Objective Assess improvable care factors in late preterm mortality, defined as death of a child during labour or in the first 28 days thereafter between 32 + 0 and 36 + 6 weeks gestation, in the Netherlands. Design Perinatal audit has been coordinated and supported at the national level, with selection …

Objective To gain insight into perinatal outcomes in women with chronic medical conditions, in order to contribute to the optimization of personalized perinatal care. We hypothesize that women with a chronic medical condition have poorer perinatal outcomes than women without a known chronic medical condition. Design Population-based …

Intermitterende toediening van epidurale analgesie is even effectief als continue toediening, maar zorgt voor lagere pijnscores tijdens de laatste twee uur van epidurale analgesie, voor afname van de hoeveelheid lokaal anestheticum en leidt tot minder motorische blokkade.

Background and Aims It is difficult to overestimate the importance of safe staffing levels within the context of effective, quality healthcare. Poor staffing has been cited as a contributory factor in the number of unnecessary hospital deaths. This is particularly so in maternity care, where poor staffing …

Background and Aims To analyze outcomes of nationwide local audits of uterine rupture to draw lessons for clinical care. Methods Descriptive cohort study. Critical incident audit sessions within all local perinatal cooperation groups in the Netherlands. Women who sustained uterine rupture between January …

In 2013 werden in Nederland, gefinancierd met subsidie van ZonMw, negen regionale geboortezorgconsortia opgericht. Tussen 2012 en 2018 is er variatie in perinatale uitkomsten tussen deze regionale consortia te zien. In dit artikel beschrijven we deze variatie. Dit kan aanknopingspunten geven voor kwaliteitsverbetering …

Verloskundig zorgverleners registre­ren veel gegevens over het verloop van de zwangerschap en bevalling in de Perinatale Registratie Nederland (Perined). De mate waarin deze data binnen de verloskundige keten wordt gebruikt voor reflectie of verbetering van zorg is echter beperkt. In dit artikel wordt …

Background Preconception care (PCC) is care prior to conception to optimize parental health, and health of the future child, through biomedical and behavioral changes. Providing PCC to all women with a wish to conceive will improve perinatal health. PCC is especially important for women with a chronic …

Objectives To describe characteristics of neonates with severe neonatal hyperbilirubinaemia (SNH) and to gain more insight in improvable factors that may have contributed to the development of SNH. Design and setting Descriptive study, based on national Dutch perinatal audit data on SNH from 2017 to …

Objective To describe characteristics, risk factors and maternal, obstetric and neonatal outcomes of pregnant women infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Design Multi-centre prospective population-based cohort study. Setting Nationwide study in the Netherlands. Population Pregnant …