Choose your font:
 Arimo
 Merriweather
 Mukta Malar
 Open Sans Condensed
 Rokkitt
 Source Sans Pro
 Login


 English 
 Français 
 Português 

[Valid RSS] RSS
bar

Database - Alliance francophone pour l'accouchement respecté (AFAR)

Description of this bibliographical database (AFAR website)
Currently 3032 records
YouTube channel (tutorial)

https://afar.info/id=2305

Created on : 04 Jan 2009
Modified on : 19 Jan 2009

 Modify this record
Do not follow this link unless you know an editor’s password!


Share: Facebook logo   Tweeter logo   Easy

Bibliographical entry (without author) :

Substandard factors in perinatal care in The Netherlands: a regional audit of perinatal deaths. Acta Obstetricia et Gynecologica Scandinavica. Volume 81 Issue 1, Pages 17 - 24

Author(s) :

JUDITH H. WOLLESWINKEL-VAN DEN BOSCH, CORLA B. VREDEVOOGD, MARION BORKENT-POLET, JIM VAN EYCK, WILLEM P. F. FETTER, TOINE L. M. LAGRO-JANSSEN, IMKE H. ROSINK, PIETER E. TREFFERS, HENK WIERENGA, MARIANNE AMELINK, JAN-HENDRIK RICHARDUS, PAULINE VERLOOVE-VANHORICK , JOHAN P. MACKENBACH

Year of publication :

2002

URL(s) :

http://www3.interscience.wiley.com/journal/1207939…
https://doi.org/10.1034/j.1600-0412.2002.810104.x

Résumé (français)  :

Abstract (English)  :

Background. To determine: 1) whether substandard factors were present in cases of perinatal death, and to what extent another course of action might have resulted in a better outcome, and 2) whether there were differences in the frequency of substandard factors by level of care, particularly between midwives and gynecologists/obstetricians and between home and hospital births.

Methods. Population-based perinatal audit, with explicit evidence-based audit criteria.

Setting. The northern part of the province of South-Holland in The Netherlands. All levels of perinatal care (primary, secondary and tertiary care, and home and hospital births) were included.

Cases. Three hundred and forty-two cases of perinatal mortality (24 weeks of pregnancy – 28 days after birth).

Main outcome measures. Scores by a Dutch and a European audit panel. Score 0: no substandard factors identified; score 1, 2 or 3: one or more substandard factors identified, which were unlikely (1), possibly (2) or probably (3) related to the perinatal death.

Results. In 25% of the perinatal deaths (95% Confidence Interval: 20–30%) a substandard factor was identified that according to the Dutch panel was possibly or probably related to the perinatal death. These were mainly maternal/social factors (10% of all perinatal deaths; most frequent substandard factor: smoking during pregnancy), and antenatal care factors (10% of all perinatal deaths; most frequent substandard factor: detection of intra-uterine growth retardation). We did not find statistically significant differences in scores between midwives and gynecologists/obstetricians or between home and hospital births. The European panel identified more substandard factors, but these were again equally distributed by level of care.

Conclusions. Perinatal deaths might be partly preventable in The Netherlands. There is no evidence that the frequency of substandard factors is related to specific aspects of the perinatal care system in The Netherlands.

Sumário (português)  :

Full text (private) :

 ➡ Access requires authorization

Comments :

Argument (français) :

Argument (English):

Argumento (português):

Keywords :

➡ place of birth ; homebirth ; perinatal death rates

Author of this record :

Emmanuelle Phan — 04 Jan 2009

Discussion (display only in English)
 
➡ Only identified users



 I have read the guidelines of discussions and I accept all terms (read guidelines)

barre

New expert query --- New simple query

Creating new record --- Importing records

User management --- Dump database --- Contact

bar

This database is managed by Alliance francophone pour l'accouchement respecté (AFAR, https://afar.info)
affiliated with Collectif interassociatif autour de la naissance (CIANE, https://ciane.net).
It is fed by the voluntary contributions of persons interested in the sharing of scientific data.
If you agree with this project, you can support us in several ways:
(1) contributing to this database if you have a minimum training in documentation
(2) or financially supporting AFAR (see below)
(3) or joining the AFAR (or another society affiliated with CIANE).
Sign in or create an account to follow changes or become an editor.
Contact afar.association(arobase)gmail.com for more information.

Valid CSS! Valid HTML!
Donating to AFAR (click “Faire un don”) will help us to maintain and develop sites and public
databases towards the support of parents and caregivers’ informed decisions with respect to childbirth