Innovative postnatal risk assessment in preventive child health Care: A study protocol

Minke R C van Minde1,2, Marianne Remmerswaal1, Hein Raat2

  • 1Department of Obstetrics & Gynaecology, Division of Obstetrics and Prenatal Medicine, Erasmus MC, Erasmus University Medical Centre, Rotterdam, The Netherlands.

Journal of Advanced Nursing
|September 30, 2020
PubMed

Insights

This study introduces a new postnatal risk assessment to identify children at risk for growth and developmental issues. Early identification and tailored care pathways aim to improve child health outcomes.

Area of Science:

  • Child Health
  • Preventive Medicine
  • Developmental Pediatrics

Background:

  • Child growth and developmental problems are significant concerns in early childhood.
  • Existing preventive child health care systems can be enhanced with targeted risk assessment tools.
  • Early identification of at-risk children is crucial for timely intervention and improved outcomes.

Purpose of the Study:

  • To evaluate the predictive value of an innovative postnatal risk assessment for identifying children at risk of growth and developmental problems.
  • To assess the effectiveness of this risk assessment when combined with tailored care pathways.
  • To integrate a systematic, family-centered approach into preventive child health care.

Main Methods:

  • A historically controlled study design involving 2,650 children in an intervention group and 2,650 in a historical control group.
  • The intervention includes a postnatal risk assessment and tailored care pathways administered between birth and 2 months corrected age.
  • Data collected by Preventive Child Health Care nurses and physicians in three municipalities with adverse perinatal outcomes.

Main Results:

  • The study hypothesizes a reduction in child growth and developmental problems in the intervention cohort.
  • The predictive value of the risk assessment tool will be determined.
  • The effectiveness of the care pathways in conjunction with the risk assessment will be evaluated.

Conclusions:

  • The implementation of this innovative postnatal risk assessment and care pathways shows potential for improving child growth and developmental outcomes.
  • This systematic approach can enhance the integration of risk assessment and family-centered care in routine child health services.
  • The study may lead to improved long-term health outcomes for children and future generations.
Abstract

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