Abstract
Trends in determinants of perinatal death in the Netherlands Perinatal death is een important indicator of quality of care. The trend in perinatal death is influenced by is a large set of interacting determinants. Maternal characteristics (such as medical history, life style and social circumstances), neonatal characteristics (preterm birth, small for gestational age, congenital malformations) and characteristics related to care play a role. In the Netherlands the prevalence of perinatal death decreased further during the last years. This does not mean that the trend in all determinants is also decreasing. Determinants that have improved are the survival of preterm birth and the number of women smoking during pregnancy. On the other hand we see an increase in the number of obese women, and the still slightly increasing prevalence of pregnancies among women of 35 years and older, and among non-western migrant women. Besides medical solution and integration of care, primary prevention before and during pregnancy to improve the health of parents (to be) and their baby’s is important because of the relation between life style, suboptimal social circumstances and adverse pregnancy outcome.
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