Sophie Alexander
A5065016883- Maternal and Perinatal Health Interventions
- Global Maternal and Child Health
- Maternal and fetal healthcare
- Pregnancy and preeclampsia studies
- Child and Adolescent Health
- Neonatal Respiratory Health Research
- Preterm Birth and Chorioamnionitis
- Emergency and Acute Care Studies
- Assisted Reproductive Technology and Twin Pregnancy
- Migration, Health and Trauma
- Pregnancy-related medical research
- Birth, Development, and Health
- Trauma and Emergency Care Studies
- Reproductive Health and Contraception
- Female Genital Mutilation/Cutting Issues
- Pelvic floor disorders treatments
- Medical and Health Sciences Research
- Healthcare Systems and Practices
- Healthcare Policy and Management
- Genital Health and Disease
- Child Nutrition and Water Access
- Health disparities and outcomes
- Health, Medicine and Society
- Maternal Mental Health During Pregnancy and Postpartum
- Global Health Care Issues
Université Libre de Bruxelles
2015-2025
Eurocontrol
2024
Great Ormond Street Hospital for Children NHS Foundation Trust
2023
Institut Scientifique de Santé Publique
1994-2016
French Community of Belgium
2011-2015
The University of Texas at Austin
2015
Medical University of South Carolina
2014
Ministère de la Santé
2012
Inserm
2001-2010
University of Oxford
2006-2010
<h3>Abstract</h3> <b>Objectives:</b> To estimate the incidences of caesarean sections in Latin American countries and correlate these with socioeconomic, demographic, healthcare variables. <b>Design:</b> Descriptive ecological study. <b>Setting:</b> 19 countries. <b>Main outcome measures:</b> National estimates section rates each country. <b>Results:</b> Seven had below 15%. The remaining 12 above 15% (range 16.8% to 40.0%). These account for 81% deliveries region. A positive significant...
Rates of severe perineal tears and episiotomies are indicators obstetrical quality care, but their use for international comparisons is complicated by difficulties with accurate ascertainment uncertainties regarding the optimal rate episiotomies. We compared rates in European countries analysed association between these two indicators.We used aggregate data from national routine statistics available Euro-Peristat project. (third- fourth-degree) 2010 mode vaginal delivery (n = 20 countries),...
Objective To describe the incidence of three conditions acute severe maternal morbidity in selected regions nine European countries. Design A population‐based questionnaire survey. Setting Eleven countries Europe. Population All pregnant women each region who had delivered during period covered by study. Methods Standard definitions obstetric conditions, pre‐eclampsia, postpartum haemorrhage and sepsis were established a steering committee. common was used participating country. The...
In Brief OBJECTIVE: Available maternal mortality statistics do not allow valid international comparisons. Our objective was to uniformly measure underreporting of from pregnancy in official selected regions within the U.S. and Europe, provide comparable revised profiles pregnancy-related mortality. METHODS: We developed a standardized enhanced method identify classify pregnancy-associated deaths 2 states, Massachusetts North Carolina, European countries, Finland France, for years 1999–2000....
It is uncertain whether amnioinfusion (infusion of saline into the amniotic cavity) in women who have thick meconium staining fluid reduces risk perinatal death, moderate or severe aspiration syndrome, both.We performed a multicenter trial which 1998 pregnant labor at 36 more weeks gestation had were stratified according to presence absence variable decelerations fetal heart rate and then randomly assigned standard care. The composite primary outcome measure was both.Perinatal both occurred...
Background The EUropean Project on obstetric Haemorrhage Reduction: Attitudes, Trial, and Early warning System (EUPHRATES) is a set of five linked projects, the first component which was survey policies for management third stage labour immediate postpartum haemorrhage following vaginal birth in Europe. Objectives objectives were to ascertain compare maternity units Europe birth. Design Survey policies. Setting project European collaboration, with participants 14 countries. Sample All 12...
<b>Objective</b> To evaluate the effectiveness of systematic use a transparent plastic collector bag to measure postpartum blood loss after vaginal delivery in reducing incidence severe haemorrhage. <b>Design</b> Cluster randomised trial. <b>Setting</b> 13 European countries. <b>Participants</b> 78 maternity units and 25 381 women who had delivery. <b>Interventions</b> Maternity were randomly assigned (intervention group) or continue visually assess (control group). <b>Main outcome...
To inform the on-going debate about use of universal prescriptive versus national intrauterine growth charts, we compared perinatal mortality for small and large-for-gestational-age (SGA/LGA) infants according to international charts in Europe.We classified singleton births from 33 42 weeks gestation 2010 2014 15 countries (N = 1,475,457) as SGA (birthweight <10th percentile) LGA (>90th using Intergrowth-21st newborn standards based on customised methodology. We computed sex-adjusted odds...
Abstract Stillbirth rates have stalled or increased in some European countries during the last decade. We investigate to what extent time-trends and between-country differences stillbirth are explained by changing prevalence of advanced maternal age teenage pregnancies multiple births. analysed data on stillbirths live births multiplicity from 2010 2021 25 using Kitagawa decomposition separate rate into compositional components. Rates significantly decreased six countries, but two. Changes...
To determine whether adverse perinatal outcome is associated with asthma or medication use during pregnancy.A retrospective cohort study was conducted of women who resided in Halifax County, Nova Scotia, and delivered between 1991 1993. Asthmatic were classified into three groups, according to usage: no medications, beta agonists only, steroids without other medications. Outcomes compared among asthmatic nonasthmatic included maternal complications (pregnancy-induced hypertension, cesarean...
Increasing studies show that immigrants have different perinatal health outcomes compared to native women. Nevertheless, we lack a systematic examination of the combined effects immigrant status and socioeconomic factors on outcomes. Our objectives were analyse national Belgian data determine 1) whether (SES) modifies association between maternal nationality (low birth weight mortality); 2) effect adopting foreign This study is population-based using from linked death certificates civil...
Objective To determine what factors related to health services in France might explain substandard care of severe morbidity due obstetric haemorrhage. Design Retrospective questionnaire survey. Setting Three administrative regions France. Population All women who were pregnant or had recently given birth during the year before Methods A European survey (MOMS‐B) defined haemorrhages as blood loss ≧1500mL. specific was added analyse quality these haemorrhages. The carried out three different...