A trend analysis in referrals during pregnancy and labour in Dutch midwifery care 1988-2004

Objective To assess the trends and patterns of referral from midwives to obstetricians within the Dutch maternity care system from 1988 to 2004, and the differences in referral patterns between nulliparous and parous women. Design A descriptive study. Setting The Dutch midwifery database (LVR1), which monitored 74% (1988) to 94% (2004) of all...

Etnische verschillen in de voorkeur voor thuisbevallingen en het zorgtraject dat zwangeren doorlopen [Ethnic differences in preference for home delivery and in pregnancy care received by pregnant women]

Objective. To investigate differences among pregnant women from various ethnic groups in terms of pregnancy care and the place of delivery. Design. Descriptive, retrospective study. Method. Data from the Dutch Perinatal Registries during the period 1995-2002, representing a total of 1,401,892 pregnancies, were linked and analysed for perinatal...

Cost-effectiveness of different treatment strategies with intrapartum antibiotic prophylaxis to prevent early-onset group B streptococcal disease

Objective: To estimate the costs and effects of different treatment strategies with intrapartum antibiotic prophylaxis to prevent early-onset group B streptococcal (GBS) disease in the Netherlands. The treatment strategies include a risk-based strategy, a screening-based strategy, a combined screening/risk-based strategy and the current Dutch...

Changes in perinatal care and survival in very preterm and extremely preterm infants in the Netherlands between 1983 and 1995

Objective: To evaluate changes in obstetrical and neonatal care for very preterm and extremely preterm infants between 1983 and 1995 in The Netherlands and to evaluate the effect of those changes. Study design: Data on all very preterm or VLBW infants from the linked national obstetrical and neonatal databases of 1995 (N=2066) were compared to...

Randomised clinical trial on the effect of the Dutch obstetric peer review system

The project 'Obstetric Peer Review Interventions' (Verloskundige Onderlinge Kwaliteitsspiegeling Interventies, VOKSINT) was set-up in The Netherlands in 1994. It provided annual comparison data (quality ranking, league tables) for secondary care obstetric departments adjusted for population differences, based on the data registered in the...