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

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

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.

OriginalsprogEngelsk
Artikelnummer7875
TidsskriftInternational Journal of Environmental Research and Public Health
Vol/bind18
Udgave nummer15
ISSN1661-7827
DOI
StatusUdgivet - 2021

Bibliografisk note

Funding Information:
Funding: This research was funded by a Ph.D. grant from The Research Fund of Rigshospitalet, Copenhagen University Hospital, Denmark (Grant number E-22316-04), The Augustinus Foundation, The Danish Regions and Health Confederation, and The Danish Association of Midwives research and development fund. The funding body did not have any role in the study’s design, data collection, data analysis, interpretation of data, writing the article, or decision to publish. The corresponding author had full access to all the data and had final responsibility for submitting it for publication.

Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.

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