TY - JOUR
T1 - Evaluation of a blended care programme for caregivers and working pregnant women to prevent adverse pregnancy outcomes: An intervention study
AU - van Beukering, Monique
AU - Velu, Adeline
AU - Schonewille, Lydia Henrike Nicole
AU - Duijnhoven, Ruben
AU - Mol, Ben Willem
AU - Brand, Teus
AU - Frings-Dresen, Monique
AU - Kok, Marjolein
N1 - Funding Information: Funding This pilot study received funding from ZonMw, the Netherlands Organisation for Health Research and Development, and is part of the Pregnancy and Birth Program. Publisher Copyright: © 2021 BMJ Publishing Group. All rights reserved.
PY - 2021/11/1
Y1 - 2021/11/1
N2 - Objective: Work-related activities can be a risk factor for pregnancy complications such as preterm birth. This study evaluates the effectiveness of a blended care programme, Pregnancy and Work, that provides pregnant workers and their obstetrical caregivers with advice on work adjustment. Methods: Women less than 20 weeks of gestation, in paid employment or self-employed, in the care of four participating hospitals and their referring midwifery practices in the Netherlands received either the blended care programme (n=119), consisting of a training for professionals and a mobile health application, or care as usual (n=122) in a controlled intervention study with a follow-up in intervention and control populations. All participants completed three questionnaires concerning health and working conditions at 16, 24 and 32 weeks of pregnancy. Primary outcome was the percentage of women who received advice from their obstetrical caregiver about work adjustment. Secondary outcomes were work status, realised work adjustment and working conditions. Groups were compared using univariate and multivariate regression analyses. Results: A total of 188 (78%) completed all three questionnaires. In the blended care group, women received more advice from obstetrical caregivers to adjust their work than in the control group, 41 (39%) vs 21 (18%) (adjusted relative risk (aRR) 2.2, 95% CI 1.4 to 3.4), but less from their employer 8 (8%) vs 31 (28%) (aRR 0.29, 95% CI 0.14 to 0.61). There were no significant differences in realised work adjustments. At 24 weeks, 30% of the pregnant women in both groups continued to work in hazardous workplaces. Conclusion: Among working pregnant women, the blended care intervention increases advice on work adjustment given by midwives and obstetricians, but does not lead to more work adjustments.
AB - Objective: Work-related activities can be a risk factor for pregnancy complications such as preterm birth. This study evaluates the effectiveness of a blended care programme, Pregnancy and Work, that provides pregnant workers and their obstetrical caregivers with advice on work adjustment. Methods: Women less than 20 weeks of gestation, in paid employment or self-employed, in the care of four participating hospitals and their referring midwifery practices in the Netherlands received either the blended care programme (n=119), consisting of a training for professionals and a mobile health application, or care as usual (n=122) in a controlled intervention study with a follow-up in intervention and control populations. All participants completed three questionnaires concerning health and working conditions at 16, 24 and 32 weeks of pregnancy. Primary outcome was the percentage of women who received advice from their obstetrical caregiver about work adjustment. Secondary outcomes were work status, realised work adjustment and working conditions. Groups were compared using univariate and multivariate regression analyses. Results: A total of 188 (78%) completed all three questionnaires. In the blended care group, women received more advice from obstetrical caregivers to adjust their work than in the control group, 41 (39%) vs 21 (18%) (adjusted relative risk (aRR) 2.2, 95% CI 1.4 to 3.4), but less from their employer 8 (8%) vs 31 (28%) (aRR 0.29, 95% CI 0.14 to 0.61). There were no significant differences in realised work adjustments. At 24 weeks, 30% of the pregnant women in both groups continued to work in hazardous workplaces. Conclusion: Among working pregnant women, the blended care intervention increases advice on work adjustment given by midwives and obstetricians, but does not lead to more work adjustments.
KW - occupational health
KW - pregnancy outcome
KW - preventive medicine
KW - workload
UR - http://www.scopus.com/inward/record.url?scp=85104759555&partnerID=8YFLogxK
U2 - https://doi.org/10.1136/oemed-2020-107191
DO - https://doi.org/10.1136/oemed-2020-107191
M3 - Article
C2 - 33875554
SN - 1351-0711
VL - 78
SP - 809
EP - 817
JO - Occupational and environmental medicine
JF - Occupational and environmental medicine
IS - 11
ER -