Related Experiment Video
Updated: Dec 7, 2025

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
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.
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.
Aim:
To introduce the rationale and design of a postnatal risk assessment study, which will be embedded in Preventive Child Health Care. This study will evaluate: (a) the predictive value of an innovative postnatal risk assessment, meant to assess the risk of growth and developmental problems in young children; and (b) its effectiveness in combination with tailored care pathways.
Design:
This study concerns a historically controlled study design and is designed as part of the Healthy Pregnancy 4 All-2 program. We hypothesize that child growth and developmental problems will be reduced in the intervention cohort due to the postnatal risk assessment and corresponding care pathways.
Methods:
The study was approved in August 2016. Children and their parents, visiting well-baby clinics during regular visits, will participate in the intervention (N = 2,650). Additional data of a historical control group (N = 2,650) in the same neighbourhoods will be collected. The intervention, consisting of the risk assessment and its corresponding care pathways, will be executed in the period between birth and 2 months of (corrected) age. The predictive value of the risk assessment and its effectiveness in combination with its corresponding care pathways will be assessed by Preventive Child Health Care nurses and physicians in four Preventive Child Health Care organisations in three municipalities with adverse perinatal outcomes. A total risk score above a predefined threshold, which is based on a weighted risk score, determines structured multidisciplinary consultation.
Discussion:
The successful implementation of this innovative postnatal risk assessment including corresponding care pathways has potential for further integration of risk assessment and a family-centred approach in the work process of Preventive Child Health Care nurses and physicians.
Impact:
This study introduces a systematic approach in postnatal health care which may improve growth and developmental outcomes of children and even future generations.
More Related Videos
19:15Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
09:33Visualizing Field Data Collection Procedures of Exposure and Biomarker Assessments for the Household Air Pollution Intervention Network Trial in India
Published on: December 23, 2022
Related Concept Videos
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Preventive Healthcare Services
Study Designs in Epidemiology
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
Relative Risk