RT Journal Article
SR Electronic
T1 Evaluation of a blended care programme for caregivers and working pregnant women to prevent adverse pregnancy outcomes: an intervention study
JF Occupational and Environmental Medicine
JO Occup Environ Med
FD BMJ Publishing Group Ltd
SP oemed-2020-107191
DO 10.1136/oemed-2020-107191
A1 Monique van Beukering
A1 Adeline Velu
A1 Lydia Henrike Nicole Schonewille
A1 Ruben Duijnhoven
A1 Ben Willem Mol
A1 Teus Brand
A1 Monique Frings-Dresen
A1 Marjolein Kok
YR 2021
UL http://oem.bmj.com/content/early/2021/04/18/oemed-2020-107191.abstract
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.Data are available upon reasonable request. Our data are not in a repository, deidentified participant data reported in this article can be shared. Proposals should be directed to m.kok@amsterdamumc.nl. For sharing of data, a legal agreement according to law and regulations must be signed.