PMID: 25780351Mar 18, 2015Paper

An instrument for broadened risk assessment in antenatal health care including non-medical issues

International Journal of Integrated Care
Amber A VosGouke J Bonsel

Abstract

Growing 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. A 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. The resulting digital score card consisted of 70 items, subdivided into four non-medical and two medical domain...Continue Reading

Citations

Oct 23, 2019·BMC Pregnancy and Childbirth·Jennifer VanderlaanSusan E Shapiro
Apr 2, 2018·European Journal of Epidemiology·Jacqueline LagendijkEric A P Steegers
Jul 11, 2020·Scientific Reports·Jacqueline LagendijkAnke G Posthumus

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