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Born in Brussels screening tool: the development of a screening tool measuring antenatal psychosocial vulnerability

Kelly Amuli1,2, Kim Decabooter3, Florence Talrich4,3

  • 1Faculty of Medicine and Pharmacy Department of Public Health, Nursing and Midwifery Research Group, Vrije Universiteit Brussel - Campus Jette, Brussel, BE, Belgium. kelly.amuli@uzbrussel.be.

BMC Public Health
|August 7, 2021
PubMed

Insights

A new screening tool, the Born in Brussels Screening Tool (ST), helps identify antenatal psychosocial vulnerability in pregnant women. Early detection of these risks can prevent adverse outcomes for both mother and child.

Area of Science:

  • Perinatal Health
  • Psychosocial Health
  • Screening Tools

Background:

  • Antenatal psychosocial vulnerability poses risks to pregnant women and fetuses, potentially leading to poor birth outcomes or mental health issues.
  • Timely and accurate detection is crucial for risk mitigation and prevention of adverse health outcomes.

Purpose of the Study:

  • To develop the Born in Brussels Screening Tool (ST) for detecting antenatal psychosocial vulnerability.

Main Methods:

  • Literature review of existing screening tools for antenatal psychosocial vulnerability.
  • Selection and refinement of indicators and items based on caregiver surveys and expert panels.
  • Determination of scoring for answer options and threshold scores for indicators.

Main Results:

  • The Born in Brussels ST includes 22 items across 13 indicators (e.g., social support, mental health, domestic violence).
  • Scoring for items ranges from 0.5 to 4, based on input from 168 caregivers.
  • Threshold scores are linked to specific adapted care pathways.

Conclusions:

  • The Born in Brussels ST offers a brief and practical approach for detecting antenatal psychosocial vulnerability.
  • This tool facilitates adequate and adapted care pathways for vulnerable pregnant women, improving perinatal health outcomes.
Abstract

Keywords:
AntenatalPregnancyPsychosocialQuestionnaireScreeningVulnerability

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