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The psychosocial outcomes of antenatal day care for three medical complications of pregnancy: A randomised controlled trial of 395 women

The psychosocial outcomes of antenatal day care for three medical complications of pregnancy: A randomised controlled trial of 395 women
The psychosocial outcomes of antenatal day care for three medical complications of pregnancy: A randomised controlled trial of 395 women
Background: Although antenatal day care is becoming increasingly common, there is little evidence as to the psychosocial efficacy of this model of care. Aim: We aimed to assess the broader psychosocial impact of antenatal day care compared with admission to hospital. Methods: We carried out a randomised trial of 395 women, randomly assigned in a 2 : 1 ratio between day care and antenatal ward, stratified for major diagnostic categories (proteinuric hypertension, non-proteinuric hypertension and preterm premature rupture of membranes). Main outcome measures – self-report questionnaires (response rates ranging from 80 to 90%) were sent to women’s homes four days after randomisation and seven weeks after delivery. Results: Overall, there were statistically significant differences favouring day care in 12 of 28 items at four days post-randomisation, with no differences in the two groups for the other 16 items. At seven weeks postdelivery, we found differences in eight of 28 items favouring day care, with no differences in the two groups for the other 20 items. The types of items indicating a sustained difference covered a range of aspects of care and included satisfaction with staff, continuity of carer, information transfer, and social support. There were no differences in relation to infant feeding and relationship with the baby. Conclusions: Day care has an effect on women’s satisfaction with care but does not produce broader psychosocial outcomes.
antenatal day care, psychosocial, randomised trial
0004-8666
510-516
Turnbull, Deborah A.
4ccf143a-12ac-488e-80b3-1521286c6a74
Wilkinson, Chris
4cd734ab-c3df-4e9a-a4f8-32ccc3aff458
Griffith, Elizabeth C.
4896023d-930a-487a-87c0-8d5f6bcbd9bb
Kruzins, Gillian
e236cf30-b663-41b7-bc82-43a85b6af41c
Gerard, Karen
1aef0321-add2-425f-8cd6-48f1adeef928
Shanahan, Marian
7afffa01-88f5-45d5-91cc-1a85a67ef2fb
Stamp, Georgina E.
744a3f29-02ff-4011-a239-6066f1251550
Turnbull, Deborah A.
4ccf143a-12ac-488e-80b3-1521286c6a74
Wilkinson, Chris
4cd734ab-c3df-4e9a-a4f8-32ccc3aff458
Griffith, Elizabeth C.
4896023d-930a-487a-87c0-8d5f6bcbd9bb
Kruzins, Gillian
e236cf30-b663-41b7-bc82-43a85b6af41c
Gerard, Karen
1aef0321-add2-425f-8cd6-48f1adeef928
Shanahan, Marian
7afffa01-88f5-45d5-91cc-1a85a67ef2fb
Stamp, Georgina E.
744a3f29-02ff-4011-a239-6066f1251550

Turnbull, Deborah A., Wilkinson, Chris, Griffith, Elizabeth C., Kruzins, Gillian, Gerard, Karen, Shanahan, Marian and Stamp, Georgina E. (2006) The psychosocial outcomes of antenatal day care for three medical complications of pregnancy: A randomised controlled trial of 395 women. The Australian and New Zealand Journal of Obstetrics and Gynaecology, 46 (6), 510-516. (doi:10.1111/j.1479-828X.2006.00651.x).

Record type: Article

Abstract

Background: Although antenatal day care is becoming increasingly common, there is little evidence as to the psychosocial efficacy of this model of care. Aim: We aimed to assess the broader psychosocial impact of antenatal day care compared with admission to hospital. Methods: We carried out a randomised trial of 395 women, randomly assigned in a 2 : 1 ratio between day care and antenatal ward, stratified for major diagnostic categories (proteinuric hypertension, non-proteinuric hypertension and preterm premature rupture of membranes). Main outcome measures – self-report questionnaires (response rates ranging from 80 to 90%) were sent to women’s homes four days after randomisation and seven weeks after delivery. Results: Overall, there were statistically significant differences favouring day care in 12 of 28 items at four days post-randomisation, with no differences in the two groups for the other 16 items. At seven weeks postdelivery, we found differences in eight of 28 items favouring day care, with no differences in the two groups for the other 20 items. The types of items indicating a sustained difference covered a range of aspects of care and included satisfaction with staff, continuity of carer, information transfer, and social support. There were no differences in relation to infant feeding and relationship with the baby. Conclusions: Day care has an effect on women’s satisfaction with care but does not produce broader psychosocial outcomes.

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More information

Published date: December 2006
Keywords: antenatal day care, psychosocial, randomised trial
Organisations: Nursing & Midwifery

Identifiers

Local EPrints ID: 45821
URI: http://eprints.soton.ac.uk/id/eprint/45821
ISSN: 0004-8666
PURE UUID: 32393c75-2dfa-4448-9fbf-4d2d90ea9b6b

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Date deposited: 16 Apr 2007
Last modified: 15 Mar 2024 09:13

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Contributors

Author: Deborah A. Turnbull
Author: Chris Wilkinson
Author: Elizabeth C. Griffith
Author: Gillian Kruzins
Author: Karen Gerard
Author: Marian Shanahan
Author: Georgina E. Stamp

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