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Birth outcomes between 22 and 26 weeks' gestation in national population-based cohorts from Sweden, England and France

Morgan, A.S. (author), Zeitlin, J. (author), Källén, K. (author), Draper, E.S. (author), Maršál, K. (author), Norman, M. (author), Serenius, F. (author), van Buuren, S. (author), Johnson, S. (author), Benhammou, V. (author), Pierrat, V. (author), Kaminski, M. (author), Foix L'Helias, L. (author), Ancel, P.Y. (author), Marlow, N. (author)

Aim: We investigated the timing of survival differences and effects on morbidity for foetuses alive at maternal admission to hospital delivered at 22 to 26 weeks’ gestational age (GA). Methods: Data from the EXPRESS (Sweden, 2004–07), EPICure-2 (England, 2006) and EPIPAGE-2 (France, 2011) cohorts were harmonised. Survival, stratified by GA, was...

article 2022

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Strategies for assessing the impact of loss to follow-up on estimates of neurodevelopmental impairment in a very preterm cohort at 2 years of age

Piedvache, A. (author), van Buuren, S. (author), Barros, H. (author), Ribeiro, A.I. (author), Draper, E. (author), Zeitlin, J. (author), EPICE Research group, (author)

Background: Loss to follow-up is a major challenge for very preterm (VPT) cohorts; attrition is associated with social disadvantage and parents with impaired children may participate less in research. We investigated the impact of loss to follow-up on the estimated prevalence of neurodevelopmental impairment in a VPT cohort using different...

article 2021

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Maternal education and cognitive development in 15 European very-preterm birth cohorts from the RECAP Preterm platform

Sentenac, M. (author), Benhammou, V. (author), Aden, U. (author), Ancel, P.Y. (author), Bakker, L.A. (author), Bakoy, H. (author), Barros, H. (author), Baumann, N. (author), Funck Bilsteen, J. (author), Boerch, K. (author), Croci, I. (author), Cuttini, M. (author), Draper, E. (author), Halvorsen, T. (author), Johnson, S. (author), Källén, K. (author), Land, T. (author), Lebeer, J. (author), Lehtonen, L. (author), Maier, R.F. (author), Marlow, N. (author), Morgan, A. (author), Ni, Y. (author), Raikkonen, K. (author), Rtimi, A. (author), Sarrechia, I. (author), Varendi, H. (author), Vollsaeter, M. (author), Wolke, D. (author), Ylijoki, M. (author), Zeitlin, J. (author)

Background: Studies are sparse and inconclusive about the association between maternal education and cognitive development among children born very preterm (VPT). Although this association is well established in the general population, questions remain about its magnitude among children born VPT whose risks of medical and developmental...

article 2021

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Perinatal health monitoring through a European lens: Eight lessons from the Euro-Peristat report on 2015 births

Zeitlin, J. (author), Alexander, S. (author), Barros, H. (author), Blondel, B. (author), Delnord, M. (author), Durox, M. (author), Gissler, M. (author), Hindori-Mohangoo, A.D. (author), Hocquette, A. (author), Szamotulska, K. (author), Macfarlane, A. (author)

In November 2018, the Euro-Peristat collaboration published a new European Perinatal Health Report based on national-level indicators of mothers’ and babies’ health in 2015 in current EU member states and Iceland, Norway, and Switzerland, a total of 31 countries with over five million births.1 Euro-Peristat’s indicator set includes ten core and...

article 2019

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International variations in the gestational age distribution of births: An ecological study in 34 high-income countries

Delnord, M. (author), Mortensen, L. (author), Hindori-Mohangoo, A.D. (author), Blondel, B. (author), Gissler, M. (author), Kramer, M.R. (author), Richards, J.L. (author), Deb-Rinker, P. (author), Rouleau, J. (author), Morisaki, N. (author), Nassar, N. (author), Bolumar, F. (author), Berrut, S. (author), Nybo Andersen, A.M. (author), Kramer, M.S. (author), Zeitlin, J. (author)

Background: Few studies have investigated international variations in the gestational age (GA) distribution of births. While preterm births (22-36 weeks GA) and early term births (37-38 weeks) are at greater risk of adverse health outcomes compared to full term births (39-40 weeks), it is not known if countries with high preterm birth rates also...

article 2018

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How do late terminations of pregnancy affect comparisons of stillbirth rates in Europe? Analyses of aggregated routine data from the Euro-Peristat Project

Blondel, B. (author), Cuttini, M. (author), Hindori-Mohangoo, A.D. (author), Gissler, M. (author), Logh, M. (author), Prunet, C. (author), Heino, A. (author), Smith, L. (author), van der Pal-de Bruin, K. (author), Macfarlane, A.J. (author), Zeitlin, J. (author)

Objective: to describe how terminations of pregnancy at gestational ages at or above the limit for stillbirth registration are recorded in routine statistics and to assess their impact on comparability of stillbirth rates in Europe. Design: analysis of aggregated data from the Euro-Peristat project. Setting: 29 European countries. Population:...

article 2018

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Quantifying the burden of stillbirths before 28 weeks of completed gestational age in high-income countries: A population-based study of 19 European countries

Smith, L.K. (author), Hindori-Mohangoo, A.D. (author), Delnord, M. (author), Durox, M. (author), Szamotulska, K. (author), Macfarlane, A. (author), Barros, H. (author), Gissler, M. (author), Blondel, B. (author), Zeitlin, J. (author)

Background. International comparisons of stillbirth allow assessment of variations in clinical practice to reduce mortality. Currently, such comparisons include only stillbirths from 28 or more completed weeks of gestational age, which underestimates the true burden of stillbirth. With increased registration of early stillbirths in high-income...

article 2018

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Can the Apgar Score be Used for International Comparisons of Newborn Health?

Siddiqui, A. (author), Cuttini, M. (author), Wood, R. (author), Velebil, P. (author), Delnord, M. (author), Zile, I. (author), Barros, H. (author), Gissler, M. (author), Hindori-Mohangoo, A.D. (author), Blondel, B. (author), Zeitlin, J. (author), Haidinger, G. (author), Alexander, S. (author), Pavlou, P. (author), Mortensen, L. (author), Sakkeus, L. (author), Lack, N. (author), Antsaklis, A. (author), Berbik, I. (author), Ólafsdóttir, H.S. (author), Bonham, S. (author), Misins, J. (author), Jaselioniene, J. (author), Wagener, Y. (author), Gatt, M. (author), Nijhuis, J. (author), Klungsøyr, K. (author), Szamotulska, K. (author), Horga, M. (author), Cap, J. (author), Mandić, N.T. (author), Bolúmar, F. (author), Gottvall, K. (author), Berrut, S. (author), Macfarlane, A. (author), Euro-Peristat Scientific Committee (author)

Background: The Apgar score has been shown to be predictive of neonatal mortality in clinical and population studies, but has not been used for international comparisons. We examined population-level distributions in Apgar scores and associations with neonatal mortality in Europe. Methods: Aggregate data on the 5 minute Apgar score for live...

article 2017

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Variations in very preterm births rates in 30 high-income countries: Are valid international comparisons possible using routine data?

Delnord, M. (author), Hindori-Mohangoo, A.D. (author), Smith, L.K. (author), Szamotulska, K. (author), Richards, J.L. (author), Deb-Rinker, P. (author), Rouleau, J. (author), Velebil, P. (author), Zile, I. (author), Sakkeus, L. (author), Gissler, M. (author), Morisaki, N. (author), Dolan, S.M. (author), Kramer, M.R. (author), Kramer, M.S. (author), Zeitlin, J. (author)

OBJECTIVE: Concerns about differences in registration practices across countries have limited the use of routine data for international very preterm birth (VPT) rate comparisons. DESIGN: Population-based study. SETTING: Twenty-seven European countries, the United States, Canada and Japan in 2010. POPULATION: A total of 9 376 252 singleton births...

article 2017

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Authors' reply: Wide differences mode of delivery within Europe: risk-stratified analyses of aggregated routine data from the Euro-Peristat study

Macfarlane, A.J. (author), Blondel, B. (author), Mohangoo, A.D. (author), Cuttini, M. (author), Nijhuis, J. (author), Noval, Z. (author), Ólafsdóttir, H.S. (author), Zeitlin, J. (author)

article 2016

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Variations in rates of severe perineal tears and episiotomies in 20 European countries: A study based on routine national data in Euro-Peristat Project

Blondel, B. (author), Alexander, S. (author), Bjarnadóttir, R.I. (author), Gissler, M. (author), Langhoff-Roos, J. (author), Novak-Antolič, Ž. (author), Prunet, C. (author), Zhang, W.H. (author), Hindori-Mohangoo, A.D. (author), Zeitlin, J. (author), Haidinger, G. (author), Pavlou, P. (author), Velebil, P. (author), Andersen, A.M.N. (author), Sakkeus, L. (author), Lack, N. (author), Antsaklis, A. (author), Berbik, I. (author), Ólafsdóttir, H.S. (author), Bonham, S. (author), Cuttini, M. (author), Misins, J. (author), Jaselioniene, J. (author), Wagener, Y. (author), Gatt, M. (author), Nijhuis, J. (author), Klungsoyr, K. (author), Szamotulska, K. (author), Barros, H. (author), Horga, M. (author), Cap, J. (author), Bolúmar, F. (author), Gottvall, K. (author), Berrut, S. (author), Macfarlane, A. (author)

Introduction: Rates of severe perineal tears and episiotomies are indicators of obstetrical quality of care, but their use for international comparisons is complicated by difficulties with accurate ascertainment of tears and uncertainties regarding the optimal rate of episiotomies. We compared rates of severe perineal tears and episiotomies in...

article 2016

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Socioeconomic inequalities in stillbirth rates in Europe: measuring the gap using routine data from the Euro-Peristat Project

Zeitlin, J. (author), Mortensen, L. (author), Prunet, C. (author), Macfarlane, A. (author), Hindori-Mohangoo, A.D. (author), Gissler, M. (author), Szamotulska, K. (author), van der Pal, K. (author), Bolumar, F. (author), Andersen, A.M. (author), Ólafsdóttir, H.S. (author), Zhang, W.H. (author), Blondel, B. (author), Alexander, S. (author)

Background: Previous studies have shown that socioeconomic position is inversely associated with stillbirth risk, but the impact on national rates in Europe is not known. We aimed to assess the magnitude of social inequalities in stillbirth rates in European countries using indicators generated from routine monitoring systems. Methods:...

article 2016

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Variations in multiple birth rates and impact on perinatal outcomes in Europe

Heino, A. (author), Gissler, M. (author), Hindori-Mohangoo, A.D. (author), Blondel, B. (author), Klungsøyr, K. (author), Verdenik, I. (author), Mierzejewska, E. (author), Velebil, P. (author), Sól Ólafsdóttir, H. (author), Macfarlane, A. (author), Zeitlin, J. (author)

Objective. Infants from multiple pregnancies have higher rates of preterm birth, stillbirth and neonatal death and differences in multiple birth rates (MBR) exist between countries. We aimed to describe differences in MBR in Europe and to investigate the impact of these differences on adverse perinatal outcomes at a population level. Methods. We...

article 2016

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Linking databases on perinatal health: A review of the literature and current practices in Europe

Delnord, M. (author), Szamotulska, K. (author), Hindori-Mohangoo, A.D. (author), Blondel, B. (author), Macfarlane, A.J. (author), Dattani, N. (author), Barona, C. (author), Berrut, S. (author), Zile, I. (author), Wood, R. (author), Sakkeus, L. (author), Gissler, M. (author), Zeitlin, J. (author)

Background: International comparisons of perinatal health indicators are complicated by the heterogeneity of data sources on pregnancy, maternal and neonatal outcomes. Record linkage can extend the range of data items available and thus can improve the validity and quality of routine data. We sought to assess the extent to which data are linked...

article 2016

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Declines in stillbirth and neonatal mortality rates in Europe between 2004 and 2010: results from the Euro-Peristat project

Zeitlin, J. (author), Mortensen, L. (author), Cuttini, M. (author), Lack, N. (author), Nijhauis, J. (author), Haidinger, G. (author), Blondel, B. (author), Hindori-Mohangoo, A.D. (author)

Background Stillbirth and neonatal mortality rates declined in Europe between 2004 and 2010. We hypothesised that declines might be greater for countries with higher mortality in 2004 and disproportionally affect very preterm infants at highest risk. Methods Data about live births, stillbirths and neonatal deaths by gestational age (GA) were...

article 2016

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International Comparisons of Infant Mortality and Related Factors: United States and Europe, 2010

MacDorman, M.F. (author), Mathews, T.J. (author), Mohangoo, A.D. (author), Zeitlin, J. (author)

OBJECTIVES: This report investigates the reasons for the United States' high infant mortality rate when compared with European countries. Specifically, the report measures the impact on infant mortality differences of two major factors: the percentage of preterm births and gestational age-specific infant mortality rates. METHODS: Infant...

article 2014

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Development of the Migrant Friendly Maternity Care Questionnaire (MFMCQ) for migrants to Western societies: An international Delphi consensus process

Gagnon, A.J. (author), DeBruyn, R. (author), Essén, B. (author), Gissler, M. (author), Heaman, M. (author), Jeambey, Z. (author), Korfker, D. (author), McCourt, C. (author), Roth, C. (author), Zeitlin, J. (author), Small, R. (author), Alexander, S. (author), Racapé, J. (author), Arntzen, A. (author), Barros, H. (author), Blondel, B. (author), Merry, L. (author), Glazier, R. (author), Kirby, R. (author), Mohangoo, A. (author), Macfarlane, A. (author), Dattani, N. (author), Nybo Andersen, A.M. (author), Mortensen, L. (author), Villadsen, S. (author), Davey, M.A. (author), Sievers, E. (author), Stray-Pedersen, B. (author), Urquia, M. (author), Janevic, T. (author), Guendelman, S. (author), Bolumar, F. (author), Río Sánchez, M.I. (author), Hjern, A. (author), Vangen, S. (author)

Background: Through the World Health Assembly Resolution, 'Health of Migrants', the international community has identified migrant health as a priority. Recommendations for general hospital care for international migrants in receiving-countries have been put forward by the Migrant Friendly Hospital Initiative; adaptations of these...

article 2014

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Varying gestational age patterns in cesarean delivery: An international comparison

Delnord, M. (author), Blondel, B. (author), Drewniak, N. (author), Klungsøyr, K. (author), Bolumar, F. (author), Mohangoo, A. (author), Gissler, M. (author), Szamotulska, K. (author), Lack, N. (author), Nijhuis, J. (author), Velebil, P. (author), Sakkeus, L. (author), Chalmers, J. (author), Zeitlin, J. (author), Haidinger, G. (author), XMartens, G. (author), Misselwitz, B. (author), Wenzlaff, P. (author), Bonham, S. (author), Jaselioniene, J. (author), Gatt, M. (author), Klungsøyr, K. (author), Barros, H. (author), Novak, Z. (author), Gottvall, K. (author)

Background: While international variations in overall cesarean delivery rates are well documented, less information is available for clinical sub-groups. Cesarean data presented by subgroups can be used to evaluate uptake of cesarean reduction policies or to monitor delivery practices for high and low risk pregnancies based on new scientific...

article 2014

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Preterm birth time trends in Europe: A study of 19 countries

Zeitlin, J. (author), Szamotulska, K. (author), Drewniak, N. (author), Mohangoo, A.D. (author), Chalmers, J. (author), Sakkeus, L. (author), Irgens, L. (author), Gatt, M. (author), Gissler, M. (author), Blondel, B. (author)

Objective To investigate time trends in preterm birth in Europe by multiplicity, gestational age, and onset of delivery. Design Analysis of aggregate data from routine sources. Setting Nineteen European countries. Population Live births in 1996, 2000, 2004, and 2008. Methods Annual risk ratios of preterm birth in each country were estimated with...

article 2013

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The second European Perinatal Health Report: Documenting changes over 6 years in the health of mothers and babies in Europe

Zeitlin, J. (author), Mohangoo, A.D. (author), Delnord, M. (author), Cuttini, M. (author)

article 2013