Title
GP-initiated preconception counselling in a randomised controlled trial does not induce anxiety
Author
TNO Kwaliteit van Leven
de Jong-Potjer, L.C.
Elsinga, J.
le Cessie, S.
van der Pal-de Bruin, K.M.
Knuistingh Neven, A.
Buitendijk, S.E.
Assendelft, W.J.J.
Publication year
2006
Abstract
Background: Preconception counselling (PCC) can reduce adverse pregnancy outcome by addressing risk factors prior to pregnancy. This study explores whether anxiety is induced in women either by the offer of PCC or by participation with GP-initiated PCC. Methods: Randomised trial of usual care versus GP-initiated PCC for women aged 18-40, in 54 GP practices in the Netherlands. Women completed the six-item Spielberger State Trait Anxiety Inventory (STAI) before PCC (STAI-1) and after (STAI-2). After pregnancy women completed a STAI focusing on the first trimester of pregnancy (STAI-3). Results: The mean STAI-1-score (n = 466) was 36.4 (95% CI 35.4 - 37.3). Following PCC there was an average decrease of 3.6 points in anxiety-levels (95% CI, 2.4 - 4.8). Mean scores of the STAI-3 were 38.5 (95% CI 37.7 - 39.3) in the control group (n = 1090) and 38.7 (95% CI 37.9 - 39.5) in the intervention group (n = 1186). Conclusion: PCC from one's own GP reduced anxiety after participation, without leading to an increase in anxiety among the intervention group during pregnancy. We therefore conclude that GPs can offer PCC to the general population without fear of causing anxiety. © 2006 de Jong-Potjer et al; licensee BioMed Central Ltd.
Subject
Clinical trial
Controlled clinical trial
Controlled study
First trimester pregnancy
General practice
General practitioner
Human experiment
Maternal care
Netherlands
Population
Pregnancy outcome
State Trait Anxiety Inventory
Confidence interval
Family planning
Methodology
Pregnant woman
Psychological aspect
Psychometry
Randomized controlled trial
Adolescent
Adult
Anxiety
Confidence Intervals
Counseling
Family Planning Services
Family Practice
Female
Humans
Netherlands
Personality Tests
Preconception Care
Pregnancy
Pregnancy Complications
Pregnancy Trimester, First
Pregnant Women
Psychometrics
Risk Assessment
Risk Factors
To reference this document use:
http://resolver.tudelft.nl/uuid:f018400d-5c63-46e4-9688-0a9596861356
DOI
https://doi.org/10.1186/1471-2296-7-66
TNO identifier
239582
ISSN
1471-2296
Source
BMC Family Practice, 7 (7)
Document type
article