shh.sePublikationer
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rationale, study protocol and the cluster randomization process in a controlled trial including 40,000 women investigating the effects of mindfetalness.
Sophiahemmet University.ORCID iD: 0000-0002-9672-7698
Sophiahemmet University.
Sophiahemmet University.ORCID iD: 0000-0003-2626-2335
Show others and affiliations
2016 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 10, 56-61 p.Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND:

Shortening pre-hospital delay may decrease stillbirth rates and rates of babies born with a compromised health. Stillbirth may be preceded by a decrease in fetal movements. Mindfetalness has been developed as a response to the shortcomings of kick-counting for the monitoring of fetal movements by the pregnant woman. We do not know if practicing Mindfetalness may diminish pre-hospital delay. Nor do we know if practicing Mindfetalness may increase or decrease the percentage of women seeking health care for unfounded, from a medical perspective, worry for her fetus' well-being.

METHODS:

This article describes the rationale, study protocol and the randomization process for a planned study randomly allocating 40,000 pregnant women to receive, or not receive, proactive information about practicing Mindfetalness. The unit of randomization is 63 antenatal clinics in the Stockholm area. Midwives in the antenatal clinics randomized to Mindfetalness will verbally inform about practicing Mindfetalness, hand out brochures (printed in seven languages) and inform about a website giving information about Mindfetalness. Routine care will continue in the control clinics. All information for the analyses, including the main endpoint of an Apgar score below 7 (e.g., 0-6 with stillbirth giving a score of 0), measured five minutes after birth, will be retrieved from population-based registers.

RESULTS:

We have randomized 33 antenatal clinics to Mindfetalness and 30 to routine care. In two clinics a pilot study has been performed. One of the clinics randomly allocated to inform about Mindfetalness will not do so (but will be included in the intention-to-treat analysis). In October 2016 we started to recruit women for the main study.

CONCLUSION:

The work up to now follows the outlined time schedule. We expect to present the first results concerning the effects of Mindfetalness during 2018.

Place, publisher, year, edition, pages
2016. Vol. 10, 56-61 p.
Keyword [en]
Fetal movments, Mindfetalness, Preshospital delay, Stillbirth
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:shh:diva-2508DOI: 10.1016/j.srhc.2016.10.004.PubMedID: 27938874OAI: oai:DiVA.org:shh-2508DiVA: diva2:1057613
Available from: 2016-12-19 Created: 2016-12-19 Last updated: 2017-03-02Bibliographically approved

Open Access in DiVA

The full text will be freely available from 2017-10-27 13:03
Available from 2017-10-27 13:03

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Rådestad, IngelaGeorgsson, Susanne
By organisation
Sophiahemmet University
In the same journal
Sexual & Reproductive HealthCare
Obstetrics, Gynecology and Reproductive Medicine

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 12 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf