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Multicenter impact analysis of a model for predicting recurrent early-onset preeclampsia: A before-after study.
van Kuijk, S M; Delahaije, D H; Dirksen, C D; Scheepers, H C; Spaanderman, M E; Ganzevoort, W; Duvekot, J J; Oudijk, M A; van Pampus, M G; Peeters, L L; Smits, L J.
Affiliation
  • van Kuijk SM; a Department of Obstetrics and Gynecology , Maastricht University Medical Center , Maastricht , The Netherlands.
  • Delahaije DH; b Department of Epidemiology , Maastricht University , Maastricht , The Netherlands.
  • Dirksen CD; c Department of Clinical Epidemiology and Medical Technology Assessment , Maastricht University Medical Center , Maastricht , The Netherlands.
  • Scheepers HC; c Department of Clinical Epidemiology and Medical Technology Assessment , Maastricht University Medical Center , Maastricht , The Netherlands.
  • Spaanderman ME; a Department of Obstetrics and Gynecology , Maastricht University Medical Center , Maastricht , The Netherlands.
  • Ganzevoort W; d Department of Obstetrics and Gynecology , University Medical Center St. Radboud , Nijmegen , The Netherlands.
  • Duvekot JJ; e Department of Obstetrics and Gynecology , Academic Medical Center , Amsterdam , The Netherlands.
  • Oudijk MA; f Department of Obstetrics and Gynecology , Erasmus Medical Center , Rotterdam , The Netherlands.
  • van Pampus MG; g Department of Obstetrics and Gynecology , University Medical Center Utrecht , Utrecht , The Netherlands.
  • Peeters LL; h Department of Obstetrics and Gynecology , Onze Lieve Vrouwe Gasthuis , Amsterdam , The Netherlands.
  • Smits LJ; g Department of Obstetrics and Gynecology , University Medical Center Utrecht , Utrecht , The Netherlands.
Hypertens Pregnancy ; 35(1): 42-54, 2016.
Article in En | MEDLINE | ID: mdl-26865192
ABSTRACT

OBJECTIVE:

This study aims to determine the impact of using a prediction model for recurrent preeclampsia to customize antenatal care in subsequent pregnancies.

METHODS:

We compared care consumption, pregnancy outcomes, and self-reported health state of two risk-based subgroups, and compared these to a reference group receiving standard care.

RESULTS:

We included a total of 311 women from 12 hospitals. Compared to standard care, recurrence-risk guided care did not lead to different outcomes or self-perceived health.

CONCLUSION:

Our study exemplifies that recurrence-risk-based stratification of antenatal care in former preeclampsia patients is feasible; it does not lead to worse pregnancy outcomes.
Subject(s)
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pre-Eclampsia / Models, Theoretical Type of study: Clinical_trials / Etiology_studies / Prognostic_studies / Risk_factors_studies Limits: Adult / Female / Humans / Pregnancy Language: En Journal: Hypertens Pregnancy Year: 2016 Document type: Article

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pre-Eclampsia / Models, Theoretical Type of study: Clinical_trials / Etiology_studies / Prognostic_studies / Risk_factors_studies Limits: Adult / Female / Humans / Pregnancy Language: En Journal: Hypertens Pregnancy Year: 2016 Document type: Article