Inter- and Multidisciplinary Cross-sectoral Feto-neonatal Pathway

  • STATUS
    Recruiting
  • End date
    Jun 1, 2023
  • participants needed
    828
  • sponsor
    Technische Universität Dresden
Updated on 2 September 2021
prenatal
eclampsia
fetal growth retardation
toxemia of pregnancy

Summary

Due to the fetoneonatal pathway it is possible to identify pregnant women with an increased risk of fetal growth restriction or pre-eclampsia in early stages (from 10th week of pregnancy). Women whose pregnancy is considered high-risk receives risk-adapted prenatal treatment as well as certain treatments for their newborn and infant until 1 year of age. The tasks of all involved persons are defined by standard operating procedures (SOP)

Description

By implementing a preventive feto-neonatal pathway, healthcare for pregnant women with high risk of fetal growth restriction (FGR) or pre-eclampsia will be improved and, therefore the occurence of children's health problems may be prevented.The pathway allows healthcare to be structured, ross-sectoral, inter- and multidisciplinary in consideration of medical and psychosocial imensions. The feto-neonatal pathway transfers scientific findings, which already determine international routine care, in the project region into clinical routine care. The anamnestically increased risk for FGR or pre-eclampsia is validated by ultrasound and the identified high-risk pregnancy is attended risk-adapted from birth until the end of the first year of life of the child.As a result, the mothers' pregnancy-related risks (death, premature delivery, traumatic stress disorders) as well as risks for the child (prematurity and associated problems, childhood growth restriction with the risk of metabolic syndrome, developmental neurological problems) are reduced and the sustainability of the interventions is ensured in the long term through improved health competence of the families. The feto-neonatal pathway shows how highly specialised fetoneonatal care of high-risk pregnancies can be ensured while ensuring primary care in a health region, and offers the possibility of being extended to other indications.

Details
Condition Intrauterine Growth Retardation, Pre-Eclampsia, intrauterine growth restriction, fetal growth retardation, Maternal Care for Known or Suspected Poor Fetal Growth, iugr, Preeclampsia, toxemia of pregnancy, fetal growth restriction
Treatment consecutive fetoneonatal healthcare pathway
Clinical Study IdentifierNCT04514276
SponsorTechnische Universität Dresden
Last Modified on2 September 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

Female, minim. 10 weeks of pregnancy, maximum 36 weeks of pregnancy
anamnestic risk of preeclempsia or fetal growth restriction
being part of the project region

Exclusion Criteria

none
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