The new medical care system in the Denmark is actually taxpayer-financed and you will no-cost on the patient

The new medical care system in the Denmark is actually taxpayer-financed and you will no-cost on the patient

Here i read the this new relative share from an intensive gang of very first trimester points sometimes based in the woman’s maternity listing otherwise which are easily checked out throughout an initial maternity consultation with the power regarding MAA measured regarding the third trimester utilising the Maternal Antenatal Accessory Measure (MAAS) . Knowledge of elements-in particular those who exist and can feel known early in pregnancy-which might be main to possess a healthier MAA, is very important to possess very early personality of women at risk for development a poor MAA. Given that present meta-study uses procedures you to simply indirectly target the individuals facts that are initial determinants of MAA, this study will bring a significant share on literary works inside value.

Studies build

This really is a possible studies spanning surveys and you can fitness facts to have expecting mothers engaging in antenatal proper care check outs available with its standard specialist (GP).


Most Danes (99%) try joined having an effective GP just who serves as an effective gatekeeper so you can supplementary worry. No less than around three prenatal care check outs are supplied by GP within pregnancy months six–10, twenty-five and you can 32. A 4th postnatal see is carried out 7 months postpartum. The majority of ladies attempting to continue their pregnancy attend the initial check out. Within this appointment an organized list is done (the new Maternity Health Record), which is following delivered to midwives as well as the associated obstetric qualities.


192 at random chosen GP techniques regarding Money Region and you can Part Zealand took part. An in depth malfunction of your own recruitment techniques is actually demonstrated in other places . Every woman scheduling a scheduled appointment getting an initial antenatal worry head to regarding the acting GPs’ strategies ranging from had been eligible for participation. All women got oral and composed information about your panels in the first head to. When they chose to take part, they gave authored agree giving usage of the information and knowledge from their pregnancy info and you may making it possible for the newest experts to contact him or her and you may publish surveys. Detachment out-of consent, miscarriage, created abortion and you can stillbirth was basically exception to this rule standards. All measures was in fact according to the Helsinki II Report and you can Danish legislation. Acceptance in the Danish Investigation Security Company are obtained (Diary 2014–41-3018).

Study have been obtained out of a clinical interview presented by the GPs, stated regarding the Maternity Fitness Record and of electronic diligent forms. New Pregnancy Health Checklist are a-two-webpage survey that’s initiated and accomplished because of the GP at the initial antenatal go to anywhere between gestational weeks six–10. A digital survey set up because of it research is actually sent from the elizabeth-mail after every of one’s around three antenatal worry check outs in pregnancy weeks six–10, 25 and you will thirty-two. Forms was basically re also-sent to non-responders after 2 weeks. Once they still didn’t work, after that an elizabeth-mail and you will Texts have been sent.

Maternal antenatal accessory

To assess MAA i used the Maternal Antenatal Connection Size (MAAS) pared to other established methods off MAA (elizabeth.grams. the fresh new Maternal Fetal Accessory Measure and/or Prenatal Accessory Directory ) the MAAS is a fairly small questionnaire, so it’s much more feasible to implement for the logical practice and you may degree that have large survey batteries including the newest you to definitely. The scale has revealed an excellent psychometric services regarding modern recognition degree [cuatro, 27]. Due to the fact MAA basically grows having GA while the sensation is the greatest caught late in pregnancy , the new MAAS was included in the questionnaire following the third antenatal visit.

This new MAAS contains 19 circumstances for each which have five ordinal reaction choices. Types of products are: “Over the past 14 days whenever i think about the infant in to the myself I have attitude being…” (solutions anywhere between “most sad” so you can “very happy”); “Over the past two weeks I’ve considered…” (responses anywhere between “really psychologically distant out of my personal child” so you can “most romantic psychologically on my baby”). New questionnaire procedures a couple of size of MAA: “quality” (eleven circumstances, henceforth called “Quality”) and you will “energy or concentration of preoccupation with the fetus” (8 affairs, henceforth titled “Intensity”). High quality means the latest mom’s psychological experiences into the fetus (the brand new conceptualization of your fetus because the ‘a little person’, closeness, satisfaction, and pain and distress at the dreamed losings versus point and aggravation). Intensity stands for the new concentration of preoccupation away from day invested considering, talking to, and you can palpating the fetus, we.e. this new the total amount that the fresh fetus takes up a central place in the woman’s psychological lifetime. (Range to own Quality: 11–50; diversity to possess Intensity: 8–40). An entire MAAS score (henceforth “Internationally MAAS rating”) is computed and it is a mixture off Power and High quality, (range: 19–95) having highest scores showing a stronger MAA.

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