AI Article Synopsis

  • - The study aims to assess how routine screening and treatment for psychiatric, psychosocial, and substance use issues among pregnant women in the Netherlands can improve outcomes for vulnerable children, as part of the national initiative 'The first 1000 days.'
  • - It uses data from midwifery and hospital practices that employed the Mind2Care screening tool, analyzing information from over 22,000 pregnant women to identify risk factors and care recommendations.
  • - Results show that 24% of women have at least one risk factor for these issues, with 31% receiving specific advice based on their screening, highlighting the need for multidisciplinary care despite the challenges in integrating such systematic approaches into obstetrical care.

Article Abstract

Aim: To demonstrate the results of routine screening and treatment for psychiatric problems, psychosocial problems and substance use (PPS) among pregnant women in the Netherlands. This approach is advocated by the national program 'The first 1000 days', which focuses on a healthy start for (unborn) children in vulnerable situations.

Design: Secondary data analysis of a routine care dataset obtained from midwifery practices and hospitals throughout the Netherlands. All practices and hospitals applied systematic screening with Mind2Care.

Method: Each Mind2Care screening results in either a negative result (no risk), an alert and/or a treatment advice based on local care pathways. Anonymous data on detected risk factors and subsequent alerts/advices from 22.141 pregnant women were analyzed.

Results: Of all women, 24% had at least one PPS risk factor. Accumulation of risks was present in 10% of women. Thirty-one percent of all pregnant women received at least one specific advice (15% alerts, 24% treatment advices, including overlap).

Conclusion: One in four pregnant women has psychiatric problems, psychosocial problems and/or substance use for which guideline care is available. Implementation of Mind2Care is demanding to the obstetrical system, and requires multidisciplinary care processes of medical and social caregivers. Despite the lack of a scientific evidence on the added value of systematic detection and treatment of PPS-risks in all pregnancies, this programmatic approach is increasingly acknowledged on the national attention level as the way forward to a healthy start for every child, even if born under vulnerable conditions.

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