Maternal health, antenatal and at 8 weeks after delivery, in home versus in-hospital fetal monitoring in high-risk pregnancies

Objective: To assess maternal health outcome, comparing high-risk pregnant women to either domiciliary monitoring or in-hospital monitoring, and a low risk pregnant group. Design: Paper and pencil questionnaire, distributed antenatal and 8 weeks after the delivery. Setting: A university hospital. Su...

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Bibliographic Details
Published in:European journal of obstetrics & gynecology and reproductive biology 2001-02, Vol.94 (2), p.197-204
Main Authors: Monincx, Wilma M, Birnie, Erwin, Zondervan, Hans A, Bleker, Otto P, Bonsel, Gouke J
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Cesarean Section
Delivery, Obstetric - methods
Delivery. Postpartum. Lactation
Female
Fetal Monitoring
Gynecology. Andrology. Obstetrics
Health Status
Home Care Services
Hospitalization
Humans
Management. Prenatal diagnosis
Maternal Welfare
Maternal, fetal and perinatal monitoring
Medical sciences
Mental Health
Postpartum Period
Pregnancy
Pregnancy. Fetus. Placenta
Prenatal Care
Puerperal Disorders
Risk Factors
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Summary:Objective: To assess maternal health outcome, comparing high-risk pregnant women to either domiciliary monitoring or in-hospital monitoring, and a low risk pregnant group. Design: Paper and pencil questionnaire, distributed antenatal and 8 weeks after the delivery. Setting: A university hospital. Subjects: Three groups: 130 high-risk pregnant women, who entered a randomized clinical trial and were allocated to either home ( n=69) or in-hospital monitoring ( n=61), and a reference cohort of low risk pregnant women ( n=55). Main outcome measures: Antenatal physical and mental health (RAND36) and social experiences; mode of delivery; complications postpartum; physical health, mental health, and social experiences at 8 weeks postpartum. Results: In all groups, antenatal physical health was considerably lower compared to the physical health of US women aged 18–44 years. Antenatal mental health was lower in high-risk women than in low-risk women ( P
ISSN:0301-2115
1872-7654
DOI:10.1016/S0301-2115(00)00351-1