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Client-tailored maternity care to increase maternal empowerment: cluster randomized controlled trial protocol; the
J Lagendijk1, J V Been2,3,4, H E Ernst-Smelt2
1Department of Obstetrics and Gynecology, Erasmus MC, University Medical Centre Rotterdam, PO Box 2040, 3000, CA, Rotterdam, The Netherlands. j.lagendijk.2@erasmusmc.nl.
BMC Pregnancy and Childbirth
|January 5, 2019
Summary
This study investigated a primary care intervention to boost maternal empowerment in the postpartum period, particularly for women with lower socioeconomic status. The findings will inform strategies for improving maternal and child health outcomes.
Area of Science:
- Public Health
- Maternal Health
- Health Services Research
Background:
- The postpartum period presents critical opportunities for preventive health strategies, as maternal and child health risks often emerge.
- Lower socioeconomic status is linked to reduced maternal empowerment, increasing risks for adverse health outcomes.
- A primary care intervention delivered by maternity care assistants aims to enhance postpartum maternal empowerment.
Purpose of the Study:
- To evaluate the effectiveness of a primary care intervention designed to increase maternal empowerment in the postpartum period.
- To identify and support vulnerable mothers and young children at risk of adverse health outcomes.
Main Methods:
- A pragmatic cluster randomized controlled trial involving 12 Dutch maternity care organizations.
- Intervention group received systematic risk assessment and client-tailored care; control group received only systematic risk assessment.
- Primary outcome: prevalence of low maternal empowerment postpartum. Secondary outcomes: quality of life, postnatal depression, substance use, and healthcare utilization.
Main Results:
- (Results not yet available as the study is ongoing/data analysis pending)
Conclusions:
- The study will provide evidence on the efficacy of tailored, risk-based maternity care in enhancing postpartum maternal empowerment.
- Findings are expected to inform public health initiatives and improve maternal and child health services.
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