Wilma M Monincx

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OBJECTIVE To compare safety and cost-effectiveness of domiciliary antenatal fetal monitoring (cardiotocography and obstetric surveillance) with in-hospital monitoring in high-risk pregnancies. METHODS From September 1992 to June 1994, 150 consecutive women with high-risk pregnancies, who would otherwise be monitored in the hospital, entered a randomized(More)
OBJECTIVE To assess maternal health outcome, comparing high-risk pregnant women to either domiciliary monitoring or in-hospital monitoring, and a low risk pregnant group. DESIGN Paper and pencil questionnaire, distributed antenatal and 8 weeks after the delivery. SETTING A university hospital. SUBJECTS Three groups: 130 high-risk pregnant women, who(More)
OBJECTIVE Is domiciliary antenatal fetal surveillance for selected high risk pregnancies, a feasible alternative for hospital admission? DESIGN A randomized controlled trial conducted at the Academical Medical Centre, Amsterdam, The Netherlands. SUBJECTS Between September 1992 and June 1994, 76 women were at random allocated to domiciliary care and 74(More)
OBJECTIVE  To perform an external validation and direct comparison of published prognostic models for early prediction of the risk of gestational diabetes mellitus, including predictors applicable in the first trimester of pregnancy. DESIGN  External validation of all published prognostic models in large scale, prospective, multicentre cohort study. (More)
INTRODUCTION Persistent retroversion of a gravid uterus (incarceration) in the third trimester is an extremely rare diagnosis and is only scarcely been described. Its prevalence may lead to increased foetal mortality and maternal morbidity. CASE PRESENTATION We present a case where a 35-year-old patient had undiagnosed (recurrent) uterine incarceration at(More)
OBJECTIVE To assess the interobserver reliability of the neurological optimality score. STUDY DESIGN The neurological optimality score of 21 full term healthy, neurologically normal newborn infants was determined by two well trained observers. RESULTS The interclass correlation coefficient was 0.31. Kappa for optimality (score of 58 or higher) was 0.19.(More)
Even if there is a weak association between vasectomy and subsequent prostate cancer, we believe that large-scale studies on this question should be of low priority in developing countries where vasectomy is widely practised and where the incidence of prostate cancer is low. Arguments to justify this point of view are presented.
Valuations may be sensitive to biases, especially if elicited alongside randomized clinical trials. We investigated the construction of valuations assigned by women who entered a randomized clinical trial and were allocated to in-hospital or domiciliary monitoring. Women assigned valuations (0-10 visual analogue scale) to the strategy they had been(More)
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