Marianne P Amelink-Verburg

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OBJECTIVE To compare perinatal mortality and severe perinatal morbidity between planned home and planned hospital births, among low-risk women who started their labour in primary care. DESIGN A nationwide cohort study. SETTING The entire Netherlands. POPULATION A total of 529,688 low-risk women who were in primary midwife-led care at the onset of(More)
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 midwifery(More)
OBJECTIVE To assess the nature and outcome of intrapartum referrals from primary to secondary care within the Dutch obstetric system. DESIGN Descriptive study. SETTING Dutch midwifery database (LVR1), covering 95% of all midwifery care and 80% of all Dutch pregnancies (2001-03). POPULATION Low-risk women (280,097) under exclusive care of a primary(More)
BACKGROUND This study aimed to perform a structural analysis of determinants of risk of critical incidents in care for women with a low risk profile at the start of pregnancy with a view on improving patient safety. METHODS We included 71 critical incidents in primary midwifery care and subsequent hospital care in case of referral after 36 weeks of(More)
OBJECTIVE To assess the level of suboptimal care prior to cases of perinatal death and the extent to which perinatal mortality can be reduced by further improvements in care. DESIGN Retrospective panel audit investigation. METHOD Cases of perinatal death occurring in 1996 and 1997 among women living in the region Zuid-Holland-Noord, the Netherlands,(More)
OBJECTIVE To evaluate a perinatal audit procedure by communicating the results to the caregivers (midwives and obstetricians) involved, in order to determine whether the audit led to specific suggestions for improving practice and whether evaluation of the panel assessments by caregivers leads to a different evaluation of the audit process. DESIGN(More)
BACKGROUND A European concerted action (the EuroNatal study) investigated differences in perinatal mortality between countries of Europe. This report describes the methods used in the EuroNatal international audit and discusses the validity of the results. METHODS Perinatal deaths between 1993 and 1998 in regions of ten European countries were identified.(More)
INTRODUCTION In the Dutch maternity care system, the role division between independently practising midwives (who take care of normal pregnancy and childbirth) and obstetricians (who care for pathologic pregnancy and childbirth) has been established in the so-called "List of Obstetric Indications"(LOI). The LOI designates the most appropriate care provider(More)
OBJECTIVE To identify a set of indicators for monitoring the quality of maternity care for low-risk women provided by primary care midwives and general practitioners (GPs) in the Netherlands. DESIGN A Project Group (midwives, GPs, policymakers and researchers) defined a long list of potential indicators based on the literature, national guidelines and(More)
In this paper the concepts, objectives, design, and data analysis procedures of the EuroNatal study are described. This study started in 1996 and is a concerted action including 14 countries in Europe. The EuroNatal study aims at determining the validity of national perinatal mortality rates as an outcome indicator for the quality of antenatal and perinatal(More)