Jos van Roosmalen

Learn More
OBJECTIVE To assess incidence, case fatality rate, risk factors and substandard care in severe maternal morbidity in the Netherlands. DESIGN Prospective population-based cohort study. SETTING All 98 maternity units in the Netherlands. POPULATION All pregnant women in the Netherlands. METHODS Cases of severe maternal morbidity were collected during a(More)
OBJECTIVE To determine the level of use of maternal health services and to identify and assess factors that influence women's choices where to deliver in Kalabo District, Zambia. METHODS A cross-sectional descriptive study conducted between 1998 and 2000, with 332 women interviewed using semi-structured questionnaires. Focus group discussions were held(More)
OBJECTIVE To assess incidence of uterine rupture in scarred and unscarred uteri and its maternal and fetal complications in a nationwide design. DESIGN Population-based cohort study. SETTING All 98 maternity units in The Netherlands. POPULATION All women delivering in The Netherlands between August 2004 and August 2006 (n = 371,021). METHODS Women(More)
OBJECTIVE To assess causes, trends and substandard care factors in maternal mortality in the Netherlands. Design Confidential enquiry into the causes of maternal mortality. SETTING Nationwide in the Netherlands. POPULATION 2,557,208 live births. METHODS Data analysis of all maternal deaths in the period 1993-2005. MAIN OUTCOME MEASURES Maternal(More)
OBJECTIVE To audit intrapartum fetal and early neonatal deaths of infants weighing >or=2000 g in a regional hospital in western Tanzania. METHODS The 3-delays methodology was applied to a cohort of perinatal deaths from July 2002 to July 2004. RESULTS The overall perinatal mortality rate in the hospital was 38 per 1000 live births, and in just over half(More)
OBJECTIVE The purpose of this study was to assess the incidence, case fatality rates, and risk factors of peripartum hysterectomy and arterial embolization for major obstetric hemorrhage. STUDY DESIGN This was a 2-year prospective nationwide population-based cohort study. All pregnant women in the Netherlands during the same period acted as reference(More)
OBJECTIVE To assess the quality of partograms used to monitor labor in Dar es Salaam hospitals, Tanzania. METHODS The study team reviewed the records of the parameters of labor, and maternal and fetal conditions in 367 partograms, and interviewed 20 midwives. RESULTS All midwives interviewed had been previously trained to use the partogram. Of all(More)
PURPOSE OF REVIEW Sepsis is a major cause of maternal death worldwide. Little is known on the incidence of severe maternal morbidity related to sepsis. In this review, we focus on new findings concerning epidemiology, etiology and outcome of maternal sepsis in low-income as well as high-income countries. RECENT FINDINGS It is estimated that puerperal(More)
OBJECTIVES This study measured the prevalence of self-reported infertility, as well as the level of knowledge of causes of infertility. Infertility was defined as failure to achieve conception after a minimum of 12 months of exposure. METHODS Prevalence and knowledge of infertility were assessed in a representative community-based survey using a(More)
This study compares two antivenoms used to treat Echis ocellatus snake bite patients at Mathias Hospital, Yeji, central Ghana. FAV-Afrique antivenom (Aventis Pasteur) was given to 278 patients during 2001--2003, whilst Asna Antivenom C (Bharat Serum and Vaccines Ltd) was used in 2004 to treat 66 patients. The two groups had comparable patient attributes,(More)