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Multicenter impact analysis of a model for predicting recurrent early-onset preeclampsia: A before-after study
S M van Kuijk1,2, D H Delahaije3, C D Dirksen3
1a Department of Obstetrics and Gynecology , Maastricht University Medical Center , Maastricht , The Netherlands.
Using a prediction model to guide antenatal care for women with a history of preeclampsia did not change pregnancy outcomes or health. This recurrence-risk-based approach is feasible and safe for subsequent pregnancies.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Reproductive Health
Background:
- Preeclampsia recurrence in subsequent pregnancies poses significant risks.
- Customizing antenatal care based on recurrence risk may optimize management.
- Previous studies have not fully evaluated risk-stratified care models.
Purpose of the Study:
- To assess the impact of a prediction model for recurrent preeclampsia on antenatal care customization.
- To evaluate the effectiveness of risk-based antenatal care in subsequent pregnancies.
Main Methods:
- A comparative study involving 311 women across 12 hospitals.
- Comparison of care consumption, pregnancy outcomes, and self-reported health between risk-based subgroups and a standard care group.
Main Results:
- Recurrence-risk guided antenatal care did not result in statistically different pregnancy outcomes compared to standard care.
- Self-perceived health status remained comparable between the groups.
Conclusions:
- Stratifying antenatal care based on preeclampsia recurrence risk is feasible in clinical practice.
- This risk-based approach does not negatively affect pregnancy outcomes or maternal health.
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