Table 1 Planned assessments of the risk selection experiment: variables, methods and outcomes
Patients | ||
|---|---|---|
Variables | Methods | Outcomes |
1. INTERVENTION GROUP | ||
Nonmedical risk factors: 39 items from the risk scorecard, categorized into the domains of social, ethnicity, care, and lifestyle. | R4U scorecard + registration form ‘Obstetric history’ | Primary outcomes: |
- Preterm birth | ||
- Small for gestational age | ||
Medical risk factors: 30 items from the risk scorecard, categorized into the domains of general history and obstetric history | Questionnaire ‘Baseline characteristics’ | Secondary outcomes - Undetected small for gestational age and unexpected preterm births (babies born in the first level of care) |
Baseline characteristics: Age, zip code, ethnicity, onset of care, household composition, family income, employment, education level, smoking, alcohol, drugs, folic acid use, medication use, pre-existing chronic diseases, and sexually transmitted diseases. | Case Record Form ‘pregnancy and delivery data’ | - Prevalence of risk factors |
- Risk accumulation | ||
- Involved healthcare professionals during pregnancy | ||
- Detection and prevention of impaired growth and preterm birth during pregnancy | ||
- Perinatal mortality | ||
- Congenital anomalies | ||
- Delivery modus | ||
- Place of delivery | ||
2. CONTROL GROUP | ||
Baseline characteristics: Age, zip code, ethnicity, onset of care, household composition, family income, employment, education level, smoking, alcohol, drugs, folic acid use, medication use, pre-existing chronic diseases, and sexually transmitted diseases. | Registration form ‘Obstetric history’ | - Asphyxia |
Questionnaire ‘Baseline characteristics’ Case Record Form ‘pregnancy and delivery data’ | - Neonatal admission | |
- Maternal morbidity (such as pre-existing chronic disease, pregnancy complications, positive booking bloods), and maternal mortality. | ||
Patient satisfaction in both groups | Questionnaire ‘Patient experiences during the first antenatal visit’ | - Which topics were discussed (10 examples)? |
- What was your experience? | ||
- Do you think this was important to ask? | ||
Care providers | ||
Variables | Methods | Outcomes |
General characteristics participating midwives practices and hospitals in both groups | Interview-based questionnaire | - Current status number of patients and employees |
- Use of risk selection instruments | ||
- Collaboration with hospitals and (other) midwifery practices | ||
- Work processes (for example, counseling for prenatal screening, or ultrasound facilities) | ||
Care provider satisfaction in both groups | Questionnaire | - Feasibility |
- Efficacy of implementation | ||
- Collaboration | ||
- Continuation of intervention | ||