ArticleBMC pregnancy and childbirth2017
Geographical differences in perinatal health and child welfare in the Netherlands: rationale for the healthy pregnancy 4 all-2 program.
Article in BMC pregnancy and childbirth, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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Who cites it
31 citing papers in PubMed, 56 citations in OpenAlex.
- Risk-guided maternity care to enhance maternal empowerment postpartum: A cluster randomized controlled trial.PloS one · 2020Trial
- Non-smoker and smoker identity related to mother-identity among (pre)pregnant women before and after participating in a smoking cessation intervention.Maternal health, neonatology and perinatology · 2025Article
- Improving complex health systems and lived environments for maternal and perinatal well-being in urban sub-Saharan Africa: the UrbanBirth Collective.Journal of global health · 2025Article
- Maternal health agency in women with a low socioeconomic status: a qualitative study.International journal of qualitative studies on health and well-being · 2024Article
- The extent of implementation and perceptions of maternity and social care professionals about two interprofessional programs for care for pregnant women: a mixed methods study.BMC pregnancy and childbirth · 2024Article
- Stimulating Preconception Care Uptake by Women With a Vulnerable Health Status Through a Mobile Health App (Pregnant Faster): Pilot Feasibility Study.JMIR human factors · 2024Article
- 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
- The Dutch Solid Start program: describing the implementation and experiences of the program's first thousand days.BMC health services research · 2023Article
- Stimulating the Uptake of Preconception Care by Women With a Vulnerable Health Status Through mHealth App-Based Nudging (Pregnant Faster): Cocreation Design and Protocol for a Cohort Study.JMIR research protocols · 2023Article
- Impact of the EURO-PERISTAT Reports on obstetric management: a difference-in-regression-discontinuity analysis.European journal of public health · 2023Article
- Defining vulnerability subgroups among pregnant women using pre-pregnancy information: a latent class analysis.European journal of public health · 2023Article
- 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
- Creating a sense of urgency and provoking action - An example on the use of heat maps to address perinatal health inequalities.Preventive medicine reports · 2022Article
- Preferences of women with a vulnerable health status towards nudging for adequate pregnancy preparation as investment in health of future generations: a qualitative study.BMC pregnancy and childbirth · 2022Article
- An innovative postnatal risk assessment and corresponding care pathways in Preventive Child Healthcare.Journal of advanced nursing · 2022Article
- Associations between Socio-Economic Status and Unfavorable Social Indicators of Child Wellbeing; a Neighbourhood Level Data Design.International journal of environmental research and public health · 2021Article
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- Health Agency and Perfectionism: The Case of Perinatal Health Inequalities.Public health ethics · 2021Article
- Smoke and Alcohol Free with EHealth and Rewards (SAFER) pregnancy study: a before-after study protocol.NPJ primary care respiratory medicine · 2020Article
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Authors and funding
11 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundGeographical inequalities in perinatal health and child welfare require attention. To improve the identification, and care, of mothers and young children at risk of adverse health outcomes, the HP4All-2 program was developed. The program consists of three studies, focusing on creating a continuum for risk selection and tailored care pathways from preconception and antenatal care towards 1) postpartum care, 2) early childhood care, as well as 3) interconception care. The program has been implemented in ten municipalities in the Netherlands, aiming to target communities with a relatively disadvantageous position with regard to perinatal and child health outcomes. To delineate the position of the ten participating municipalities, we present municipal and regional differences in the prevalence of perinatal mortality, perinatal morbidity, children living in deprived neighbourhoods, and children living in families on welfare.
methodsData on all singleton births in the Netherlands between 2009 and 2014 were analysed for the prevalence of perinatal mortality and morbidity. In addition, national data on children living in deprived neighbourhoods and children living in families on welfare between 2009 and 2012 were analysed. The prevalence of these outcomes were calculated and ranked for 62 geographical areas, the 50 largest municipalities and the 12 provinces, to determine the position of the municipalities that participate in HP4All-2.
resultsConsiderable geographical differences were present for all four outcomes. The municipalities that participate in HP4All-2 are among the 25 municipalities with the highest prevalence of perinatal mortality, perinatal morbidity, children living in deprived neighbourhoods, or children in families on welfare.
conclusionThis study illustrates geographical differences in perinatal health and/or child welfare outcomes and demonstrates that the HP4All-2 program targets municipalities with a relative unfavourable position. By targeting these municipalities, the program is expected to contribute most to improving the care for young children and their mothers at risk, and hence to reducing their risks and health inequalities.
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