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Updated: Feb 12, 2026

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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
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Antenatal risk screening and scoring: a new look
1Family Health International, P.O. Box 13950, Research Triangle Park, NC 27709, USA.
Summary
Effective antenatal risk assessment is crucial but challenging due to false negatives. Obstetric history proves more reliable than demographic factors for predicting maternal and fetal complications, requiring a system to manage unexpected issues in low-risk pregnancies.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Public Health
Background:
- Risk assessment is a cornerstone of antenatal care.
- Program-level implementation faces challenges, notably false negatives.
- False negatives occur in women with few identified risk factors who develop complications.
Purpose of the Study:
- To evaluate commonly used risk indicators in antenatal care.
- To assess the effectiveness of these indicators for maternal and fetal outcomes.
- To determine the sensitivity of risk factors, considering false negatives.
Main Methods:
- Literature review of risk assessment indicators in antenatal care.
- Evaluation of indicators against maternal outcomes (cephalopelvic disproportion).
- Evaluation of indicators against fetal outcomes (low birthweight/prematurity).
Main Results:
- Obstetric history is a more effective predictor of risk than demographic variables (e.g., age, parity).
- Sensitivity of risk factors must be weighed against the probability of false negatives.
- Demographic variables show limited predictive value for complications.
Conclusions:
- Effective antenatal risk assessment requires careful consideration of false negatives.
- Obstetric history offers superior predictive value compared to demographic data.
- Risk assessment protocols must incorporate mechanisms for timely intervention in unexpected complications among low-risk women.
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