首页> 美国卫生研究院文献>Current Controlled Trials in Cardiovascular Medicine >Efficacy of a midwife-coordinated individualized and specialized maternity care intervention (ChroPreg) in addition to standard care in pregnant women with chronic disease: protocol for a parallel randomized controlled trial
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Efficacy of a midwife-coordinated individualized and specialized maternity care intervention (ChroPreg) in addition to standard care in pregnant women with chronic disease: protocol for a parallel randomized controlled trial

机译:助产士协调个体化和专业化的产妇护理干预措施(ChroPreg)以及慢性病孕妇的标准护理效果:一项平行随机对照试验的方案

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摘要

Background and objectivesThe number of women of childbearing age with chronic diseases is rising. Evidence has shown that obstetric complications and poor psychological well-being are more prevalent among this group, in addition to these women reporting experiences of less than satisfactory care. More research is needed to investigate how to best meet the special needs of this group during pregnancy and postpartum. Previous research has shown that care coordination, continuity of care, woman-centered care, and specialized maternity care interventions delivered to women with high-risk pregnancies can improve patient-reported outcomes and pregnancy outcomes and be cost-effective. However, no previous trials have examined the efficacy and cost-effectiveness of such interventions among pregnant women with chronic diseases. This paper describes the protocol of a randomized controlled trial (RCT) of a midwife-coordinated, individualized and specialized maternity care intervention (ChroPreg) as an add-on to standard care for pregnant women with chronic diseases.
机译:背景和目标育有慢性疾病的育龄妇女的人数正在增加。证据表明,除了这些妇女报告的护理经验不足之外,该组中的产科并发症和心理健康状况较差更为普遍。需要更多的研究来研究如何最好地满足该组在怀孕和产后的特殊需求。先前的研究表明,向高风险孕妇提供的护理协调,护理的连续性,以妇女为中心的护理以及专门的产妇护理干预措施可以改善患者报告的结局和妊娠结局,并且具有成本效益。但是,以前没有试验研究过这种干预措施在患有慢性疾病的孕妇中的功效和成本效益。本文描述了一项由助产士协调,个体化和专业化的产妇护理干预措施(ChroPreg)进行的随机对照试验(RCT)方案,该方案是对慢性病孕妇的标准护理的补充。

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