ArticleBMC pregnancy and childbirth2015
Differences in perinatal morbidity and mortality on the neighbourhood level in Dutch municipalities: a population based cohort study.
Article in BMC pregnancy and childbirth, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinical practice guidelines for the antenatal management of dichorionic diamniotic twin pregnancies: a systematic review.BMC pregnancy and childbirth · 2023Pooled it
- Beyond cut-offs: gestational age-specific perinatal mortality across the birthweight-for-gestational-age continuum-a population-based cross-sectional study.European journal of pediatrics · 2026Article
- The magnitude and population burden of educational inequalities in adverse birth outcomes.Scientific reports · 2026Article
- Building Cross-sectoral Collaborations to Address Perinatal Health Inequities: Insights From the Dutch Healthy Pregnancy 4 All-3 Program.International journal of health policy and management · 2024Article
- Complexity and interplay of faced adversities and perceived health and well-being in highly vulnerable pregnant women-the Mothers of Rotterdam program.BMC public health · 2023Article
- Patient-Reported Outcome and Experience Measures in Perinatal Care to Guide Clinical Practice: Prospective Observational Study.Journal of medical Internet research · 2022Observational
- Association of neighbourhood socioeconomic trajectories with preterm birth and small-for-gestational-age in the Netherlands: a nationwide population-based study.The Lancet regional health. Europe · 2021Article
- Association Between Income and Perinatal Mortality in the Netherlands Across Gestational Age.JAMA network open · 2021Article
- Magnitude and Determinants of Adverse Perinatal Outcomes in Tefera Hailu Memorial Hospital, Sekota Town, Northern Ethiopia.Global pediatric health · 2021Article
- Independent contributions of family and neighbourhood indicators of socioeconomic status and migrant status to risk of mental health problems in 4-12 year old children.SSM - population health · 2020Article
- Decreasing trend in preterm birth and perinatal mortality, do disparities also decline?BMC public health · 2020Article
- Persisting inequalities in birth outcomes related to neighbourhood deprivation.Journal of epidemiology and community health · 2020Article
- Non-invasive Fetal Electrocardiography for Intrapartum Cardiotocography.Frontiers in pediatrics · 2020Article
- Targeted social care for highly vulnerable pregnant women: protocol of the Mothers of Rotterdam cohort study.BMJ open · 2018Article
- Geographical differences in perinatal health and child welfare in the Netherlands: rationale for the healthy pregnancy 4 all-2 program.BMC pregnancy and childbirth · 2017Article
- Estimating the need for inpatient neonatal services: an iterative approach employing evidence and expert consensus to guide local policy in Kenya.BMJ global health · 2017Review
- Spatial Approach of Perinatal Mortality in São Paulo State, 2003-2012.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2016Article
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5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn a national perinatal health programme, we observed striking heterogeneity in the explanation of the most prominent risks across municipalities. Therefore we explored the separate contribution of several socio-demographic risks on perinatal health inequalities between municipalities and neighbourhoods. The study aims to identify perinatal health inequalities on the neighbourhood level across the selected municipalities, and to objectify the contribution of socio-demographic risk factors on pregnancy outcomes in each municipality by the application of the population attributable risk concept.
methodsPopulation based cohort study (2000-2008). Perinatal outcomes of 352,407 single pregnancies from 15 municipalities were analysed. Odds ratios and population attributable risks were calculated. Main outcomes were combined perinatal morbidity (small-for-gestational age, preterm birth, congenital anomalies, and low Apgar score), and perinatal mortality.
resultsPerinatal health inequalities existed on both the municipal and the neighbourhood level. In municipalities, combined perinatal morbidity ranged from 17.3 to 23.6%, and perinatal mortality ranges from 10.1 to 15.4‰. Considerable differences in low socio-economic status between municipalities were apparent, with prevalences ranging from 14.4 to 82.5%. In seven municipalities, significant differences between neighbourhoods existed for perinatal morbidity (adjusted OR ranging from 1.33 to 2.38) and for perinatal mortality (adjusted OR ranging from 2.06 to 5.59). For some municipalities, socio-demographic risk factors were s a strong predictor for the observed inequalities, but in other municipalities these factors were very weak predictors. If all socio-demographic determinants were set to the most favourable value in a predictive model, combined perinatal morbidity would decrease with 15 to 39% in these municipalities.
conclusionsSubstantial differences in perinatal morbidity and mortality between municipalities and neighbourhoods exist. Different patterns of inequality suggest differences in etiology. Policy makers and healthcare professionals need to be informed about their local perinatal health profiles in order to introduce antenatal healthcare tailored to the individual and neighbourhood environment.
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