The new medical care system from inside the Denmark is actually taxpayer-financed and cost-free to the patient

The new medical care system from inside the <a href=""></a> Denmark is actually taxpayer-financed and cost-free to the patient

Right here i investigate the fresh new relative share out-of an extensive selection of first trimester activities either based in the woman’s maternity checklist otherwise which can be easily checked-out while in the an initial pregnancy session into the energy regarding MAA counted from the 3rd trimester making use of the Maternal Antenatal Connection Measure (MAAS) . Expertise in the factors-specifically individuals who exists and can end up being recognized early while pregnant-which can be most important getting a healthy and balanced MAA, is important getting very early personality of women at risk for development an awful MAA. Since the established meta-analysis spends strategies that only ultimately target those situations which can be 1st determinants from MAA, this research provides an essential contribution to your books within this respect.

Data build

It is a potential studies spanning surveys and you may health information for expectant mothers participating in antenatal care visits provided by the general specialist (GP).


The majority of Danes (99%) is actually joined that have good GP exactly who serves as good gatekeeper to help you supplementary care and attention. A minimum of around three prenatal care visits are offered from the GP at pregnancy days six–ten, twenty-five and you may 32. A fourth postnatal go to is carried out eight weeks postpartum. Most people trying to continue its maternity attend the original see. Contained in this appointment an organized list is generated (the brand new Pregnancy Health Number), that’s following sent to midwives and also the related obstetric attributes.


192 randomly selected GP means on Funding Part and you can Area Zealand participated. Reveal description of your own employment processes is actually discussed in other places . Every woman booking a consultation getting a first antenatal care and attention see on the acting GPs’ means ranging from was in fact qualified to receive involvement. All women received dental and you may created information regarding your panels from the earliest head to. Once they chose to engage, it provided created consent giving the means to access the information and knowledge off their maternity records and you may making it possible for the fresh experts to get hold of them and you will send forms. Detachment off agree, miscarriage, caused abortion and stillbirth was exception conditions. Most of the measures was in fact according to the Helsinki II Declaration and you will Danish laws. Acceptance from the Danish Data Shelter Company is obtained (Diary 2014–41-3018).

Studies have been accumulated out-of a medical interviews conducted from the GPs, claimed regarding Pregnancy Health Listing also away from digital patient surveys. Brand new Pregnancy Fitness Listing was a two-page questionnaire that’s initiated and done by the GP within the initial antenatal see between gestational days six–ten. A digital survey set up for this analysis is actually sent because of the elizabeth-mail after each and every of the about three antenatal proper care visits in pregnancy months six–10, twenty five and you may 32. Forms was re-taken to non-responders once 14 days. When they nonetheless did not respond, upcoming an elizabeth-mail and you can Texts was basically delivered.

Maternal antenatal accessory

To evaluate MAA we utilized the Maternal Antenatal Connection Measure (MAAS) pared some other current methods off MAA (age.grams. the newest Maternal Fetal Accessory Size and/or Prenatal Accessory Collection ) the MAAS are a fairly quick survey, therefore it is alot more feasible to make usage of inside health-related practice and studies having high questionnaire battery packs including the current that. The size has shown an effective psychometric qualities about unique recognition training [4, 27]. Because the MAA basically develops which have GA while the experience is the better captured later while pregnant , the brand new MAAS is within the survey pursuing the third antenatal head to.

New MAAS include 19 items for each and every having four ordinal impulse choice. Samples of goods are: “For the past two weeks once i consider the baby into the myself I get thinking which can be…” (answers between “very sad” so you can “delighted”); “For the past two weeks You will find sensed…” (responses anywhere between “most emotionally faraway regarding my infant” to “very personal mentally to my child”). The fresh new questionnaire steps two dimensions of MAA: “quality” (11 affairs, henceforth called “Quality”) and “electricity otherwise intensity of preoccupation on fetus” (8 situations, henceforth called “Intensity”). Top quality means the new mom’s psychological feel towards the fetus (brand new conceptualization of fetus since ‘a tiny person’, intimacy, satisfaction, and pain and stress at dreamed losses versus range and frustration). Intensity means brand new intensity of preoccupation of go out spent thinking about, speaking with, and you can palpating the fresh fetus, we.elizabeth. the the quantity to which the latest fetus occupies a central devote your ex psychological lifetime. (Variety for High quality: 11–50; assortment having Intensity: 8–40). A whole MAAS get (henceforth “Worldwide MAAS rating”) can also be computed and is also an ingredient off Strength and you will Quality, (range: 19–95) that have highest score highlighting a healthier MAA.

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