[Mental problems, psychosocial problems and substance use during pregnancy: a structured multidisciplinary approach reduces the child's risk].

Autor:	Quispel C; Albert Schweitzer Ziekenhuis, afd. Verloskunde en Gynaecologie, Dordrecht.; Contact: Chantal Quispel (c.quispel@erasmusmc.nl)., Cheddad Harrak M; Erasmus Universiteit, Faculteit Geneeskunde, Rotterdam., Vankan-Buitelaar S; Koru Kraamzorg, Utrecht., Cohen de Lara M; Psyche en Zwangerschap, Amsterdam., Stevens AWMM; Beaufortzorg en Specialistisch Centrum Bipolaire Stoornissen, Deventer., de Kruijff I; St. Antonius Ziekenhuis, afd. Kindergeneeskunde, Nieuwegein., Paarlberg KM; Gelre ziekenhuizen, afd. Verloskunde en Gynaecologie, Apeldoorn., Bonsel GJ; Erasmus MC, Rotterdam. Afd. Public Health, EuroQol Research Foundation., Lambregtse-van den Berg MP; Erasmus MC, Rotterdam. Afd. Psychiatrie en Kinder- en Jeugdpsychiatrie.
Jazyk:	Dutch; Flemish
Zdroj:	Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2022 Jun 16; Vol. 166. Date of Electronic Publication: 2022 Jun 16.
Abstrakt:	Aim: To demonstrate the results of routine screening and treatment for psychiatric problems, psychosocial problems and substance use (PPS) among pregnant women in the Netherlands. This approach is advocated by the national program 'The first 1000 days', which focuses on a healthy start for (unborn) children in vulnerable situations. Design: Secondary data analysis of a routine care dataset obtained from midwifery practices and hospitals throughout the Netherlands. All practices and hospitals applied systematic screening with Mind2Care. Method: Each Mind2Care screening results in either a negative result (no risk), an alert and/or a treatment advice based on local care pathways. Anonymous data on detected risk factors and subsequent alerts/advices from 22.141 pregnant women were analyzed. Results: Of all women, 24% had at least one PPS risk factor. Accumulation of risks was present in 10% of women. Thirty-one percent of all pregnant women received at least one specific advice (15% alerts, 24% treatment advices, including overlap). Conclusion: One in four pregnant women has psychiatric problems, psychosocial problems and/or substance use for which guideline care is available. Implementation of Mind2Care is demanding to the obstetrical system, and requires multidisciplinary care processes of medical and social caregivers. Despite the lack of a scientific evidence on the added value of systematic detection and treatment of PPS-risks in all pregnancies, this programmatic approach is increasingly acknowledged on the national attention level as the way forward to a healthy start for every child, even if born under vulnerable conditions.
Databáze:	MEDLINE
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