Hervatting van het werk na het zwangerschapsverlof
09 / 2002 - 08 / 2007
EMGO annual report 2002
OBJECTIVES: The aim of this study is 1) to evaluate the effectiveness of the first contact made by a case-manager during maternity leave on sick leave and work disability postpartum, and 2) to assess which factors contribute to the development of postpartum complaints, such as pelvic pain and fatigue/stress. METHODS: In this randomized controlled trial, 900 female employees who have been pregnant for 28 weeks will be randomized into either the intervention group or a control group. The women in the intervention group will be contacted 6 weeks postpartum (during maternity leave) by a case-manager. This case-manager will ask questions about their well-being, postpartum complaints, and return to work. If a woman thinks she will not be able to return to work after maternity leave, she will be offered help/consultation. Women in the control group will only be contacted by the case-manager if they are ill after maternity leave (this is the standard procedure in the Netherlands). Outcome measures are sick leave, work disability, costs, and complaints such as pelvic pain and fatigue/stress. Risk factors for physical or psychological postpartum complaints will also be measured, i.e. complaints during pregnancy, social support, age, birth-weight of the child, child care, etc. Baseline measurements will take place at 28 weeks of pregnancy, with follow-up measurements at 6, 12, 26 and 64 weeks postpartum.