title: Multicenter impact analysis of a model for predicting recurrent early-onset preeclampsia: A before-after study.
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.
  
  
  CONCLUSIONS
  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.
authors: a Department of Obstetrics and Gynecology , Maastricht University Medical Center , Maastricht , The Netherlands.|b Department of Epidemiology , Maastricht University , Maastricht , The Netherlands.
authors: S M
authors: SM
authors: van Kuijk
authors: c Department of Clinical Epidemiology and Medical Technology Assessment , Maastricht University Medical Center , Maastricht , The Netherlands.
authors: D H
authors: DH
authors: Delahaije
authors: c Department of Clinical Epidemiology and Medical Technology Assessment , Maastricht University Medical Center , Maastricht , The Netherlands.
authors: C D
authors: CD
authors: Dirksen
authors: a Department of Obstetrics and Gynecology , Maastricht University Medical Center , Maastricht , The Netherlands.
authors: H C
authors: HC
authors: Scheepers
authors: d Department of Obstetrics and Gynecology , University Medical Center St. Radboud , Nijmegen , The Netherlands.
authors: M E
authors: ME
authors: Spaanderman
authors: e Department of Obstetrics and Gynecology , Academic Medical Center , Amsterdam , The Netherlands.
authors: W
authors: W
authors: Ganzevoort
authors: f Department of Obstetrics and Gynecology , Erasmus Medical Center , Rotterdam , The Netherlands.
authors: J J
authors: JJ
authors: Duvekot
authors: g Department of Obstetrics and Gynecology , University Medical Center Utrecht , Utrecht , The Netherlands.
authors: M A
authors: MA
authors: Oudijk
authors: h Department of Obstetrics and Gynecology , Onze Lieve Vrouwe Gasthuis , Amsterdam , The Netherlands.
authors: M G
authors: MG
authors: van Pampus
authors: g Department of Obstetrics and Gynecology , University Medical Center Utrecht , Utrecht , The Netherlands.
authors: L L
authors: LL
authors: Peeters
authors: b Department of Epidemiology , Maastricht University , Maastricht , The Netherlands.
authors: L J
authors: LJ
authors: Smits
mesh_terms: D000328:Adult; D065187:Controlled Before-After Studies; D005260:Female; D006801:Humans; D008962:Models, Theoretical; D011225:Pre-Eclampsia / Q000175:diagnosis*; D011247:Pregnancy; D011256:Pregnancy Outcome; D012008:Recurrence; D012042:Registries; D018570:Risk Assessment; D012307:Risk Factors; D055815:Young Adult
keywords: Impact; prediction model; preeclampsia; recurrence; validation