Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

The Dutch obstetric intervention study--variations in practice patterns

M H Heres1, M Pel, P M Elferink-Stinkens

  • 1Department of Obstetrics and Gynecology, University of Amsterdam, Academic Medical Center, The Netherlands.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|August 1, 1995
PubMed
Summary

Obstetric intervention rates varied significantly among Dutch hospitals, with notable differences in cesarean section rates for non-vertex twins and breech births. This highlights considerable interhospital variation in obstetric care practices.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Abortion in amsterdam.

Population studies·2011
Same author

Rise in maternal mortality in the Netherlands.

BJOG : an international journal of obstetrics and gynaecology·2009
Same author

Maternal mortality and serious maternal morbidity in Jehovah's witnesses in The Netherlands.

BJOG : an international journal of obstetrics and gynaecology·2009
Same author

Start of induction of labour with oxytocin in the morning or in the evening. A randomised controlled trial.

BJOG : an international journal of obstetrics and gynaecology·2009
Same author

[Infant mortality and births in the 19th and early 20th centuries].

Nederlands tijdschrift voor geneeskunde·2009
Same author

Trends in obstetric interventions in the Dutch obstetrical care system in the period 1993-2002.

European journal of obstetrics, gynecology, and reproductive biology·2006

Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Health Services Research

Background:

  • Variations in obstetric intervention rates can impact maternal and neonatal outcomes.
  • Understanding interhospital differences is crucial for standardizing care and improving quality in secondary obstetric care.

Purpose of the Study:

  • To compare obstetric intervention rates across Dutch hospitals.
  • To identify variations in the application of interventions for medium- and high-risk pregnancies.

Main Methods:

  • Analysis of 28,934 hospital births from a stratified random sample of Dutch hospitals in 1990.
  • Utilized data from the Netherlands Perinatal Database for secondary care births.
  • Compared intervention rates, including cesarean sections and episiotomies, between hospitals.

Related Experiment Videos

Main Results:

  • Significant interhospital variation in obstetric intervention rates was observed.
  • Cesarean section rates for non-vertex first twins ranged from 0% to 100% (mean 47.6%).
  • Mean rates for cesarean section in term breech (30.8%) and episiotomy in term breech (71.5%) also showed wide disparities.

Conclusions:

  • Dutch hospitals exhibit relatively low overall obstetric intervention rates.
  • Considerable variation exists between hospitals in the implementation of obstetric interventions.
  • Further investigation is warranted to understand the drivers of this interhospital variation.