Streamlining Universal Prenatal Screening for Risk for Adverse Birth Outcomes.
BIRTH outcomes
Healthy start
Low birthweight
Mental health
Prenatal depression
Preterm
Universal screening
Journal
Maternal and child health journal
ISSN: 1573-6628
Titre abrégé: Matern Child Health J
Pays: United States
ID NLM: 9715672
Informations de publication
Date de publication:
May 2022
May 2022
Historique:
accepted:
21
11
2021
pubmed:
22
3
2022
medline:
26
4
2022
entrez:
21
3
2022
Statut:
ppublish
Résumé
Many of the medical risk factors for adverse birth outcomes (e.g., preeclampsia) are regularly monitored in prenatal care. However, many of the psychosocial risk factors associated with adverse birth outcomes (e.g., maternal stress, anxiety, depression, intimate partner violence) are not regularly addressed during routine prenatal care. Comprehensive prenatal screening for psychosocial risk factors for adverse birth outcomes can improve maternal and neonatal outcomes. In this study, we examine an existing tool for opportunities to streamline and improve screening. We reviewed medical records for 528 mother-infant dyads, recording maternal responses to a 21-item prenatal risk screening tool, and gestational age/birth weight of infants. Multiple approaches to scoring were used to predict likelihood of adverse birth outcome. Women who answered yes to any of the top four interrelated items were 3.32 times more likely to have an adverse birth outcome. Sensitivity and specificity were 68% and 65%, respectively. We identified a short surveillance tool to identify women who are at highest risk and require more in-depth screening, and to rule out women who are at very low risk of an adverse birth outcome.
Identifiants
pubmed: 35312912
doi: 10.1007/s10995-022-03420-7
pii: 10.1007/s10995-022-03420-7
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1022-1029Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Références
B. F. S Committee, M. H. I. Committee for C. W. S. N. P. A., & others. (2006). Identifying infants and young children with developmental disorders in the medical home: An algorithm for developmental surveillance and screening. Pediatrics, 118(1), 405–420.
doi: 10.1542/peds.2006-1231
Bair-Merritt, M. H., Lewis-O’Connor, A., Goel, S., Amato, P., Ismailji, T., Jelley, M., Lenahan, P., & Cronholm, P. (2014). Primary care–based interventions for intimate partner violence: A systematic review. American Journal of Preventive Medicine, 46(2), 188–194.
doi: 10.1016/j.amepre.2013.10.001
Beck, S., Wojdyla, D., Say, L., Betran, A. P., Merialdi, M., Requejo, J. H., Rubens, C., Menon, R., & Van Look, P. F. (2010). The worldwide incidence of preterm birth: A systematic review of maternal mortality and morbidity. Bulletin of the World Health Organization, 88, 31–38.
doi: 10.2471/BLT.08.062554
Bernazzani, O., Marks, M. N., Bifulco, A., Siddle, K., Asten, P., & Conroy, S. (2005). Assessing psychosocial risk in pregnant/postpartum women using the contextual assessment of maternity experience (CAME). Social Psychiatry and Psychiatric Epidemiology, 40(6), 497–508.
doi: 10.1007/s00127-005-0917-y
Boyd, R. C., Mogul, M., Newman, D., & Coyne, J. C. (2011). Screening and referral for postpartum depression among low-income women: A qualitative perspective from community health workers. Depression Research and Treatment. https://doi.org/10.1155/2011/320605
doi: 10.1155/2011/320605
Chisholm, C. A., Bullock, L., & Ferguson, J. E. J., II. (2017). Intimate partner violence and pregnancy: Epidemiology and impact. American Journal of Obstetrics and Gynecology, 217(2), 141–144.
doi: 10.1016/j.ajog.2017.05.042
Coker, A. L., Garcia, L. S., Williams, C. M., Crawford, T. N., Clear, E. R., McFarlane, J., & Ferguson, J. E. (2012). Universal psychosocial screening and adverse pregnancy outcomes in an academic obstetric clinic. Obstetrics & Gynecology, 119(6), 1180–1189.
doi: 10.1097/AOG.0b013e318253d76c
Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh postnatal depression scale. The British Journal of Psychiatry, 150(6), 782–786. https://doi.org/10.1192/bjp.150.6.782
doi: 10.1192/bjp.150.6.782
Cramer, M. E., Chen, L.-W., Roberts, S., & Clute, D. (2007). Evaluating the social and economic impact of community-based prenatal care. Public Health Nursing, 24(4), 329–336.
doi: 10.1111/j.1525-1446.2007.00641.x
Dworkin, P. H. (1993). Detection of behavioral, developmental, and psychosocial problems in pediatric primary care practice. Current Opinion in Pediatrics, 5(5), 531–536.
doi: 10.1097/00008480-199310000-00003
Florida Department of Health. (2009). Healthy start standard and guidelines. https://www.floridahealth.gov/programs-and-services/childrens-health/healthy-start/index.html#heading_2
Fox, L., Carta, J., Strain, P. S., Dunlap, G., & Hemmeter, M. L. (2010). Response to intervention and the pyramid model. Infants & Young Children, 23(1), 3–13.
doi: 10.1097/IYC.0b013e3181c816e2
Goldenberg, R. L., Culhane, J. F., Iams, J. D., & Romero, R. (2008). Epidemiology and causes of preterm birth. The Lancet, 371(9606), 75–84.
doi: 10.1016/S0140-6736(08)60074-4
Hansotte, E., Payne, S. I., & Babich, S. M. (2017). Positive postpartum depression screening practices and subsequent mental health treatment for low-income women in Western countries: A systematic literature review. Public Health Reviews, 38(1), 1–17.
doi: 10.1186/s40985-017-0050-y
Hardt, N. S., Eliazar, J., Burt, M., Das, R., Winter, W. P., Saliba, H., & Roth, J. (2013). Use of a prenatal risk screen to predict maternal traumatic pregnancy-associated death: Program and policy implications. Women’s Health Issues, 23(3), e187–e193.
doi: 10.1016/j.whi.2013.02.002
Heron, M. P. (2019). Deaths: Leading causes for 2017.
Montoya-Williams, D., Bright, M., Martinez, S., Echavarria, M., Mercado, R., Lorch, S., & Thompson, L. (2020). Associations between a healthy start program prenatal risk screening tool and adverse birth outcomes: A study using the mother/infant dyad screening cohort. Journal of Women’s Health, 29(5), 647–655.
doi: 10.1089/jwh.2019.7712
O’connor, M. J., & Whaley, S. E. (2007). Brief intervention for alcohol use by pregnant women. American Journal of Public Health, 97(2), 252–258.
doi: 10.2105/AJPH.2005.077222
Parsons, L. H., Zaccaro, D., Wells, B., & Stovall, T. G. (1995). Methods of and attitudes toward screening obstetrics and gynecology patients for domestic violence. American Journal of Obstetrics and Gynecology, 173(2), 381–387.
doi: 10.1016/0002-9378(95)90256-2
Requejo, J., Merialdi, M., Althabe, F., Keller, M., Katz, J., & Menon, R. (2013). Born too soon: Care during pregnancy and childbirth to reduce preterm deliveries and improve health outcomes of the preterm baby. Reproductive Health, 10(1), 1–15.
doi: 10.1186/1742-4755-10-42
Spitzer, R. L., Williams, J. B., Kroenke, K., Hornyak, R., McMurray, J., Group, P. H. Q. O.-G. S., & others. (2000). Validity and utility of the PRIME-MD patient health questionnaire in assessment of 3000 obstetric-gynecologic patients: The PRIME-MD patient health questionnaire obstetrics-gynecology study. American Journal of Obstetrics and Gynecology, 183(3), 759–769.
doi: 10.1067/mob.2000.106580
Staneva, A., Bogossian, F., Pritchard, M., & Wittkowski, A. (2015). The effects of maternal depression, anxiety, and perceived stress during pregnancy on preterm birth: A systematic review. Women and Birth, 28(3), 179–193.
doi: 10.1016/j.wombi.2015.02.003
Thompson, D. R., Hopkins, R. S., & Watkins, S. M. (1993). Using the birth record to develop a screening instrument for infant mortality and morbidity. Florida Journal of Public Health, 5(1), 4–7.
Thompson, E. L., Thompson, L. A., Black, E. W., Esernio-Jenssen, D., Hardt, N., Das, R., & Roth, J. (2013). Identifying indicators during pregnancy for child maltreatment. Maternal and Child Health Journal, 17(10), 1817–1824.
doi: 10.1007/s10995-012-1201-x
Thompson, L. A., Filipp, S. L., Mack, J. A., Mercado, R. E., Barnes, A., Bright, M., Shenkman, E. A., & Gurka, M. J. (2020). Specific adverse childhood experiences and their association with other adverse childhood experiences, asthma and emotional, developmental and behavioral problems in childhood. Pediatric Research, 88(1), 100–109.
doi: 10.1038/s41390-020-0784-y
Thompson, L. A., Filipp, S. L., Mercado, R. E., & Gurka, M. J. (2021). Streamlining primary care screening for adverse childhood experiences. Pediatric Research. https://doi.org/10.1038/s41390-020-01341-1
doi: 10.1038/s41390-020-01341-1
Vos, A. A., Van Veen, M. J., Birnie, E., Denktaş, S., Steegers, E. A., & Bonsel, G. J. (2015). An instrument for broadened risk assessment in antenatal health care including non-medical issues. International Journal of Integrated Care. https://doi.org/10.5334/ijic.1512
doi: 10.5334/ijic.1512
Waller, A., Bryant, J., Cameron, E., Galal, M., Symonds, I., & Sanson-Fisher, R. (2018). Screening for recommended antenatal risk factors: How long does it take? Women and Birth, 31(6), 489–495.
doi: 10.1016/j.wombi.2018.01.005
Wathen, C. N., & MacMillan, H. L. (2003). Interventions for violence against women: Scientific review. JAMA, 289(5), 589–600.
doi: 10.1001/jama.289.5.589
Wu, S. S., Ma, C.-X., Carter, R. L., Ariet, M., Feaver, E. A., Resnick, M. B., & Roth, J. (2004). Risk factors for infant maltreatment: A population-based study. Child Abuse & Neglect, 28(12), 1253–1264.
doi: 10.1016/j.chiabu.2004.07.005