The latest health care program when you look at the Denmark is taxpayer-financed and you can cost-free towards patient

The latest health care program when you look at the Denmark is taxpayer-financed and you can cost-free towards patient

Here we have a look at this new relative share out of a comprehensive band of earliest trimester points either based in the woman’s pregnancy list or which can be with ease tested during the an initial maternity visit toward energy away from MAA mentioned from the third trimester making use of the Maternal Antenatal Accessory Scale (MAAS) . Knowledge of the factors-in particular individuals who exists and certainly will getting known early while pregnant-which might be primary to possess an excellent MAA, is important to possess early identity of females in danger of developing a bad MAA. Due to the fact present meta-investigation uses methods you to definitely just indirectly address people situations that will be the most important determinants from MAA, this study brings an important sum towards books inside respect.

Study design

This really is a possible research spanning questionnaires and you may health information to possess expectant mothers doing antenatal care and attention visits provided by its general professional (GP).


Many Danes (99%) try registered which have a good GP exactly who serves as good gatekeeper so you’re able to secondary care. No less than around three prenatal proper care check outs are given by GP in the pregnancy days six–ten, 25 and you may 32. A fourth postnatal check out is conducted seven weeks postpartum. Most females wanting to continue their pregnancy sit-in the first go to. Within this appointment an organized number is created (the brand new Pregnancy Health List), that’s upcoming delivered to midwives and the relevant obstetric properties.


192 at random chose GP techniques about Financing Region and you may Part Zealand took part. Reveal dysfunction of the employment process are revealed someplace else . All women booking a consultation for a primary antenatal worry go to regarding the using GPs’ strategies between was qualified to receive involvement. Every woman got oral and you will written information regarding your panels in the basic go to. When they made a decision to participate, it offered created agree granting access to the knowledge from their maternity info and you can enabling the fresh new boffins to make contact with them and send questionnaires. Detachment of consent, miscarriage, induced abortion and stillbirth was in fact exemption criteria. Every tips had been in accordance with the Helsinki II Statement and you can Danish law. Acceptance about Danish Research Defense Agency is gotten (Journal 2014–41-3018).

Study was basically built-up from a medical interview used from the GPs, claimed in the Maternity Fitness Record as well as regarding electronic patient forms. The brand new Maternity Wellness Record was a two-page questionnaire which is started and you may completed because of the GP at the the initial antenatal go to anywhere between gestational weeks six–10. An electronic digital questionnaire created for it data is sent by the e-send after each of the about three antenatal worry visits in pregnancy months 6–10, twenty-five and you can thirty two. Forms was in fact lso are-taken to low-responders shortly after 14 days. Once they nevertheless failed to respond, upcoming an age-send and you can Texting was indeed delivered.

Maternal antenatal accessory

To evaluate MAA i utilized the Maternal Antenatal Connection Scale (MAAS) pared to other established steps off MAA (e.grams. the fresh Maternal Fetal Accessory Measure and/or Prenatal Connection Index ) the brand new MAAS is a relatively quick survey, it is therefore much more feasible to make usage of during the clinical behavior and studies which have highest questionnaire batteries such as the current one to. The shape shows a good psychometric attributes throughout the unique validation training [4, 27]. Since the MAA fundamentally grows which have GA and technology is the better captured late during pregnancy , brand new MAAS was as part of the survey following third antenatal head to.

The newest MAAS includes 19 facts for every single that have five ordinal impulse possibilities. Examples of goods are: “For the past two weeks once i look at the kid into the me I get feelings that are…” (responses between “extremely sad” so you can “very happy”); “Over the past two weeks I’ve noticed…” (solutions between “most mentally distant from my personal baby” so you can “most close mentally on my child”). The latest questionnaire procedures a couple of dimensions of MAA: “quality” (11 things, henceforth entitled “Quality”) and you will “stamina or concentration of preoccupation towards fetus” (8 issues, henceforth entitled “Intensity”). Quality means brand new mom’s psychological enjoy into fetus (the brand new conceptualization of fetus since ‘a little person’, intimacy, fulfillment, and you can tenderness and stress in the imagined loss in you can find out more the place of point and you can frustration). Power represents the fresh intensity of preoccupation out of go out spent contemplating, conversing with, and you will palpating the new fetus, i.elizabeth. the brand new the total amount that the fetus takes up a central put in your ex emotional lives. (Range for Top quality: 11–50; assortment to own Intensity: 8–40). An entire MAAS get (henceforth “Around the world MAAS score”) can also be calculated and is also a substance off Intensity and you may High quality, (range: 19–95) with highest results reflecting a healthier MAA.

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