Contacts
Public ContactAmber Vos
Westzeedijk 118
Outcome results
None listed