Multicenter impact analysis of a model for predicting recurrent early-onset preeclampsia: A before-after study

Hypertens Pregnancy. 2016;35(1):42-54. doi: 10.3109/10641955.2015.1100310. Epub 2016 Feb 10.

Abstract

Objective: This study aims to determine the impact of using a prediction model for recurrent preeclampsia to customize antenatal care in subsequent pregnancies.

Methods: We compared care consumption, pregnancy outcomes, and self-reported health state of two risk-based subgroups, and compared these to a reference group receiving standard care.

Results: We included a total of 311 women from 12 hospitals. Compared to standard care, recurrence-risk guided care did not lead to different outcomes or self-perceived health.

Conclusion: Our study exemplifies that recurrence-risk-based stratification of antenatal care in former preeclampsia patients is feasible; it does not lead to worse pregnancy outcomes.

Keywords: Impact; prediction model; preeclampsia; recurrence; validation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Controlled Before-After Studies
  • Female
  • Humans
  • Models, Theoretical*
  • Pre-Eclampsia / diagnosis*
  • Pregnancy
  • Pregnancy Outcome
  • Recurrence
  • Registries
  • Risk Assessment
  • Risk Factors
  • Young Adult