scholarly journals Term perinatal mortality audit in the Netherlands 2010–2012: a population-based cohort study

BMJ Open ◽  
2014 ◽  
Vol 4 (10) ◽  
pp. e005652 ◽  
Author(s):  
Martine Eskes ◽  
Adja J M Waelput ◽  
Jan Jaap H M Erwich ◽  
Hens A A Brouwers ◽  
Anita C J Ravelli ◽  
...  
Keyword(s):  
Cohort Study ◽  
The Netherlands ◽  
Perinatal Mortality ◽  
Perinatal Death ◽  
Perinatal Care ◽  
Internal Audit ◽  
Population Based ◽  
Perinatal Deaths ◽  
Organisation Of Care ◽  
Perinatal Audit

ObjectiveTo assess the implementation and first results of a term perinatal internal audit by a standardised method.DesignPopulation-based cohort study.SettingAll 90 Dutch hospitals with obstetric/paediatric departments linked to community practices of midwives, general practitioners in their attachment areas, organised in perinatal cooperation groups (PCG).PopulationThe population consisted of 943 registered term perinatal deaths occurring in 2010–2012 with detailed information, including 707 cases with completed audit results.Main outcome measuresParticipation in the audit, perinatal death classification, identification of substandard factors (SSF), SSF in relation to death, conclusive recommendations for quality improvement in perinatal care and antepartum risk selection at the start of labour.ResultsAfter the introduction of the perinatal audit in 2010, all PCGs participated. They organised 645 audit sessions, with an average of 31 healthcare professionals per session. Of all 1102 term perinatal deaths (2.3/1000) data were registered for 86% (943) and standardised anonymised audit results for 64% (707). In 53% of the cases at least one SSF was identified. Non-compliance to guidelines (35%) and deviation from usual professional care (41%) were the most frequent SSF. There was a (very) probable relation between the SSF and perinatal death for 8% of all cases. This declined over the years: from 10% (n=23) in 2010 to 5% (n=10) in 2012 (p=0.060). Simultaneously term perinatal mortality decreased from 2.3 to 2.0/1000 births (p<0.00001). Possibilities for improvement were identified in the organisation of care (35%), guidelines or usual care (19%) and in documentation (15%). More pregnancies were antepartum selected as high risk, 70% in 2010 and 84% in 2012 (p=0.0001).ConclusionsThe perinatal audit is implemented nationwide in all obstetrical units in the Netherlands in a short time period. It is possible that the audit contributed to the decrease in term perinatal mortality.

scholarly journals A qualitative perinatal audit at a rural health facility in Eldoret, Kenya

2020 ◽  
Vol 7 (2) ◽  
pp. 449
Author(s):  
Kimbley Omwodo
Keyword(s):  
Rural Health ◽  
Perinatal Mortality ◽  
Health Facility ◽  
Perinatal Death ◽  
Gestational Hypertension ◽  
Medical Condition ◽  
World Health ◽  
Maternal Condition ◽  
Perinatal Deaths ◽  
Perinatal Audit

Background: Objectives of the study were to ascertain the pattern of occurrence of perinatal mortality by applying the World Health Organization (WHO), International Classification of Diseases, tenth revision (ICD-10) to deaths during the perinatal period, ICD perinatal mortality (ICD-PM), following the introduction of a qualitative perinatal audit process at a rural health facility in Kenya.Methods: A single centre retrospective analysis demonstrating the application of the WHO, ICD-PM. Data pertaining to perinatal deaths for the period from 1st May 2017 to 31st August 2018 was obtained from Plateau Mission Hospital perinatal audit records.Results: There were 22 perinatal deaths during the study period, 17 were included in the study. The overall perinatal death rate was 11 per 1000 births. Antepartum deaths were as a consequence of fetal growth related problems (33.3%), infection (33.3%) or unexplained (33.3%) with pregnancy-related hypertensive disorders (gestational hypertension, pre-eclampsia and eclampsia) being the most frequent medical condition associated with the mortalities. Neonatal deaths (47.1%) were the most frequent in the study and were a consequence of low birth weight and prematurity (25.0%), Convulsions and disorders of cerebral status (25.0%). The maternal condition in most of these cases being complications of placenta, cord and membranes. Acute intrapartum events and were least in this setting accounting for 17.4% of deaths.Conclusions: The ICD-PM is generalizable and its use in perinatal death classification emphasises focus on both mother and baby. Our study showed the majority of perinatal deaths occurred in the early neonatal period & affected mostly preterm infants. 

scholarly journals The population-based Occupational and Environmental Health Prospective Cohort Study (AMIGO) in the Netherlands

BMJ Open ◽  
2014 ◽  
Vol 4 (11) ◽  
pp. e005858 ◽  
Author(s):  
Pauline Slottje ◽  
C Joris Yzermans ◽  
Joke C Korevaar ◽  
Mariëtte Hooiveld ◽  
Roel C H Vermeulen
Keyword(s):  
Cohort Study ◽  
The Netherlands ◽  
Environmental Health ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Population Based

scholarly journals Adherence to guidelines and suboptimal practice in term breech delivery with perinatal death- a population-based case-control study in Norway

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Solveig Bjellmo ◽  
Sissel Hjelle ◽  
Lone Krebs ◽  
Elisabeth Magnussen ◽  
Torstein Vik
Keyword(s):  
Caesarean Delivery ◽  
Case Control Study ◽  
Perinatal Death ◽  
Population Based ◽  
Case Control ◽  
Case Group ◽  
National Guidelines ◽  
Breech Delivery ◽  
Perinatal Audit ◽  
Control Study

Abstract Background In a recent population-based study we reported excess risk of neonatal mortality associated with vaginal breech delivery. In this case-control study we examine whether deviations from Norwegian guidelines are more common in breech deliveries resulting in intrapartum or neonatal deaths than in breech deliveries where the offspring survives, and if these deaths are potentially avoidable. Material and methods Case-control study completed as a perinatal audit including term breech deliveries of singleton without congenital anomalies in Norway from 1999 to 2015. Deliveries where the child died intrapartum or in the neonatal period were case deliveries. For each case, two control deliveries who survived were identified. All the included deliveries were reviewed by four obstetricians independently assessing if the deaths in the case group might have been avoided and if the management of the deviations from Norwegian guidelines were more common in case than in control deliveries. Results Thirty-one case and 62 control deliveries were identified by the Medical Birth Registry of Norway. After exclusion of non-eligible deliveries, 22 case and 31 control deliveries were studied. Three case and two control deliveries were unplanned home deliveries, while all in-hospital deliveries were in line with national guidelines. Antenatal care and/or management of in-hospital deliveries was assessed as suboptimal in seven (37%) case and two (7%) control deliveries (p = 0.020). Three case deliveries were completed as planned caesarean delivery and 12 (75%) of the remaining 16 deaths were considered potentially avoidable had planned caesarean delivery been done. In seven of these 16 deliveries, death was associated with cord prolapse or difficult delivery of the head. Conclusion All in-hospital breech deliveries were in line with Norwegian guidelines. Seven of twelve potentially avoidable deaths were associated with birth complications related to breech presentation. However, suboptimal care was more common in case than control deliveries. Further improvement of intrapartum care may be obtained through continuous rigorous training and feedback from repeated perinatal audits.

Epidural analgesia and operative delivery: a ten-year population-based cohort study in The Netherlands

2014 ◽  
Vol 183 ◽  
pp. 125-131 ◽  
Author(s):  
Martine M.LH. Wassen ◽  
Chantal W.PM. Hukkelhoven ◽  
Hubertina C.J Scheepers ◽  
Luc J.M. Smits ◽  
Jan G. Nijhuis ◽  
...  
Keyword(s):  
Cohort Study ◽  
The Netherlands ◽  
Epidural Analgesia ◽  
Population Based ◽  
Operative Delivery

Ethnic Disparities in General and Abdominal Adiposity at School Age: A Multiethnic Population-Based Cohort Study in The Netherlands

2014 ◽  
Vol 64 (3-4) ◽  
pp. 208-217 ◽  
Author(s):  
Olta Gishti ◽  
Claudia J. Kruithof ◽  
Janine F. Felix ◽  
Hein Raat ◽  
Albert Hofman ◽  
...  
Keyword(s):  
Cohort Study ◽  
The Netherlands ◽  
Ethnic Disparities ◽  
Population Based ◽  
School Age ◽  
Abdominal Adiposity ◽  
Multiethnic Population

scholarly journals The Netherlands Cohort Study – Meat Investigation Cohort; a population-based cohort over-represented with vegetarians, pescetarians and low meat consumers

2013 ◽  
Vol 12 (1) ◽  
Author(s):  
Anne MJ Gilsing ◽  
Matty P Weijenberg ◽  
R Alexandra Goldbohm ◽  
Pieter C Dagnelie ◽  
Piet A van den Brandt ◽  
...  
Keyword(s):  
Cohort Study ◽  
The Netherlands ◽  
Population Based

scholarly journals Characteristics overview of mother with perinatal death at Dr. Soetomo Hospital in 2015

2017 ◽  
Vol 24 (3) ◽  
pp. 105
Author(s):  
Yulisa Haslinda ◽  
Budi Prasetyo
Keyword(s):  
Birth Weight ◽  
Perinatal Mortality ◽  
Gestational Age ◽  
Pregnancy Complications ◽  
Maternal Age ◽  
Perinatal Death ◽  
Descriptive Study ◽  
Perinatal Deaths ◽  
Maternal Characteristic ◽  
Characteristic Features

Objectives: to determine the frequency distribution of perinatal mortality and maternal characteristic features in terms of age, parity, gestational age and pregnancy complications in Dr.Soetomo Hospital Surabaya in 2015. Materials and Methods: A descriptive study conducted by collecting data on patients who experienced perinatal mortality of infants born from January to December 2015 in Dr. Soetomo, Hospital Surabaya. Samples were collected using total sampling. The samples must meet the following criteria: mothers of infants with perinatal mortality in Dr. Soetomo Hospital, Surabaya, from January to December 2015.Results: There were 206 perinatal deaths out of 1018 births in Dr. Soetomo during 2015, of which 58% was live birth and 42% was stillbirth. Most of perinatal mortality found in the preterm gestational age as much as 78%, and gestational age 28-<37 weeks (58%). Most of perinatal mortality occured in infants with less than 1500 grams birth weight, which was as much as 53% of all perinatal deaths and infant whose birth weight from1500 to 2500 grams was about 29%. Most perinatal mortality found in multigravida (54%) and in infants whose mothers experienced preeclampsia in pregnancy complications (35%), followed by infant mortality in women with non-obstetric complications (23%).Conclusion: Perinatal mortality in Dr. Soetomo Hospital was mostly found in multigravida mothers, 16-35 years old maternal age, 28-37 weeks gestational age and those with complications of preeclampsia.

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