European indicators of health care during pregnancy, delivery and the postpartum period

Wildman, Katherine; Blondel, Béatrice; Nijhuis, Jan G.; Defoort, Paul; Bakoula, Chryssa

doi:10.1016/j.ejogrb.2003.09.006

Cited by 69 publications

(52 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1,2 However, the use of interventions to modify the physiological processes of labour and birth [3][4][5][6] combined with the rising rates of litigation in obstetrics [6][7][8] continues to promote debate. [9][10][11] Rates of spontaneous unassisted birth and rates of labour induction and cesarean section vary both within and between European countries, 12 the UK, 13 the US 14 and Australia. 15 Normal physiological birth still remains a desired outcome for many of the world's women despite a perceived 'antivaginal' birth movement.…”

Section: Introductionmentioning

confidence: 99%

Birth outcomes associated with interventions in labour amongst low risk women: A population-based study

et al. 2007

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 99%

Birth outcomes associated with interventions in labour amongst low risk women: A population-based study

et al. 2007

View full text Add to dashboard Cite

“…7,20,21 Furthermore, timely initiation entails health education about substance abuse, nutrition and supplements advice to avoid complications such as prematurity and birth defects. 3,22,23 In Belgium, a first PNC visit should take place in the first trimester, up to 14 weeks. 19 The aim of this study was to measure the prevalence of late initiation and to identify predictors for late PNC onset based on a sample of women in a metropolitan region in Belgium.…”

Section: Introductionmentioning

confidence: 99%

Predictors of late initiation for prenatal care in a metropolitan region in Belgium. A cohort study

et al. 2015

View full text Add to dashboard Cite

“…The Peristat I and II studies, based on data from 1999 and 2004, showed that the Netherlands has almost the highest perinatal mortality (11.4 and 10.0 per thousand) in Europe. [1][2][3][4][5] Several factors are mentioned as possible explanations for this high mortality, such as differences in registration and maternal characteristics of the Dutch childbearing population, restricted management of premature babies, and the absence of standard screening for congenital anomalies. The numbers of older mothers, multiple pregnancies, and mothers belonging to an ethnic minority are relatively high in the Netherlands.…”

Section: Introductionmentioning

confidence: 99%

Perinatal mortality and severe morbidity in low and high risk term pregnancies in the Netherlands: prospective cohort study

Evers

Brouwers

Hukkelhoven

et al. 2010

BMJ

141

121

View full text Add to dashboard Cite

Objective To compare incidences of perinatal mortality and severe perinatal morbidity between low risk term pregnancies supervised in primary care by a midwife and high risk pregnancies supervised in secondary care by an obstetrician. Design Prospective cohort study using aggregated data from a national perinatal register. Setting Catchment area of the neonatal intensive care unit (NICU) of the University Medical Center in Utrecht, a region in the centre of the Netherlands covering 13% of the Dutch population. Participants Pregnant women at 37 weeks' gestation or later with a singleton or twin pregnancy without congenital malformations. Main outcome measures Perinatal death (antepartum, intrapartum, and neonatal) or admission to a level 3 NICU. Results During the study period 37 735 normally formed infants were delivered at 37 weeks' gestation or later. Sixty antepartum stillbirths (1.59 (95% confidence interval 1.19 to 1.99) per 1000 babies delivered), 22 intrapartum stillbirths (0.58 (0.34 to 0.83) per 1000 babies delivered), and 210 NICU admissions (5.58 (4.83 to 6.33) per 1000 live births) occurred, of which 17 neonates died (0.45 (0.24 to 0.67) per 1000 live births). The overall perinatal death rate was 2.62 (2.11 to 3.14) per 1000 babies delivered and was significantly higher for nulliparous women compared with multiparous women (relative risk 1.65, 95% confidence interval 1.11 to 2.45). Infants of pregnant women at low risk whose labour started in primary care under the supervision of a midwife had a significant higher risk of delivery related perinatal death than did infants of pregnant women at high risk whose labour started in secondary care under the supervision of an obstetrician (relative risk 2.33, 1.12 to 4.83). NICU admission rates did not differ between pregnancies supervised by a midwife and those supervised by an obstetrician. Infants of women who were referred by a midwife to an obstetrician during labour had a 3.66 times higher risk of delivery related perinatal death than did infants of women who started labour supervised by an obstetrician (relative risk 3.66, 1.58 to 8.46) and a 2.5-fold higher risk of NICU admission (2.51, 1.87 to 3.37). Conclusions Infants of pregnant women at low risk whose labour started in primary care under the supervision of a midwife in the Netherlands had a higher risk of delivery related perinatal death and the same risk of admission to the NICU compared with infants of pregnant women at high risk whose labour started in secondary care under the supervision of an obstetrician. An important limitation of the study is that aggregated data of a large birth registry database were used and adjustment for confounders and clustering was not possible. However, the findings are unexpected and the obstetric care system of the Netherlands needs further evaluation.

show abstract

European indicators of health care during pregnancy, delivery and the postpartum period

Cited by 69 publications

References 38 publications

Birth outcomes associated with interventions in labour amongst low risk women: A population-based study

Birth outcomes associated with interventions in labour amongst low risk women: A population-based study

Predictors of late initiation for prenatal care in a metropolitan region in Belgium. A cohort study

Perinatal mortality and severe morbidity in low and high risk term pregnancies in the Netherlands: prospective cohort study

Contact Info

Product

Resources

About