Substandard factors in perinatal care in The Netherlands:

Bosch, Judit Hermoso; Vredevoogd, Corla B.; Borkent-Polet, Marion; Eyck, Jim van; Fetter, W. P. F.; Lagro‐Janssen, Toine; Rosink, Imke H.; Treffers, P.E.; Wierenga, Henk; Amelink, Marianne; Richardus, J. H.; Verloove-Vanhorick, Pauline; Mackenbach, Johan P.

doi:10.1034/j.1600-0412.2002.810104.x

Cited by 16 publications

(19 citation statements)

References 21 publications

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“…The incidence of substandard care factors is in agreement with other studies on stillbirths. However, in these studies, term stillbirths were not analyzed separately (9–11). The most common substandard care factor was inadequate management of suspected growth restriction and maternal hypertension or a combination of these two.…”

Section: Discussionmentioning

confidence: 99%

“…The cornerstone of the Dutch obstetric system is the division of pregnant women into low and high(er) risk with respectively care in primary care by a midwife and secondary care by an obstetrician (9–12). There were 37 stillbirths in primary care and 22 in secondary care.…”

Section: Discussionmentioning

confidence: 99%

“…Perinatal audit, a systematic and critical analysis of perinatal care, is a better tool to provide this information. Perinatal audits have identified substandard care in 15–37% of all perinatal deaths (9–11). The authors concluded that with improved obstetric care, more cases of perinatal death could be prevented in the future.…”

Section: Introductionmentioning

confidence: 99%

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Substandard care in antepartum term stillbirths: prospective cohort study

Evers¹,

Nikkels²,

Brouwers

et al. 2011

Acta Obstet Gynecol Scand

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Substandard care in antepartum term stillbirths: prospective cohort study

Evers¹,

Nikkels²,

Brouwers

et al. 2011

Acta Obstet Gynecol Scand

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“…A recent study on the quality of perinatal care showed no differences in scores of substandard care between midwives and gynaecologists and home and hospital deliveries. 13 A study on vaccination coverage found a lower coverage of ethnic minority children, but these were predominantly ethnic minority children born abroad, 14 which indicates no large ethnic differences in access to child health centres. On the other hand, differences in the utilisation of care are conceivable, and might increase the risks of infant mortality among ethnic minorities.…”

Section: Discussionmentioning

confidence: 99%

Ethnic differences in total and cause‐specific infant mortality in the Netherlands

Troe

Bos

Deerenberg

et al. 2006

Paediatric Perinatal Epid

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We examined ethnic differences in infant mortality and the contribution of several explanatory variables. Data of Statistics Netherlands from 1995 to 2000 were studied (1,178,949 live borns). Proportional hazard analysis was used to show ethnic differences in total and cause-specific infant mortality. Obstetric, demographic and -geographical variables, and socio-economic status were considered as possible determinants. The four major ethnic minority groups showed an elevated risk of infant mortality, ranging from 1.28 in Turkish infants to 1.50 in Antillean/Aruban infants. In the early neonatal period, risks were elevated for Surinamese (hazard ratio [HR] 1.48, 95% confidence intervals [CI] 1.23, 1.78) and Antilleans/Arubans (HR 1.43, 95% CI 1.06, 1.92). In the post-neonatal period, risks were only elevated for Turkish (HR 2.20, 95% CI 1.80, 2.69) and Moroccan infants (HR 2.06, 95% CI 1.67, 2.55). Surinamese and Antillean/Aruban infants had an elevated risk of dying from perinatal causes (HR 1.62, 95% CI 1.33, 1.98 and 1.69, 95% CI 1.24, 2.29 respectively), Turkish and Moroccan infants had an elevated risk of dying from congenital anomalies (HR 1.42, 95% CI 1.16, 1.73 and 1.46, 95% CI 1.20, 1.79 respectively). Inequalities as a result of socio-economic position and demographic factors, such as marital status and maternal age, partially explain the ethnic differences in infant mortality. We conclude that ethnic minority groups in The Netherlands have a higher infant mortality than the native population, which in part seems preventable by reducing inequalities in socio-economic status. Marital status and age of the mother are important other risk factors of infant mortality.

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“…Although the transfer rate during delivery is even higher in the Netherlands, the death rate among the transferred was 8.3 per 1,000, a percentage similar to what was found in England (4). One reason might be substandard care: intrapartum/ early neonatal deaths for booked home deliveries were higher (30%) than for hospital births (22%), especially after transfers (44%) (15). The other explanation might be that even a full integration of homebirth practice into a modern health system is not enough to accomplish a safe birth according to modern standards.…”

Section: Ulf Hö Gbergmentioning

confidence: 99%