- Maternal and Perinatal Health Interventions
- Maternal and fetal healthcare
- Global Maternal and Child Health
- Assisted Reproductive Technology and Twin Pregnancy
- Emergency and Acute Care Studies
- Breastfeeding Practices and Influences
- Maternal Mental Health During Pregnancy and Postpartum
- Child and Adolescent Health
- Mobile Health and mHealth Applications
- Trauma and Emergency Care Studies
- Reproductive Health and Contraception
- Cardiovascular Issues in Pregnancy
- Adolescent and Pediatric Healthcare
- Pregnancy and preeclampsia studies
- Patient Satisfaction in Healthcare
- Neonatal Respiratory Health Research
- Healthcare Policy and Management
- COVID-19 and healthcare impacts
- Pregnancy-related medical research
- COVID-19 Impact on Reproduction
- Pelvic floor disorders treatments
- Hospital Admissions and Outcomes
- Health Literacy and Information Accessibility
- Grief, Bereavement, and Mental Health
- Adolescent Sexual and Reproductive Health
Rotterdam University of Applied Sciences
2018-2024
Erasmus MC
2016-2021
Amsterdam UMC Location University of Amsterdam
2010-2019
Erasmus University Rotterdam
2016-2019
Rode Kruis Ziekenhuis
2019
King's College London
2018
St Thomas' Hospital
2018
University of British Columbia
2018
University of Toronto
2018
The University of Adelaide
2018
Abstract Objective The aim of this study was to evaluate the effect increased cesarean rate for term breech presentation on neonatal outcome. We also investigated whether clinical case selection vaginal delivery applied by Dutch obstetricians led an optimization outcome, or there is still room improvement in terms perinatal Design Retrospective cohort. Setting Netherlands. Population Singleton deliveries from 37 +0 41 +6 weeks, excluding fetuses with congenital malformations antenatal death....
Geographical inequalities in perinatal health and child welfare require attention. To improve the identification, care, of mothers young children at risk adverse outcomes, HP4All-2 program was developed. The consists three studies, focusing on creating a continuum for selection tailored care pathways from preconception antenatal towards 1) postpartum 2) early childhood as well 3) interconception care. has been implemented ten municipalities Netherlands, aiming to target communities with...
The importance of the preconception period and care (PCC) are broadly acknowledged potential benefits regarding health promotion have been studied extensively. PCC provides opportunity to identify, prevent, treat modifiable nonmodifiable risk factors optimize couples trying become pregnant. prevalence in these is high, but uptake remains low.The aim this study identify preferences experiences women men (patients) pregnant providers other involved professionals mobile (mHealth), particular...
To describe characteristics of neonates with severe neonatal hyperbilirubinaemia (SNH) and to gain more insight in improvable factors that may have contributed the development SNH.Descriptive study, based on national Dutch perinatal audit data SNH from 2017 2019.Neonates, born ≥35 weeks gestation without antenatally known blood group incompatibility, who developed above exchange transfusion threshold.Characteristics having corresponding factors.During 3-year period, 109 met eligibility...
Abstract Background External cephalic version (ECV) reduces the rate of elective cesarean sections as a result breech presentation. Several studies have shown that not all eligible women undergo an ECV attempt. The aim this study was to evaluate implementation in Netherlands and explain variation rates with hospital characteristics individual factors. Methods We invited 40 hospitals participate retrospective cohort study. reviewed charts for singleton deliveries from 36 weeks' gestation...
Abstract Objective To evaluate the incidence, diagnostic management strategies and clinical outcomes of women with spontaneous haemoperitoneum in pregnancy (SHiP) reassess definition SHiP. Design A population‐based cohort study using Netherlands Obstetric Surveillance System (NethOSS). Setting Nationwide, Netherlands. Population All pregnant between April 2016 2018. Methods This is a case SHiP monthly registry reports NethOSS. Complete anonymised files were obtained. newly introduced online...
Women from lower socioeconomic groups tend to be at greater risk of adverse perinatal outcomes, but are less likely participate in preconception counselling compared higher groups. This could partly because their limited skills assess, understand and use health related information ways that promote maintain good (health literacy skills). In this study we explored determinants participation among women with low The Netherlands.Potential were derived the literature, mapped onto a theoretical...
Preconception care has been acknowledged as an intervention to reduce perinatal mortality and morbidity. However, utilization of preconception is low because awareness availability benefits the service. An outreach strategy was employed promote uptake consultations. Its effect on consultations evaluated within Healthy Pregnancy 4 All study.We conducted a community-based study. The for included four approaches: (1) letters from municipal health services; (2) general practitioners; (3)...
Breech presentation occurs in 3 to 4% of all term pregnancies. External cephalic version (ECV) is proven effective prevent vaginal breech deliveries and therefore it recommended by clinical guidelines the Royal Dutch Organisation for Midwives (KNOV) Society Obstetrics Gynaecology (NVOG). Implementation ECV does not exceed 50 60% probably less. We aim improve implementation decrease maternal neonatal morbidity mortality due presentations. This will be done defining barriers facilitators...
Objectives Successful implementation of preconception and interconception care contributes to optimizing pregnancy outcomes. While new mothers could potentially be provided by Preventive Child Health Care services, this is currently not routinely available in the Netherlands. The purpose study was identify facilitators barriers for services. Methods We organized four focus groups which physicians nurses, related health professionals policymakers participated. A semi-structured interview...
Background Most parents with young children pay routine visits to Well-Baby Clinics, or so-called Preventive Child Health Care (PCHC) services. This offers a unique opportunity promote and deliver interconception care. study aimed integrate such care perform an implementation evaluation. Methods In seven Dutch municipalities, PCHC professionals were instructed discuss the possibility of consultation during each six-months well-baby visit. The primary outcome this was coverage intervention,...
The Dutch Obstetric Telephone Triage System (DOTTS) was developed to improve the quality of acute obstetric care. To achieve optimal effect, DOTTS should be adopted in daily care process by triage staff.The primary aim evaluate degree implementation (ie, normalization) DOTTS, and secondary which lessons can learned from its current hospitals.An evaluation study with a mixed methods design performed. All staff 9 hospitals that implemented before September 1, 2019, were invited complete...
The COVID-19 pandemic and associated lockdowns disrupted health care worldwide. High-income countries observed a decrease in preterm births during lockdowns, but maternal pregnancy-related outcomes were also likely affected. This study investigates the effect of first lockdown (March-June 2020) on provision maternity Netherlands.
Preconception care (PCC) is prior to conception optimize parental health, and health of the future child, through biomedical behavioral changes. Providing PCC all women with a wish conceive will improve perinatal health. especially important for chronic disease, such as inflammatory bowel disease (IBD) rheumatic diseases (RD). At present not part routine these women. The aim this study identify facilitators barriers on patient professional level regarding provision in IBD RD.An explorative...
Handover of care has been internationally acknowledged as an important aspect in patient safety. Families who are vulnerable due to low socio-economic status, a language barrier or poor health skills, benefit especially from decent handover one healthcare professional another. The primary midwifery and maternity Preventive Child Healthcare (PCHC) is not always successful, case families.Obtaining insight providing recommendations for the proces information by care, PCHC Netherlands.A...
Purpose: To evaluate the effects of preconception care (PCC) consultations by change in lifestyle behaviors. Setting and Intervention: Women deprived neighborhoods 14 Dutch municipalities were encouraged to visit a general practitioner or midwife for PCC. Sample: The study included women aged 18 41 years who had PCC consultation. Design: In this community-based prospective cohort study, we assessed initiation folic acid supplementation, cessation smoking, alcohol consumption, illicit drug...
To determine the effectiveness of a client or care-provider strategy to improve implementation external cephalic version.Cluster randomized controlled trial.Twenty-five clusters; hospitals and their referring midwifery practices randomly selected in Netherlands.Singleton breech presentation from 32 weeks gestation onwards.We clusters (written information leaflets decision aid), (1-day counseling course focused on knowledge skills), combined care-as-usual strategy. We performed an...