12 documents found, page 1 of 2
Using Robson's Ten-Group Classification System for comparing caesarean section ...
Zeitlin, J; Durox, M; Macfarlane, A; Alexander, S; Heller, G; Loghi, M; Nijhuis, J; Sól ólafsdóttir, H; Mierzejewska, E; Gissler, M; Blondel, BCorrigendum: https://obgyn.onlinelibrary.wiley.com/doi/10.1111/1471-0528.17308 Objective Robson's Ten Group Classification System (TGCS) creates clinically relevant sub-groups for monitoring caesarean birth rates. This study assesses whether this classification can be derived from routine data in Europe and uses it to analyse national caesarean rates. Design Observational study using routine data. Setting Twent...
Producing valid statistics when legislation, culture and medical practices diff...
Smith, LK; Blondel, B; Zeitlin, J; Euro-Peristat Scientific Committee; Barros, HPerinatal mortality is a major population health indicator conveying important signals about the state of maternity care and measures of the current and future health of mothers and newborns. International comparisons are used to encourage countries to improve their perinatal health and health systems. However, extensive evidence highlights methodological challenges to ensuring valid and robust comparisons, as ...
Mode of delivery and mortality and morbidity for very preterm singleton infants...
Schmidt, S; Norman, M; Misselwitz, B; Piedvache, A; Huusom, LD; Varendi, H; Barros, H; Cammu, H; Blondel, B; Dudenhausen, J; Zeitlin, J; Weber, TObjective Caesarean section (CS) may reduce mortality and morbidity for very preterm breech infants, but evidence is inconclusive. We evaluated neonatal outcomes for singleton breech infants by mode of delivery in a European cohort. Study design Data come from the EPICE population-based cohort of very preterm births in 19 regions in 11 European countries (7770 live births). The study population was singleton sp...
Low breastfeeding continuation to 6 months for very preterm infants: A European...
Bonnet, C; Blondel, B; Piedvache, A; Wilson, E; Bonamy, AE; Gortner, L; Rodrigues, C; van Heijst, A; Draper, ES; Cuttini, M; Zeitlin, JBreastfeeding confers multiple benefits for the health and development of very preterm infants, but there is scarce information on the duration of breastfeeding after discharge from the neonatal intensive care unit (NICU). We used data from the Effective Perinatal Intensive Care in Europe population‐based cohort of births below 32 weeks of gestation in 11 European countries in 2011–2012 to investigate breastfee...
Perinatal health monitoring through a European lens: eight lessons from the Eur...
Zeitlin, J; Alexander, S; Barros, H; Blondel, B; Delnord, M; Durox, M; Gissler, M; Hindori-Mohangoo, AD; Hocquette, A; Szamotulska, K; Macfarlane, An/a
Duration and Time Trends in Hospital Stay for Very Preterm Infants Differ Acros...
Maier, RF; Blondel, B; Piedvache, A; Misselwitz, B; Petrou, S; Van Reempts, P; Franco, F; Barros, H; Gadzinowski, J; Boerch, K; van Heijst, AObjectives: To compare duration and changes over time in length of hospital stay for very preterm and extremely preterm infants in 10 European regions. Design: Two area-based cohort studies from the same regions in 2003 and 2011/2012. Setting: Ten regions from nine European countries. Patients: Infants born between 22 + 0 and 31 + 6 weeks of gestational age and surviving to discharge (Models of Organising Acces...
Quantifying the burden of stillbirths before 28 weeks of completed gestational ...
Smith, LK; Hindori-Mohangoo, AD; Delnord, M; Durox, M; Szamotulska, K; Macfarlane, A; Alexander, S; Barros, H; Gissler, M; Blondel, B; Zeitlin, JBackground International comparisons of stillbirth allow assessment of variations in clinical practice to reduce mortality. Currently, such comparisons include only stillbirths from 28 or more completed weeks of gestational age, which underestimates the true burden of stillbirth. With increased registration of early stillbirths in high-income countries, we assessed the reliability of including stillbirths befor...
Variability in the management and outcomes of extremely preterm births across f...
Smith, LK; Blondel, B; Van Reempts, P; Draper, ES; Manktelow, BN; Barros, H; Cuttini, M; Zeitlin, JObjective: To explore international variations in the management and survival of extremely low gestational age and birthweight births. Design Area-based prospective cohort of births: Setting 12 regions across Belgium, France, Italy, Portugal and the UK. Participants: 1449 live births and fetal deaths between 22+0 and 25+6 weeks gestation born in 2011–2012. Main outcome measures: Percentage of births; recorded l...
Can the Apgar Score be Used for International Comparisons of Newborn Health?
Siddiqui, A; Cuttini, M; Wood, R; Velebil, P; Delnord, M; Zile, I; Barros, H; Gissler, M; Hindori-Mohangoo, AD; Blondel, B; Zeitlin, JBackground: The Apgar score has been shown to be predictive of neonatal mortality in clinical and population studies, but has not been used for international comparisons. We examined population-level distributions in Apgar scores and associations with neonatal mortality in Europe. Methods: Aggregate data on the 5 minute Apgar score for live births and neonatal mortality rates from countries participating in the...
Use of evidence based practices to improve survival without severe morbidity fo...
Zeitlin, J; Manktelow, BN; Piedvache, A; Cuttini, M; Boyle, E; van Heijst, A; Gadzinowski, J; van Reempts, P; Huusom, L; Weber, T; Schmidt, S; Barros, HObjectives To evaluate the implementation of four high evidence practices for the care of very preterm infants to assess their use and impact in routine clinical practice and whether they constitute a driver for reducing mortality and neonatal morbidity. Design Prospective multinational population based observational study. Setting 19 regions from 11 European countries covering 850 000 annual births participati...