Early antenatal counseling in the outpatient setting for high-risk pregnancies: a randomized control trial.


Journal

Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884

Informations de publication

Date de publication:
07 2021
Historique:
received: 01 06 2020
accepted: 15 01 2021
revised: 07 11 2020
pubmed: 30 1 2021
medline: 21 10 2021
entrez: 29 1 2021
Statut: ppublish

Résumé

Determine if antenatal counseling delivered in the outpatient setting improves parental knowledge and satisfaction without contributing to anxiety. Randomized control trial at a large academic institution. Mothers at risk for preterm delivery were enrolled following routine maternal-fetal medicine (MFM) visits and randomized to early antenatal counseling of prematurity or standard counseling by MFM providers. The primary outcome was parental knowledge of prematurity. Secondary outcomes included parental satisfaction, anxiety scores, and compliance with recommended follow-up. Seventy-six women were enrolled, 38 in each group. Early counseling group had higher knowledge scores (86.3 vs 64.3, p = <0.001) and parental satisfaction (p = 0.003). Anxiety scores were similar between the two groups (38.2 vs 40.4, p = 0.53). No difference was noted in compliance with follow-up. Antenatal counseling in the high-risk outpatient setting improved parental knowledge and satisfaction without leading to increased anxiety.

Identifiants

pubmed: 33510421
doi: 10.1038/s41372-021-00933-x
pii: 10.1038/s41372-021-00933-x
pmc: PMC10718404
mid: NIHMS1836415
doi:

Types de publication

Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1595-1604

Subventions

Organisme : NINR NIH HHS
ID : K23 NR019081
Pays : United States

Informations de copyright

© 2021. The Author(s), under exclusive licence to Springer Nature America, Inc.

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Auteurs

Rebecca Fish (R)

Rainbow Babies and Children's Hospital, Cleveland, OH, USA. rebeccafish86@gmail.com.

Ashley Weber (A)

University of Cincinnati, Cincinnati, OH, USA.

Moira Crowley (M)

Rainbow Babies and Children's Hospital, Cleveland, OH, USA.

Melissa March (M)

University Hospitals Cleveland Medical Center, Cleveland, OH, USA.

Cheryl Thompson (C)

Case Western Reserve University, Cleveland, OH, USA.

Kristin Voos (K)

Rainbow Babies and Children's Hospital, Cleveland, OH, USA.

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Classifications MeSH