| Autor: |
Arie Franx, Jantien Visser, Anne Hermans, Julia Spaan, Marieke Hermus, Jacoba van der Kooy |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
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| Zdroj: |
BMJ Open, Vol 14, Iss 1 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2044-6055 |
| DOI: |
10.1136/bmjopen-2022-069556 |
| Popis: |
Objectives To determine whether integrated maternity care is associated with reduced preterm births (PTB) and fewer small-for-gestational-age infants (SGA), and whether its implementation leads to a reduction of secondary care consultations.Design Retrospective study.Setting Integrated maternity care organisation in the southwestern region of the Netherlands.Participants All singleton pregnancies (≥24 weeks) within integrated maternity care organisation Annature between 2015 and 2020.Intervention Implementation of a shared maternity record in primary and secondary care.Methods Data of 20 818 women were derived from patient records and from the Netherlands Perinatal Registry. Intervention was the introduction of integrated maternity care in January 2018. Through multivariate logistic regression and segmented regression analysis we assessed the combined prevalence of SGA and PTB (SGA-PTB) before (2015–2017), and after the intervention (2018–2020). Regional rates were contrasted with nationwide rates (n=782 176).Main outcome measures SGA-PTB prevalence and mean number of secondary care consultations per pregnancy.Results SGA-PTB prevalence declined from 618/3443 (17.9%) in 2015 to 560/3501 (16.0%) in 2017 to 507/3459 (14.7%) in 2020 (p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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