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Protocol for the development of a core outcome set for studies of pregnant women with pre-existing multimorbidity
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(2021) Protocol for the development of a core outcome set for studies of pregnant women with pre-existing multimorbidity. BMJ Open, 11 (10). e044919. doi:10.1136/bmjopen-2020-044919 ISSN 2044-6055.
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Official URL: http://doi.org/10.1136/bmjopen-2020-044919
Abstract
Introduction Increasingly more pregnant women are living with pre-existing multimorbidity (≥two long-term physical or mental health conditions). This may adversely affect maternal and offspring outcomes. This study aims to develop a core outcome set (COS) for maternal and offspring outcomes in pregnant women with pre-existing multimorbidity. It is intended for use in observational and interventional studies in all pregnancy settings.
Methods and analysis We propose a four stage study design: (1) systematic literature search, (2) focus groups, (3) Delphi surveys and (4) consensus group meeting. The study will be conducted from June 2021 to August 2022. First, an initial list of outcomes will be identified through a systematic literature search of reported outcomes in studies of pregnant women with multimorbidity. We will search the Cochrane library, Medline, EMBASE and CINAHL. This will be supplemented with relevant outcomes from published COS for pregnancies and childbirth in general, and multimorbidity. Second, focus groups will be conducted among (1) women with lived experience of managing pre-existing multimorbidity in pregnancy (and/or their partners) and (2) their healthcare/social care professionals to identify outcomes important to them. Third, these initial lists of outcomes will be prioritised through a three-round online Delphi survey using predefined score criteria for consensus. Participants will be invited to suggest additional outcomes that were not included in the initial list. Finally, a consensus meeting using the nominal group technique will be held to agree on the final COS. The stakeholders will include (1) women (and/or their partners) with lived experience of managing multimorbidity in pregnancy, (2) healthcare/social care professionals involved in their care and (3) researchers in this field.
Item Type: | Journal Article | ||||||
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Subjects: | R Medicine > RC Internal medicine R Medicine > RG Gynecology and obstetrics |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||
Library of Congress Subject Headings (LCSH): | Comorbidity -- Great Britain, Pregnancy -- Complications, Pregnancy, Pregnant women -- Mental health, Childbirth -- Psychological aspects, Postpartum psychiatric disorders, Maternal health services -- Evaluation, Obstetrics, Outcome assessment (Medical care) | ||||||
Journal or Publication Title: | BMJ Open | ||||||
Publisher: | BMJ | ||||||
ISSN: | 2044-6055 | ||||||
Official Date: | 29 October 2021 | ||||||
Dates: |
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Volume: | 11 | ||||||
Number: | 10 | ||||||
Article Number: | e044919 | ||||||
DOI: | 10.1136/bmjopen-2020-044919 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||
Date of first compliant deposit: | 23 May 2023 | ||||||
Date of first compliant Open Access: | 24 May 2023 | ||||||
RIOXX Funder/Project Grant: |
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