Effects of a midwife-coordinated maternity care intervention (Chropreg) vs. standard care in pregnant women with chronic medical conditions: Results from a randomized controlled trial
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Effects of a midwife-coordinated maternity care intervention (Chropreg) vs. standard care in pregnant women with chronic medical conditions : Results from a randomized controlled trial. / de Wolff, Mie G.; Midtgaard, Julie; Johansen, Marianne; Rom, Ane L.; Rosthøj, Susanne; Tabor, Ann; Hegaard, Hanne K.
In: International Journal of Environmental Research and Public Health, Vol. 18, No. 15, 7875, 2021.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Effects of a midwife-coordinated maternity care intervention (Chropreg) vs. standard care in pregnant women with chronic medical conditions
T2 - Results from a randomized controlled trial
AU - de Wolff, Mie G.
AU - Midtgaard, Julie
AU - Johansen, Marianne
AU - Rom, Ane L.
AU - Rosthøj, Susanne
AU - Tabor, Ann
AU - Hegaard, Hanne K.
N1 - Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021
Y1 - 2021
N2 - The proportion of childbearing women with pre-existing chronic medical conditions (CMC) is rising. In a randomized controlled trial, we aimed to evaluate the effects of a midwife-coordinated maternity care intervention (ChroPreg) in pregnant women with CMC. The intervention consisted of three main components: (1) Midwife-coordinated and individualized care, (2) Additional ante-and postpartum consultations, and (3) Specialized known midwives. The primary outcome was the total length of hospital stay (LOS). Secondary outcomes were patient-reported outcomes measuring psychological well-being and satisfaction with maternity care, health utilization, and maternal and infant outcomes. A total of 362 women were randomized to the ChroPreg intervention (n = 131) or Standard Care (n = 131). No differences in LOS were found between groups (median 3.0 days, ChroPreg group 0.1% lower LOS, 95% CI −7.8 to 7%, p = 0.97). Women in the ChroPreg group reported being more satisfied with maternity care measured by the Pregnancy and Childbirth Questionnaire (PCQ) compared with the Standard Care group (mean PCQ 104.5 vs. 98.2, mean difference 6.3, 95% CI 3.0–10.0, p < 0.0001). In conclusion, the ChroPreg intervention did not reduce LOS. However, women in the ChroPreg group were more satisfied with maternity care.
AB - The proportion of childbearing women with pre-existing chronic medical conditions (CMC) is rising. In a randomized controlled trial, we aimed to evaluate the effects of a midwife-coordinated maternity care intervention (ChroPreg) in pregnant women with CMC. The intervention consisted of three main components: (1) Midwife-coordinated and individualized care, (2) Additional ante-and postpartum consultations, and (3) Specialized known midwives. The primary outcome was the total length of hospital stay (LOS). Secondary outcomes were patient-reported outcomes measuring psychological well-being and satisfaction with maternity care, health utilization, and maternal and infant outcomes. A total of 362 women were randomized to the ChroPreg intervention (n = 131) or Standard Care (n = 131). No differences in LOS were found between groups (median 3.0 days, ChroPreg group 0.1% lower LOS, 95% CI −7.8 to 7%, p = 0.97). Women in the ChroPreg group reported being more satisfied with maternity care measured by the Pregnancy and Childbirth Questionnaire (PCQ) compared with the Standard Care group (mean PCQ 104.5 vs. 98.2, mean difference 6.3, 95% CI 3.0–10.0, p < 0.0001). In conclusion, the ChroPreg intervention did not reduce LOS. However, women in the ChroPreg group were more satisfied with maternity care.
KW - Antenatal care
KW - Chronic medical conditions
KW - Integrated care
KW - Maternity care
KW - Midwife-led intervention
KW - Randomized controlled trial
KW - Satisfaction
U2 - 10.3390/ijerph18157875
DO - 10.3390/ijerph18157875
M3 - Journal article
C2 - 34360168
AN - SCOPUS:85111028743
VL - 18
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
SN - 1661-7827
IS - 15
M1 - 7875
ER -
ID: 275884057