The objective of the study is to contibute to the improvement of perinatal outcomes by means of optimisation of preconception care via child wish consulting hours at general practioner and midwife practices.
ID
Source
Brief title
Condition
- Other condition
- Neonatal and perinatal conditions
Synonym
Health condition
Preconceptiezorg is primair gericht op vermindering van risicofactoren voor ongewenste zwangerschapsuitkomsten.
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Effectivity of preconception care - in terms of risk reduction and lifestyle
changes - in women with a wish to become pregnant. Willingness of women in
areas with a high risk of negative perinatal outcomes to participate in child
wish consultancy hours.
Secondary outcome
N.a.
Background summary
The unfavourable position of the Netherlands in the European perinatal
mortality rates is remarkable considering the good relative prosperity position
of the Netherlands. Preconception care is a possibility to eliminate
riskfactors for perinatal morbidity and mortality before they can influence the
embryo development and early placenta development negative. This leads to a
reduction of risks during pregnancy. Besides the individual risk profile of the
pregnant woman, unsufficient risk selection is possibly debit to the mean
increased mortality and the considerable differences in the Netherlands.
Study objective
The objective of the study is to contibute to the improvement of perinatal
outcomes by means of optimisation of preconception care via child wish
consulting hours at general practioner and midwife practices.
Study design
Prospective cohort study in 14 high risk cities in the Netherlands.
Intervention
The child wish consulting hour exists of 2 visits. During these visits an
individual preconceptional advice will be formulated (visit 1) and evaluated
(visit 2). Before eacht visit, participants will fill out a questionnaire and
after the visits biomarker research will be done, aimed at lifestyle changes.
Study burden and risks
The discussing of riskfactors before pregnancy is am advancing in the moment at
which in standard care risks will be discussed. This gives extra opportunities
towards prevention, but might also be experienced to be a burden. In
preconceptions consults in general practioners practices however no rise in
fear has been measured between the intervention group and the control group.
Immediately after the consult a decrease in fear was found.
The participants will be asked to undergo blood samplings twice and to collect
a urine sample twice.
Wytemaweg 80
Rotterdam 3015 CN
NL
Wytemaweg 80
Rotterdam 3015 CN
NL
Listed location countries
Age
Inclusion criteria
Women with a wish to become pregnant, aged 18-41 years, living in a selected city.
Exclusion criteria
• Women who are already pregnant or women with individual circumstances for which they should be excluded, specified by the general practitioner;
• Individual patientfactors for exclusion will be specified by the general practitioner. These can be: on medical grounds (e.g. absolute infertility (hysterectomy), subfertility with active treatment or a terminal disease) or on social grounds (e.g. recent divorce). The goal of the exclusion posibilities is that the general practitioner must be able to safegaurd the physician - patient relationship.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL40845.078.12 |