None listed
Conditions
Interventions
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: 1. No previous born child (a number of pregnant women did have an abortion); 2. Pregnancy duration of maximum 28 weeks; 3. Low education grade; 4. Some knowledge of the Dutch language; 5. Furthermore, one or more of the following secundary inclusion criteria: no (supportive) social network or partner, alcohol - or drugabuse, actual violence in family or partner, history of abuse, psychologic problems such as anxiety or depression, non-realistic approach about motherhood, drop-out of school, unemployed, financial or housing-problems.
Exclusion criteria
Exclusion criteria: 1. Heavy psychiatric problems or obvious psychosis; 2. Heavy drugs- or alcohol-addiction.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| At the start of the study women will be interviewd about their physical condition (diseases, diet, sigarette smoking, drug abuse, etc.), emotional (feelings of anxiety and depression, a history of abuse or neglect), relational (partner, social support), and social determinants (education, financiel problems, housing, use of current health care). Mothers' sense of control about her circumstances is determined. Partners are being asked to report emotional or behavioral problems. A urine sample will be taken to determine urinary infections. During the entire study measurements of height and weight, breast- or bottle feeding, and development according to Van Wiechen, collected by the regular health system will be used in the study. Also, data of the delivery and first week after birth will be collected from the files of primary health care. At the age of 6 months, we measure development, anxiety and mother-child interactions. At the ages of 1 and 2 years the home situation will be observed according to safety, availability of food and fruit and of toys. At the age of 2 other determinants are: child abuse, finance, home, education, anti conception, pregnancies, stability relation with the father, psychopathology of the mother. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Preconditions necessary for an optimal implementation; 2. Cost-effectiveness of the intervention. | — |
Contacts
EMGO instituut, afd Sociale Geneeskunde Van der Boechorststraat 7