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[Revisiting Risk Classification in the German Maternity Record: First Results from the FeMaR Study]
Julia Sommer1,2, Eva Jansen3, Stephanie Roll3,4
1Charité - Universitätsmedizin Berlin, Klinik für Geburtsmedizin, Germany, Berlin.
Background:
In Germany, antenatal risk assessment in the first trimester is guided by Catalogue A of the maternity record (Mutterpass), whose criteria do not always allow for a differentiated classification. As a first step of the FeMaR study, we therefore assessed the current risk catalogue in a survey.
Methods:
From early May to the end of July 2025, physicians and midwives were surveyed in a nationwide online questionnaire regarding the current risk classification in the maternity record and requirements for a new assessment approach. Data were analyzed using descriptive statistics and qualitative content analysis.
Results:
Of 381 respondents, 97% indicated a need to adapt the existing risk catalogue: 46% supported weighting of risk factors, 27% favored more differentiated stratification, and 24% advocated for the inclusion of previously unconsidered risk factors. Analysis of the free-text responses showed that the feedback focused less on individual factors than on broader aspects of terminology, structure, and the overall framework of the risk classification.
Outlook And Conclusion:
The survey findings suggest that the current risk classification should be reviewed and potentially refined. FeMaR may contribute to a more targeted and needs-based approach to care in the future.
