[Mental problems, psychosocial problems and substance use during pregnancy: a structured multidisciplinary approach reduces the child's risk].
Rattachement africain : nl. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
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.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
Où se fait cette recherche
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Albert Schweitzer Ziekenhuis pays non établi dans la noticeÉtablissement de santé
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Erasmus University Rotterdam pays non établi dans la noticeUniversité ou école supérieure
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St. Antonius Ziekenhuis pays non établi dans la noticeOrganisme public
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Gelre Hospitals pays non établi dans la noticeÉtablissement de santé
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EuroQol Research Foundation Rotterdam. Afd. Public Health pays non établi dans la noticeOrganisation à but non lucratif
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Contact: Chantal Quispel (c.quispel@erasmusmc.nl) pays non établi dans la noticeInstitution
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Erasmus Universiteit pays non établi dans la noticeUniversité ou école supérieure
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Koru Kraamzorg pays non établi dans la noticeInstitution
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Psyche en Zwangerschap pays non établi dans la noticeInstitution
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Beaufortzorg en Specialistisch Centrum Bipolaire Stoornissen pays non établi dans la noticeInstitution
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Gelre ziekenhuizen pays non établi dans la noticeInstitution
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Erasmus MC pays non établi dans la noticeInstitution
Albert Schweitzer Ziekenhuis, Erasmus University Rotterdam et St. Antonius Ziekenhuis, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.