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[Evaluation in primary prevention: an obligation, I. The obstetrical point of view]
Insights
Evaluating antenatal programs for at-risk parents is feasible. This research addresses challenges in child abuse prevention research and proposes obstetrical models for effective intervention evaluation.
Area of Science:
- Public Health
- Pediatrics
- Obstetrics
Context:
- Child abuse primary prevention research faces significant challenges.
- Difficulties include defining child abuse and primary prevention, lack of epidemiological data, and ethical considerations.
Purpose:
- To explore the complexities in evaluating primary prevention research for child abuse.
- To propose obstetrical models for evaluating antenatal and postpartum interventions.
- To present findings from a four-year antenatal program as indicators of preventive action efficiency.
Summary:
- The study identifies challenges in evaluating child abuse primary prevention, such as definitional ambiguity and data limitations.
- It proposes obstetrical evaluation models, including screening, postpartum care, contraception, prematurity interventions, and pregnancy follow-up.
- Results from a four-year antenatal program demonstrate the possibility of evaluating antenatal prevention for at-risk parents.
Impact:
- Provides a framework for evaluating antenatal and postpartum interventions aimed at preventing child abuse.
- Highlights the feasibility of assessing the effectiveness of preventive strategies for at-risk parents.
- Contributes to improving research methodologies in child abuse prevention and public health initiatives.
Abstract:
Evaluation of research in primary prevention is often complicated. Various objections and difficulties are discussed: imprecision or lack of practical definition of the child abuse syndrome, definition of primary prevention, lack of epidemiological data, and the existence of ethical problems. Obstetrical models of evaluation are proposed: evaluation of screening methods, postpartum follow-up and contraception, action against prematurity, and unfollowed pregnancies. Results of a four-year antenatal program are presented as indicators and may be served to determine the efficiency of preventive action. Therefore, evaluation of antenatal prevention is possible for at-risk parents.