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Healthy Pregnancy 4 All: Onderdeel risicoselectie in de zwangerschap.

Recruiting
Conditions
Pregnancy, Risk selection, Care pathway, Preterm birth, Intra uterine growth retardation.
Registration Number
NL-OMON25585
Lead Sponsor
Erasmus Medical Center - Department of Obstetrics and Gynaecology.
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
7000
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

1. No informed consent given;

2. (Suspected) miscarriage, missed abortion, or in labour at booking visit.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The main outcomes are small for gestational age (birthweight < p10), preterm birth (<37 weeks), and efficacy of implementation.<br /><br>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 Outcome Measures
NameTimeMethod
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;<br /><br>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;<br /><br>3. Distribution of non-medical risk factors according to some population based characteristics (both separately and combined) obtained from the R4U.
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