Women at the
Centre of Care 2015
November 10, 2015
It is my great pleasure to speak to you at the completion of a five-year term as Professor of Midwifery Science at VU University. During my tenure in this esteemed position I have had the opportunity to discuss ideas and work with colleagues from many research and practice specialties; to work with other research mentors in supervising students; to interface with members of professional organisations; as well as having the great satisfaction of advising PhD students. Four of the PhD students under my direct supervision have completed their studies and successfully defended their thesis within the last 14 months; 3 students are still in progress – all are making a contribution to the evidence that underpins the practice of the midwifery profession.
The Department of Midwifery Science in the EMGO Institute at VUmc has established itself and has a very successful and productive academic program of research. This rigorous research department has contributed to the knowledge base that will improve outcomes for women and newborns in the Netherlands and around the world. The DELIVER study alone has contributed more than 50 papers to inform best care for women and infants. The Midwifery Science department has grown from three senior researchers and three PhD students in 2010 to one associate professor, four senior researchers and 14 PhD students – with 5 who successfully defended their thesis in the last year. The work of the department of Midwifery Science at VUmc is now well established and will most certainly continue.
My Midwifery Professorship has also opened many doors to me personally and led to collaboration – with midwives, obstetricians, with other researchers and with the professional midwifery association. These partnerships have been interesting and productive and have resulted in opportunities for researching and publishing together, mentoring and knowledge translation.
SOME CONTRIBUTIONS OF MIDWIFERY SCIENCE
The DELIVER Study has been a remarkable success. It is rare for an individual study to result in such a quantity of new knowledge as was and continues to be the case in the DELIVER study. We have heard today from several of our Midwifery Science PhD graduates as they provided practice implications of their research. The DELIVER Study is significant in its depth and breath of exploration and in the importance of its findings. Studies have provided very specific direction for example in how testing for chlamydia in the Netherlands could be improved; about gaps in knowledge of midwives with regards to infectious disease; about how counselling of couples on prenatal screening and diagnostic tests can be improved; about what midwives feel about working in the future; and about what women think could be different about their care.
Findings from DELIVER have informed the way midwives provide prenatal and infection screening information, and made recommendations for improvements. Our research has considered the specific needs of Muslim women in terms of prenatal screening and reported that women want accurate and detailed information about anomalies that can be detected on tests. Muslim women informed us that making a decision can take time and that they wanted the opportunity to take time, use their own resources and do their own research. They recommended that midwives should respect every woman. We have studied barriers to care among immigrant women. These findings provide explicit direction to midwives and to midwifery students to improve care. Other research from our department identified that midwives are not adequately screening for infectious diseases and recommends that midwives know risk factors associated with Chlamydia infection in order to adequately plan screening for women at increased risk. We found that midwives and pregnant women, as well the partners of pregnant women, showed positive attitudes towards universal testing for chlamydia. In terms of NTD prevention, we report that in the DELIVER study 2009-10 only 56% of women use of folic acid for prevention of neural tube defects, despite a government goal that 70% of pregnant women would be taking folic acid supplements by 2010. At this moment, there is not national plan for pre-conception planning/care, and women typically reach midwives too late for initiating effective NTD prevention with folic acid.
All of these and the other study findings are important. The DELIVER project findings, if acted on can make a difference in the quality of care to women.
Collaboration of Midwifery Science and AVAG
VUmc Midwifery Science and AVAG are inextricably linked. Since the outset of the Midwifery Science Department, every effort has been made to ensure visibility of the Department at the AVAG midwifery academies – both in Amsterdam and in Groningen. The educational program at AVAG has successfully revised their curriculum to enhance the emphasis on evidence-based practice. In addition, midwifery students are required to participate in research projects to promote an understanding of the research process and to ensure that they understand the importance and the pros and cons of participating in research or asking their clients to participate when they are practicing. Midwifery Science researchers and PhDs have contributed to both classroom teaching and to supervising midwifery student research. AVAG has moved forward with the academisation of their curriculum with the goal of seeing midwives undertake their study in the setting with their medical peers – thus transitioning to an academic midwifery program. This will be a critical step in maintaining the standard of maternity care that women in the Netherlands deserve. Care during pregnancy and birth has become, and will likely continue to become more complex. There are more preventative managements to help ensure a healthy outcome such as induction of labour for post-dates
pregnancy, augmentation of a slow to progress labour. Primary care midwives of the Netherlands need to build their skill set to include these preventative approaches. Prenatal care now involves screening of the fetus, and counselling and explaining of various associated risks and benefits. Midwives are required to have a high level of understanding of normal physiology, and of complications, and need to have sophisticated communication skills in order to enter into discussions with peers, with consultants and with the women and families that they care for. All of this speaks to the need for an education at an academic level, undertaken along side their medical peers.
Dutch Canadian relationships
Over the 5 years of my Professorship, a primary focus has been working with the PhD students of the DELIVER study. During my many working visits I had the opportunity to meet with each of my PhD students and their thesis committees to mentor and move their projects forward. I hope that these meetings and discussions were helpful, and feel like I have a good outcome measure… all 4 Midwifery Science PhD graduates whom I supervised have had all their research articles published in relevant peer-reviewed international journals – AND they have successfully defended their work! The remaining 3 students are making good progress. During my visits I held twice yearly "promevendi dagen" for my PhD students –and for other midwifery PhD students who had different supervision arrangements and were within and outside of the VUmc Department of Midwifery Science. Research is lonely work and these meetings offer the opportunity for students to meet and build peer relationships; to bring particular challenges of their work forward; to share "lessons learned"; and as time went by, for those who were more advanced in their studies to provide learning strategies with those starting out. These one-day workshops were a highlight of my visits and I believe they were highly successful in building a system of peer mentoring. I am very pleased to learn that the "promovendi dagen" will continue after my tenure. (about 7 minutes)
In terms of my personal research interests, I feel very lucky to have been approached by clinician researchers in the Netherlands to participate on projects. More than 10 publications have resulted from such collaborations on topics including external cephalic version, umbilical cord clamping and sterile water injections. In terms of knowledge translation, I have been invited to present at workshops on sterile water injection, on twin pregnancy, on primary care and other topics relevant to midwifery clinical practice. All these activities have provided me with the opportunity to do what I love, and to enrich my professional life.
I have also been able to welcome many of the students, teachers and researchers on visits to my home university - McMaster University, in Hamilton, Ontario Canada. During their visits we have had the opportunity to exchange ideas between our jurisdictions on education, research and practice. The most recent visit was organised by a group of 14 midwives from various midwifery practices in the Netherlands who came to Hamilton in June 2015, for a one week "Canadian midwifery intensive". This visit was initiated by former KNOV president, Angela Verbeeten, who worked with McMaster faculty and practicing community midwife, Patricia McNiven.
Community midwives in Hamilton billeted visiting Dutch midwives who spent time at the university, in midwifery practices, visiting birth settings including hospitals and birth centres. Highlights included the visit to McMaster University Midwifery Program, and in particular the anatomy lab – a world class facility; a visit to the aboriginal community of Six Nations of the Grand to visit the maternity care and birth centre; discussions at the Association of Ontario Midwives and the regulatory College of Midwives of Ontario; and a research and educational symposium with presentations from Dutch and Canadian midwives. The symposium acted to enhance the long-established bond between our midwifery communities and was well attended and enjoyed by Ontario community midwives, educators and students. Perhaps the most significant outcome of this visit is the formation of the "Hamilton Group" of midwives here in the Netherlands who are exploring ways to implement some of the ideas that they were exposed to in Canada. Ideas such as improving continuity of care for women by limiting the number of midwives that each woman sees
during her care; expanding aspects of primary care to include, not just providing care in the absence of pathology, but taking steps to prevent pathology; shifting to providing informed choice to women by providing counselling as opposed to simply information giving. The hosting Canadian midwives were also inspired by their Dutch colleagues, and it is likely that an exchange visit will occur in the future.
So, my Professorship has led to many rich and fruitful experiences.
Midwives within the Dutch birthing context
The "Dutch Midwifery Situation"
In my inaugural speech, I addressed some of the challenges that were being faced by midwives in 2010. In the years immediately prior to my appointment to Professor of Midwifery Science, the midwifery profession, and particularly midwifery attended home birth was much maligned in the Dutch media. On two successive occasions the Europeristat project reported higher than expected perinatal mortality rates in the Netherlands relative to other European Union countries. Both the media and peer-reviewed journal publications emerged that attributed these findings to the obvious difference in the Dutch Maternity Care system – midwife attended home birth. Criticism of other aspects of primary midwifery care and the echelon system emerged. "Baby Sterfte", "thuis bevallen", "verloskundigen" made headlines -- all with negative connotations. These headlines were being echoed internationally. For example, the British Broadcasting Corporation headline in December 2010 stated, "Controversy over home births in the Netherlands: A debate is raging about where women should give birth".
Where are we 5 years later? Many initiatives have been undertaken to address the "Dutch Problem" – inter-professional mortality reviews are being undertaken to identify specific issues; an interprofessional council to focus on pregnancy and childbirth has been established; a number of birth related studies have been funded, including projects to study birth outcomes in the areas of highest socio-economic need. A number of birth centres have opened and are in the process of being evaluated. Integrated care is being implemented in various sites around the country, and these will be evaluated using common evaluation criteria. All of these approaches are likely to contribute to changing the construct of giving birth in the Netherlands. Thus the maternity care system in the Netherlands is changing in response to Europeristat alarm. And we are seeing evidence of that change. More women are giving birth in hospitals; more women are requesting pain management during their births; more midwives are working in secondary care (clinical midwives).
However it is unclear whether these changes have resulted, or will result, in improved care and outcomes for mothers and babies….it is unclear if the changes can address factors contributing to perinatal mortality. Our publication in 2014 showed that the largest differences in perinatal mortality in the Netherlands compared to other EU countries lies in the preterm and particularly the very preterm populations.2 There are some reasons why these rates in the Netherlands might be different from other countries – there is a higher rate of perinatal mortality among women who have recently immigrated, and the Netherlands has relatively high immigration; there is a lower uptake of early pregnancy prenatal screening in the Netherlands and a higher rate of infants born with anomalies – factors likely to be highly associated. The rate of neural tube defects is high in the Netherlands – and there is no national program of prevention using folic acid.
While it is always important to review practice within health care systems, in the case of perinatal mortality in the Netherlands, it is important to understand the contributing factors and to deliberate the societal views on how to proceed. The biggest gains in improving outcomes will likely come with high level policy change such as funding of early prenatal anomaly screening; implementing public health approaches to folic acid supplementation; considering routine screening in pregnancy for infections such as chlamydia associated with fetal anomalies.
Ironically while the maternity care system here, in the Netherlands, has been scrutinised and with warning signals being sent out about home birth and care with primary care midwives, other jurisdictions are moving to embrace primary midwifery care including home birth as an option for low risk birthing women. On December 3 2014, almost exactly 4 years after the BBC reports alerting viewers to concerns of homebirth in the Netherlands, their headlines stated "Homebirth could be the best option for many women". This headline was based on guidelines from one of the most influential health care institutions internationally – those of the National Institute for Health and Care Excellence or NICE. Despite having perinatal mortality rates for low risk women comparable to the Netherlands, the NICE guidelines indicate that birthing in the UK is very low risk and that care providers should respect women's choice around place of birth.3 Further, women should be advised that their outcomes may be improved by having care from a primary care midwife in the community – either by planning a home birth, or a birth at a freestanding or along-side (in hospital) birthing unit. This guideline reflects the findings of the large birth-place study that was undertaken in the UK.4 It is notable that these guidelines garner support not only from the Royal College of Midwives, but also from the Royal College of Obstetricians and Gynaecologists (RCOG) who emphasise the need to support the choice of women. All organisations were able to review the findings of the Birth Place Study showing that low risk women who planned a birth with midwives had improved outcomes compared to low risk women who chose obstetricians for their care. The absence of professional territorial response to the research is commendable.
These Birth Place Study findings should not be surprising given the body of research literature on primary care indicating that at a population level, when first line care is provided by primary care providers (as opposed to specialists), intervention rates decrease, and health outcome improve.5 Obstetrics is no exception to these findings. It is possible, and even likely that the much higher rates of intervention such as surgical birth observed in countries like Canada (28%) and the United States of America (32%) is associated with the high proportions of low risk women attended by obstetricians. Relatively high rates of obstetrical intervention are found even in settings such as Australia and England where midwives play a large role in the maternity care system, but where they do not typically practice autonomously or in a continuity of care model. This is in comparison to the Netherlands, where midwives provide the majority of care to low risk women, and which is one of the very few countries that would be described as using obstetrical intervention appropriately with a Caesarean section rate of 17%. It is possible that with increased focus on continuity of care within the midwifery model in the Netherlands there could be an associated decrease in pre-term birth. This might be particularly important among populations where preterm birth is particularly high – immigrant women and women with low social economic status. This will be important to investigate as new approaches to care are being explored.
Over the last few year we have witnessed some peer-reviewed papers vindicating primary care midwifery and the home birth outcomes in the Netherlands, with our own Midwifery Science Associate Professor de Jonge as a principle author on many of these. As a result, in 2015, the media headlines are changing: "Thuis bevallen is toch net zo veilig als in het ziekenhuis" and the sub-title "Het was in 2010 (twee thousand tien) groot nieuws: bij de gynaecoloog is een baby veiliger dan bij de verloskundige. Nu is dat weerlegd."
So, in 2015 perhaps it is easier for midwives in the Netherlands to practice; perhaps women feel more positive about giving birth with midwives in the birthplace of their choice. However, in order to ensure best care for women and for babies, it is imperative that the midwifery research that has begun continues. Midwives must not become complacent; we must examine our practice and hold it up against the standards of the day. Equally important is to have midwives undertaking midwifery research so that the right questions get asked, the right methods are used, and the interpretations of the findings are appropriate.
Messages for midwives
It is important to avoid becoming complacent and to remain in a state of watchful waiting. Complacency is easily arrived at. For example, in Canada, in Ontario we have been regulated as midwives for only 22 years – and all midwives do homebirths as part of their care. In fact home birth constitutes between 20-25% of midwives' caseload. Ontario homebirth outcomes have been studied by The McMaster Midwifery Research Group and resulted in one publication in a 2007. The findings (like those of de Jonge here in the Netherlands) found no differences in composite perinatal outcomes for neonates, and were very reassuring. We have just completed a second study of home birth data from Ontario, which has been accepted for publication. To me, this publication felt like a minor achievement, I am happy that the outcomes are reassuring, but I am not surprised. I reflected about the value of undertaking future studies comparing home and hospital birth outcomes. However, in the same week that we got final confirmation of acceptance of the home birth manuscript, I got a copy of an American Journal of Obstetrics and Gynecolgy (AJOG) article suggesting that it is not possible to adequately identify women at low risk during pregnancy and thus women can never be safe to give birth unless they are in a hospital.6 And later that same day I received an email from a colleague who will be an expert witness in a hearing of the European Court of Human Rights speaking against the case that homebirths are a violation of the rights of the foetus. Clearly, my complacency around home birth research was not warranted!
There is no room for complacency in any profession. It is important to revise approaches to care to reflect new evidence as it arises and the changing needs and expectations of individual clients and of society more broadly. Midwifery is not unique in that regard, but somehow much of what we do seems under threat. My colleagues from social science have taught me that birth is very political! We need strong evidence to support the very essence of what we do; supporting women in giving birth. However, it has been only relatively recently that midwives internationally have begun to contribute to the research knowledge base that drives clinical practice. The Netherlands has begun to make a strong contribution to midwifery knowledge creation. Together the Midwifery Association, the Midwifery Academies, midwifery research networks and Midwifery Science have developed the systems to put the Netherlands on the international map in terms of contributing to knowledge that will improve care of women and babies. It will be important to ensure that the research findings that arise from this important work are put into the hands of midwives. The Kennispoort project and other knowledge translation approaches are likely to assist in reaching the care providers who will benefit from the knowledge. There is evidence of good success in KT – for example the highly successful project undertaken by KNOV to bring ECV to women across the Netherlands with breech pregnancies was evaluated and recently reported in the BJOG. On the other hand, initiatives like the sterile water injection for pain management, which has good research to support it, has been unable to be moved forward, because of restrictions on midwifery practice.
Midwives must keep pushing to understand what is effective in clinical care, and to have changes made to the way they practice as a result of the findings of the research. For example, a review paper in the NEJM from September 2015 reports on Prenatal Factors in Singleton infants born at or near Term with Cerebral Palsy. This paper is very clear that CP is rarely associated with fetal asphyxia; that the use of EFM [electronic fetal monitoring] has not been helpful in decreasing the likelihood of CP; that the enormous increase in surgical delivery has had no impact on CP rates and the paper concludes: "Factors that contribute to both birth defects and poor prenatal growth, such as intrauterine infections, teratogens, and certain genetic syndromes, should come under special scrutiny". 7 This seminal paper also points out that many Obstetrical Societies have indicated that "there are no long-term benefits of EFM as currently used".
This paper is a good reason to give pause to consider the direction of maternity care in the Netherlands. Moving more births out of primary care is likely to be associated with increased interventions including increased caesarean section, without particular benefit to neonates, and with increase in harm to women. Furthermore, the rate of birth defects in the Netherlands is higher than in other EU countries – we have evidence from the DELIVER study that can
impact these rates: In her research as part of the DELIVER study, Pereboom focused on some common infections of pregnancy and considered what midwives know about them, what they tell their clients and what their clients know. She identified some clear gaps and has made suggestions as to how these can be filled. The challenge for Midwifery Science, the Midwifery Schools and the KNOV will be to see how these recommendations can be implemented in order to improve care for women and infants. Gitsels and Martin both address aspects of perinatal screening and counselling, in terms of what women wish to know, and how midwives are addressing those needs. Again recommendations were made. It is imperative that we develop the mechanisms to move research findings from the printed pages into midwifery practices in order to take the next step in enhancing care.
It has been 8 years since the first visit by the AVAG team to McMaster University asking about how to develop a program of research – and much has happened since that time. I pay tribute to those who had the vision and the courage to put a plan in place to bring The Netherlands in line with midwifery researchers internationally. And to all of the many who believed in and supported that vision. You have met with great success, and have made a major contribution not only to midwifery knowledge, but also to the health of the profession in the Netherlands. Most importantly you have the capacity to improve care for women and families in the Netherlands.
My decision, not to renew as Professor of Midwifery Science was not for lack of interest in, or stimulation from, the position. It was not from lack of support from my Dutch or my Canadian peers. My role has been part-time with only intermittent visits to the Netherlands, and it is my belief that the position merits someone who is embedded in the Dutch culture – who can remain current in the issues of the day – who can fully understand the subtleties of practice in this environment and who can provide a day-to-day presence. Thus my decision to leave this valued position was based on my belief that, if I were to continue in the position, the full potential of the Professorship position would not be reached. In my opinion I would stand as an impediment and block important opportunities for development of leadership capacity within the Dutch midwifery community. And so, it is with some regret, but with full confidence in Midwifery Science that I take my official leave today.
Let us take this day to celebrate Midwifery Science in the Netherlands, and to recognise the contribution of the many who have contributed to the incredible success of the DELIVER Study, AVAG and the Department of Midwifery Science at VUmc and EMGO+… successes, which will help midwives keep women at the centre of care.
Professor Midwifery Science
VU University, Amsterdam NL
Thank you to Hans Brug in his variety of positions at VUmc for his wisdom and guidance,
To Francois Schellevis and Henriette van der Horst for mentoring me in the ways of Dutch academia,
To Ank de Jonge for moving into a leadership position within the Department and for her excellence in research,
To all of the PhD students who have worked hard and diligently with excellent productivity to show for their efforts,
To Trees Weigers, Sandra van Dulmen, Hans Reinders, Jan Jaap Erwich and Toine Largo-Janssen who have supervised students with me and guided me through the Dutch academic maze,
To Evelien Spelten for her intelligence and for being my cultural consultant and friend,
To Monique Franck and Stephen Groot who are steadfast friends,
To Sonja Bijnhof who has supported me on many levels including Dutch language,
To the AVAG teachers who have always kindly welcomed me to the school and been interested in my work,
To Gea Vermeullen who has led the Midwifery Science department,
To KNOV for support and invitations to participate on projects,
To the AVAG board who has wisely invested in Midwifery Science and thereby in the future of midwifery and best care for women and infants in The Netherlands,
To the midwives of the Netherlands who willingly participated in midwifery research and who provide care to the thousands of women and their babies born here each year,
To the women who participated in the research projects, and finally
To my family and colleagues in Canada who released me from obligations at home, and to the many others who have contributed to my tenure in this professorship position.
1 Manniën, Judith, et al. "Evaluation of primary care midwifery in the Netherlands: design and rationale of a dynamic
cohort study (DELIVER)." BMC health services research 12.1 (2012): 69.
2 de Jonge, Ank, et al. "Severe Adverse Maternal Outcomes among Women in Midwife-Led versus Obstetrician-Led Care
at the Onset of Labour in the Netherlands: A Nationwide Cohort Study." (2015): e0126266.
3 NICE Guideline Place of Birth: https://www.nice.org.uk/guidance/cg190/chapter/1-recommendations#place-of-birth
4 Brocklehurst, Peter, et al. "Perinatal and maternal outcomes by planned place of birth for healthy women with low risk
pregnancies: the Birthplace in England national prospective cohort study." BMJ 343.7840 (2011): d7400.
5 Starfield, Barbara. "Is primary care essential?." The Lancet 344.8930 (1994): 1129-1133.
6 Danilack, Valery A., Anthony P. Nunes, and Maureen G. Phipps. "Unexpected complications of low-risk pregnancies in
the United States." American Journal of Obstetrics and Gynecology 212.6 (2015): 809-e1.
7 Nelson, Karin B., and Eve Blair. "Prenatal Factors in Singletons with Cerebral Palsy Born at or near Term." New England
Journal of Medicine 373.10 (2015): 946-953.
Department of Midwifery Science
of the EMGO Institute for Health and Care
Research at the VU Medical Center and
the AVAG Midwifery Academy Amsterdam
Groningen, the Netherlands
Baas CI, Erwich JJ, Wiegers TA, de Cock TP, Hutton EK.
Feijen-de Jong El, Jansen D, Baarveld F, Spelten ER,
Women's Suggestions for Improving Midwifery Care in The
Schellevis FG, Reijneveld SA. "Determinants of use of care
Netherlands. Birth. 2015 Oct 15. doi: 10.1111/birt.12185. [Epub
provided by complementary and alternative health care
practitioners to pregnant women in primary midwifery care:
a prospective cohort study." BMC Pregnancy and Childbirth
Baron R, Manniën J, te Velde SJ, Klomp T, Hutton EK, Brug
(2015) 15:140 DOI 10.1186/s12884-015-0555-7
J. "Socio-demographic inequalities across a range of health
status indicators and health behaviours among pregnant
Gitsels-van der Wal JT, Martin L, Manniën J, Verhoeven
women in prenatal primary care: a cross-sectional study"
P, Hutton EK, Reinders HS. "Antenatal counselling for
BMC Pregnancy and Childbirth 2015,15:261, DOI: 10.1186/
congenital anomaly tests: Pregnant Muslim Moroccan
s12884-015-0676-z, Published: 13 October 2015
women׳s preferences", Midwifery Volume 31, Issue 3, March
2015, Pages e50–e57, doi:10.1016/j.midw.2015.01.002
Bertran AP, Torloni MR, Zhang JJ, Gulmezoglu AM for the
WHO Working Group on Caesarean Section (includes De Jonge
Hutton EK, Hofmeyr GJ, Dowswell T. External cephalic
A) (2015). WHO Statement on caesarean section rates. British
version for breech presentation before term. Cochrane
Journal of Obstetrics and Gynaecology, Epub 22 July 2015.
Database Syst Rev. 2015 Jul 29;7:CD000084. doi:
Beuckens A, Rijnders M, Verburgt-Doeleman G, Rijninks-
van Driel G, Thorpe J, Hutton E. An observational study of
Hutton EK, Hannah ME, Ross S, Joseph KS, Ohlsson A,
the success and complications of 2546 external cephalic
Asztalos EV, Willan AR, Allen AC, Armson BA, Gafni A, Mangoff
versions in low-risk pregnant women performed by trained
K, Sanchez JJ, Barrett JF; Twin Birth Study Collaborative Group.
midwives. BJOG. 2015 Feb 2. doi: 10.1111/1471-0528.13234.
Maternal outcomes at 3 months after planned caesarean
[Epub ahead of print]
section versus planned vaginal birth for twin pregnancies in
the Twin Birth Study: a randomised controlled trial. BJOG.
Boerleider AG, Mannien J, Stenus CMV van, Wiegers TA,
2015 Nov;122(12):1653-62. doi: 10.1111/1471-0528.13597. Epub
Feijen-de Jong EI, Spelten ER, Deville W. 2015. Explanatory
2015 Aug 20.
factors for first and second-generation non-western
women's inadequate prenatal care utilisation: a prospective
Kazemier BM, Koningstein FN, Schneeberger C, Ott A,
cohort study. BMC Pregnancy and Childbirth, 15(1): 98 April.
Bossuyt PM, de Miranda E, Vogelvang TE, Verhoeven CJ,
Langenveld J, Woiski M, Oudijk MA, van der Ven JE, Vlegels MT,
Kuiper PN, Feiertag N, Pajkrt E, de Groot CJ, Mol BW, Geerlings
de Cock T, Manniën J, Geerts C, Klomp T, de Jonge A.
SE. Maternal and neonatal consequences of treated and
"Exclusive breastfeeding after home versus hospital birth in
untreated asymptomatic bacteriuria in pregnancy: a
primary midwifery care in the Netherlands". BMC Pregnancy
prospective cohort study with an embedded randomised
and Childbirth 2015, 15 :262 (13 October 2015)
controlled trial. Lancet Infect Dis. 2015 Aug 5. pii: S1473-
3099(15)00070-5. doi: 10.1016/S1473-3099(15)00070-5.
De Jonge A, De Vries R, Lagro-Janssen ALM, Malata
[Epub ahead of print] PMID: 26255208
A, Declercq E, Downe S, Hutton EK. "The importance of
evaluating primary midwifery care for improving the health
Magee LA; CHIPS Study Group, von Dadelszen P, Singer J,
of women and infants", Front. Med., 23 March 2015 http://
Lee T, Rey E, Ross S, Asztalos E, Murphy KE, Menzies J, Sanchez
J, Gafni A, Gruslin A, Helewa M, Hutton E, Koren G, Lee SK,
Logan AG, Ganzevoort JW, Welch R, Thornton JG, Moutquin
De Jonge A, Mesman JAJM, Manniën J, Zwart JJ, Buitendijk
JM. Do labetalol and methyldopa have different effects on
SE, Van Roosmalen J, Van Dillen J (2015). Severe adverse
pregnancy outcome? Analysis of data from the Control of
maternal outcomes among women in midwife-led
Hypertension In Pregnancy Study (CHIPS) trial. BJOG. 2015
versus obstetrician-led care at the onset of labour in the
Aug 11. doi: 10.1111/1471-0528.13569. [Epub ahead of print]
Netherlands: a nationwide cohort study. PLoS One, in press.
Magee LA; CHIPS Study Group, von Dadelszen P, Singer J,
Feijen-de Jong EI, Jansen DE, Baarveld F, Boerleider AW,
Lee T, Rey E, Ross S, Asztalos E, Murphy KE, Menzies J, Sanchez
Spelten E, Schellevis F, Reijneveld SA, "Determinants of
J, Gafni A, Gruslin A, Helewa M, Hutton E, Koren G, Lee SK,
prenatal health care utilisation by low-risk women: A
Logan AG, Ganzevoort JW, Welch R, Thornton JG, Moutquin JM.
prospective cohort study", Women Birth. 2015 Feb 11. pii:
Control of Hypertension In Pregnancy Study randomised
S1871-5192(15)00007-4. doi: 10.1016/j.wombi.2015.01.005.
controlled trial-are the results dependent on the choice of labetalol or methyldopa? BJOG. 2015 Aug 11. doi: 10.1111/1471-0528.13568. [Epub ahead of print]
Magee LA, von Dadelszen P, Rey E, Ross S, Asztalos E,
van der Ven AJ, van Os MA, Kazemier BM, Kleinrouweler
Murphy KE, Menzies J, Sanchez J, Singer J, Gafni A, Gruslin A,
CE, Verhoeven CJ, de Miranda E, van Wassenaer-Leemhuis
Helewa M, Hutton E, Lee SK, Lee T, Logan AG, Ganzevoort W,
AG, Kuiper PN, Porath M, Willekes C, Woiski MD, Sikkema
Welch R, Thornton JG, Moutquin JM. Less-tight versus tight
MJ, Roumen FJ, Bossuyt PM, Haak MC, de Groot CJ, Mol BW,
control of hypertension in pregnancy. N Engl J Med. 2015 Jan
Pajkrt E. The capacity of mid-pregnancy cervical length to
predict preterm birth in low-risk women: a national cohort
study. Acta Obstet Gynecol Scand. 2015 Aug 3. doi: 10.1111/
Murray-Davis B, McDonald H, Cross-Sudworth F, Ahmed
aogs.12721. [Epub ahead of print]
R, Simioni J, Dore S, Marrin M, DeSantis J, Leyland N, Gardosi
J, Hutton E, McDonald S. Learning from Adverse Events in
van der Ven AJ, van Os MA, Kleinrouweler CE, Verhoeven
Obstetrics: Is a Standardized Computer Tool an Effective
CJ, de Miranda E, Bossuyt PM, de Groot CJ, Haak MC, Pajkrt
Strategy for Root Cause Analysis? J Obstet Gynaecol Can.
E, Mol BW, Kazemier BM. Midpregnancy Cervical Length
in Nulliparous Women and its Association with Postterm
Delivery and Intrapartum Cesarean Delivery. Am J Perinatol.
Martin L, Gitsels J, Pereboom M, Spelten E, Hutton EK,
van Dulmen S. 2015. Clients' psychosocial communication
and midwives' verbal and nonverbal communication
van Os MA, van der Ven AJ, Kleinrouweler CE, Schuit E,
during prenatal counseling for anomaly screening. Patient
Kazemier BM, Verhoeven CJ, de Miranda E, van Wassenaer-
Education and Counselling. DOI: 10.1016/j.pec.2015.07.020
Leemhuis AG, Sikkema JM, Woiski MD, Bossuyt PM, Pajkrt E, de
Groot CJ, Mol BW, Haak MC. ".Preventing Preterm Birth with
Martin L, Gitsels-van der Wal JT, Pereboom MT, Spelten
Progesterone in Women with a Short Cervical Length from
ER, Hutton EK, van Dulmen S. "Midwives' perceptions of
a Low-Risk Population: A Multicenter Double-Blind Placebo-
communication during videotaped counseling for prenatal
Controlled Randomized Trial." Am J Perinatol. 2015 Mar 4.
anomaly tests: how do they relate to clients' perceptions
[Epub ahead of print]
and independent observations?"Patient Educ Couns. 2015
May;98(5):588-97. doi: 10.1016/j.pec.2015.02.002. Epub 2015
Warmelink JC, Adema W, Pranger A, de Cock TP. Client
perspectives of midwifery care in the transition from
subfertility to parenthood – a qualitative study JPOG.
Offerhaus PM, Otten W, Boxem-Tiemessen JC, De Jonge A,
Journal of Psychosomatic Obstetrics & Gynecology. DOI:10.310
Van der Pal-de Bruin KM, Scheepers PL, Lagro-Janssen ALM
(2015). "Variation in intrapartum referral rates in primary
care in the Netherlands: A discrete choice experiment."
Warmelink JC, Hoijtink K, Noppers M, Wiegers TA, de
Midwifery, 31,Jan 16. doi: 10.1016/j.midw.2015.01.005, e69-e78.
Cock P, Klomp GMR, Hutton EK. An explorative study of
factors contributing to the job satisfaction of primary
Perdok H, Jans S, Verhoeven C, van Dillen J, Mol BW, de
care midwives. available online: 2-JAN-2015. DOI information:
Jonge A. "Intrapartum referral from primary to secundary
care in the Netherlands: a retrospective cohort study
on management of labo rand outcomes". Birth. 2015
Warmelink JC, Wiegers TA, De Cock TP, Spelten ER,
Jun;42(2):156-64. doi: 10.1111/birt.12160. Epub 2015 Apr 6.
Hutton EK. " Career plans of primary care midwives in
the Netherlands and their intentions to leave the current
Peters LL, Boter H, Burgerhof JG, Slaets JP, Buskens
job"Human Resources for Health 2015, 13:29 doi:10.1186/
E,"Construct validity of the Groningen Frailty Indicator
established in a large sample of home-dwelling elderly
persons: Evidence of stability across age and gender",
Wiegerinck M, Van der Goes BY, Ravelli ACJ, Van der Post
See comment in PubMed Commons belowExp Gerontol.
JAM, Klinkert J, Brandenbarg J, Buist FCD, Wouters MGAJ,
2015 May 15. pii: S0531-5565(15)00145-X. doi: 10.1016/j.
Tamminga P, De Jonge A, Mol BW (2015). Intrapartum and
exger.2015.05.006. [Epub ahead of print]
neonatal mortality in primary midwife-led and secondary
obstetrician-led care in the Amsterdam region of the
Seijmonsbergen-Schermers A, Saloomeh S, Lucas C, De
Netherlands: a retrospective cohort study. Midwifery, Epub
Jonge A (2015). "Nonsuturing or Skin Adhesives versus
Suturing of the Perineal Skin After Childbirth: A Systematic
Review." Birth, 42: 100-115.
Zhang J, Geerts C, Hukkelhoven C, Offerhaus P, Zwart J, De
Jonge A (2015). Caesarean Section Rates in Subgroups of
Vallee-Pouliot K, Janssen P, Hutton E. Home birth study
Women and Perinatal Outcomes. BJOG, in press.
fails to identify credentials of midwives conducting home birth. Am J Obstet Gynecol. 2015 Feb;212(2):253-4. doi: 10.1016/j.ajog.2014.10.028. Epub 2014 Oct 19.
Boerleider AW, Francke AL, Reep M van der, Manniën
instrument development and testing. BMC Pregnancy
J, Wiegers TA, Deville WLJM. 2014. "Being Flexible and
Childbirth. 2014 Jun 3;14:188. doi: 10.1186/1471-2393-14-188.
Creative": A Qualitative Study on Maternity Care Assistants'
Experiences with Non-Western Immigrant Women. e91843
Hutton, E. K, Hall, W. Psychoeducation for pregnant
PLoS One 9.3 (Mar 2014)
women with fear of childbirth increases rates of
spontaneous vaginal delivery, reduces caesarean rates
De Cock TP, Shevlin M (2014) "Parental Bonding: A
and improves delivery experience. Evidence-based nursing
typology of the parent-child relationship in a population
sample." SAGE Open, 2014, 4. DOI:10.1177/2158244014547325
Hutton, E. K., Reitsma, A., Thorpe, J., Brunton, G., Kaufman,
de Jonge A, Geerts CC, van der Goes BY, Mol BW, Buitendijk
K. Protocol: systematic review and meta-analyses of birth
SE, Nijhuis SE, "Perinatal mortality and morbidity up to 28
outcomes for women who intend at the onset of labour to
days after birth among 743 070 low-risk planned home
give birth at home compared to women of low obstetrical
and hospital births: a cohort study based on three merged
risk who intend to give birth in hospital. Systematic reviews
national perinatal databases", BJOG An international
Journal Of Obstetrics and Gynaecology 10 SEP 2014, DOI:
Hutton EK, Thorpe J. Consequences of meconium
stained amniotic fluid: what does the evidence tell
De Jonge A, Stuijt R, Eijke I, Westerman MJ (2014).
us? Early Hum Dev. 2014 Jul;90(7):333-9. doi: 10.1016/j.
"Continuity of care: what matters to women when they are
earlhumdev.2014.04.005. Epub 2014 Apr 30. Review.
referred from primary to secondary care during labour?" A
qualitative interview study in the Netherlands. BMC Pregnancy
Idris NS, Evelein AM, Geerts CC, Sastroasmoro S, Grobbee
and Childbirth. 14:103, doi: 10.1186/1471-2393-14-103
DE, Uiterwaal CS." Effect of physical activity on vascular characteristics in young children." Eur J Prev Cardiol. 2014
Geerts CC, Klomp T, Lagro-Janssen ALM, Twisk JWR,
Feb 13. [Epub ahead of print]
Van Dillen J, De Jonge A (2014). "Birth setting, transfer and
maternal sense of control: results from the DELIVER study".
Klomp T, Manniën J, de Jonge A, Hutton EK, Lagro-Janssen
BMC Pregnancy and childbirth, 14 (1):27. doi:10.1186/1471-
AL "What do midwives need to know about approaches of
women towards labour pain management? A qualitative
interview study into expectations of management of labour
Gitsels - van der Wal JT, Manniën J, Gitsels LA, Reinders HS,
pain for pregnant women receiving midwife-led care in
Verhoeven PS, Ghaly MM, Klomp T, Hutton EK (2014). "Prenatal
the Netherlands." Midwifery. 2014 Apr;30(4):432-8. doi:
screening for congenital anomalies: exploring midwives'
10.1016/j.midw.2013.04.013. Epub 2013 Jun 19.
perceptions of counseling clients with religious backgrounds".
BMC Pregnancy and Childbirth, 14:237 (19 July 2014).
Manniën J, de Jonge A, Cornel M, Spelten E, Hutton E. 2013.
Factors associated with not using folic acid supplements pre-
Gitsels-van der Wal JT, Martin L, Manniën J, Verhoeven P,
conceptionally. Public Health Nutrition. 2014;17(10):2344-2350
Hutton EK, Reinders HS. "A qualitative study on how Muslim
women of Moroccan descent approach antenatal anomaly
Martin L, Hutton EK, Gitsels- van der Wal J, Spelten E,
screening" Midwifery, 2014 doi: 10.1016/j.midw.2014.12.007
Kuiper F, Pereboom M, Dulmen S. "Prenatal counselling
for congenital anomaly tests: An exploratory video-
Gitsels-van der Wal JT, Manniën J, Ghaly MM, Verhoeven PS,
observational study about client-midwife communication".
Hutton EK, Reinders HS," The role of religion in decision-making
Midwifery, 4 mei 2014. Reference YMIDW1540. DOI 10.1016/j.
on antenatal screening of congenital anomalies: a qualitative
study amongst Muslim Turkish origin immigrants."
Midwifery 2014 Mar 30;30(3):297-302. Epub 2013 May 30.
Martin L, Hutton EK, Spelten E, Gitsels- van der Wal J,
Dulmen S. "Midwives' views on appropriate antenatal
Gitsels-van der Wal JT, Verhoeven PS, Manniën J, Martin L,
counselling for congenital anomaly tests: Do they match
Reinders HS, Spelten ER, Hutton EK, "Factors affecting the
clients' preferences?". Midwifery, 2014. 30: 600-609.
uptake of prenatal screening test for congenital anomalies:
a multicentre prospective cohort study" BMC Pregnancy
Monen L, Kuppens SM, Hasaart TH, Oosterbaan HP, Oei SG,
Childbirth 2014 9;14:264. Epub 2014 Aug 9.
Wijnen H, Hutton EK, Vader HL, Pop VJ. Maternal thyrotropin
is independently related to small for gestational age
Heaman MI, Sword WA, Akhtar-Danesh N, Bradford
neonates at term. Clin Endocrinol (Oxf). 2015 Feb;82(2):254-
A, Tough S, Janssen PA, Young DC, Kingston DA, Hutton
9. doi: 10.1111/cen.12578. Epub 2014 Sep 26.
EK, Helewa ME. Quality of prenatal care questionnaire:
Nieuwenhuijze M, Korstjens I, De Jonge A, De Vries R, Lagro-
Pereboom MTR, Spelten ER, Manniën J, Rours GIJR, Morré
Janssen ALM (2014). On speaking terms: a Delphi study on
SA, SchellevisFG, Hutton EK, " Knowledge and acceptability
shared decision-making in maternity care. BMC Pregnancy
of Chlamydia trachomatis screening among pregnant
and Childbirth, 14(233). doi:10.1186/1471-2393-14-223
women and their partners; a cross-sectional study. BMC
Public Health 2014 9;14:704. Epub 2014 Jul 9.
Offerhaus PM, de Jonge A, van der Pal-de Bruin KM,
Pool MS, Otupiri E, Owusu-Dabo E, De Jonge A, Agyemang
Hukkelhoven CW, Scheepers PL, Lagro-Janssen AL. "Change
C. "Physical violence during pregnancy and pregnancy
in primary midwife-led care in the Netherlands in 2000-
outcomes in Ghana (2014)". BMC Pregnancy and childbirth,
2008: a descriptive study of caesarean sections and other
14 (71), doi:10.1186/1471-2393-14-71.
interventions among 789,795 low risk births", Midwifery.
2014 May;30(5):560-6. doi: 10.1016/j.midw.2013.06.013.
Reitsma, A, Chu, R, Thorpe J, McDonald S, Thabane L,
Epub 2013 Jul 25.
Hutton EK. Accounting for center in the Early External
Cephalic Version trials: an empirical comparison of
Perdok H., Mokkink L, Van Dillen J, Westerneng M, Jans
statistical methods to adjust for center in a multicenter
S, Mol BW, De Jonge A (2014). "Opinions of maternity care
trial with binary outcomes. Trials 2014;15:377.
professionals about integration of care during labour for "moderate risk" indications: a Delphi study in the
Spelten ER, Martin L, Gitsels- van der Wal JT, Pereboom
Netherlands". Birth, Epub ahead of print.
MTR, Hutton EK, van Dulmen S, "Introducing video recording
in primary care midwifery for research purposes: Procedure,
Pereboom MT, Manniën J, Spelten ER, Hutton EK,
dataset, and use" Midwifery 2014 Jul 1. Epub 2014 Jul 1.
Schellevis FG. "Maternal cytomegalovirus infection
prevention:The role of Dutch primary care midwives."
Voskamp BJ, Beemsterboer DH, Verhoeven CJM, Oude
Midwifery. 2014 May 1. pii: S0266-6138(14)00116-8. doi:
Rengerink K, Ravelli ACJ, Bakker JJH, Mol BWJ, Pajkrt E.
Potential Improvement of Pregnancy Outcome through
Prenatal Small for Gestational Age Detection Amer J
Pereboom MT, Manniën J, van Almkerk KD, Spelten
Perinatol DOI: 10.1055/s-0034-1371360
ER, Gitsels JT, Martin L, Hutton EK, Schellevis FG. "What information do Dutch midwives give clients about
Warmelink, JC. Stramrood, CIA, Paarlberg, KM, Haisma,
toxoplasmosis, listeriosis and cytomegalovirusprevention?An
HH, Vingerhoets, AJJM, Weijmar Schultz, WCM, van Pampus,
exploratory study of videotaped consultations. Patient Educ
MG. (2012) "Posttraumatic stress disorder, anxiety and
Couns. 2014 Apr 21. pii: S0738-3991(14)00139-6. doi: 10.1016/j.
depression following pregnancies conceived by assisted
reproductive technologies". Journal of Reproductive Medicine
Pereboom MTR, Manniën J, Rours GIJG, Spelten ER, Hutton
EK, Schellevis FG," Chlamydia trachomatis infection during
Wiegers TA, Warmelink JC, Spelten ER, Klomp GMT,
pregnancy: knowledge, test practices, and attitudes of
Hutton EK. "Workload of primary care midwives in
Dutch midwives. Scand J Infect Dis 2014 Feb 19;46(2):107-13.
2010." Midwifery.2014 Sep;30(9):991-7. doi: 10.1016/j.
Epub 2013 Dec 19.
midw.2013.08.010. Epub 2013 Aug 27.
Barrett JF, Hannah ME, Hutton EK, Willan AR, Allen AC,
Baron R, ManniÃ«n J, de Jonge A, Heymans MW, Klomp
Armson BA, Gafni A, Joseph KS, Mason D, Ohlsson A, Ross
T, Hutton EK, Brug J. Socio-demographic and lifestyle-
S, Sanchez JJ, Asztalos EV; Twin Birth Study Collaborative
related characteristics associated with self-reported any,
Group. A randomized trial of planned cesarean or vaginal
daily and occasional smoking during pregnancy. PLoS One.
delivery for twin pregnancy. N Engl J Med. 2013 Oct
3;369(14):1295-305. doi: 10.1056/NEJMoa1214939. Erratum in:
N Engl J Med. 2013 Dec 12;369(24):2364.
Boerleider A, Francke A, Manniën J, Wiegers T, Deville W.
"A mixture of positive and negative feelings": a qualitative
Baron R, Manniën J, de Jonge A, Heymans M, Klomp T,
study of primary care midwives' experiences with non-
Hutton E, Brug J, Socio-demographic and lifestyle-related
western living in the Netherlands. International Journal of
characteristics associated with self-reported daily and
Nursing Studies. 2013 May 27. pii: S0020-7489(13)00125-9.
occasional smoking during pregnancy, Journal PLoS ONE
doi: 10.1016/j.ijnurstu.2013.04.009. [Epub ahead of print]
(Public Library of Science) **
Boerleider A, Wiegers T, Manniën J, Francke A, Devillé W.
Kuppens SMI, Hutton EK, Hasaart THM, Nassira A, Wijnen,
Factors affecting the use of prenatal care by non-western
Henrica A, Pop, Victor JM. Mode of Delivery Following
women in industrialized western countries; a systematic
Successful External Cephalic Version: Comparison With
review. BMC Pregnancy Childbirth. 2013, 13:81
Spontaneous Cephalic Presentations at Delivery Journal of
Obstetrics and Gynaecology CanadaJOGC, October 2013
De Jonge A, Baron R, Westerneng M, Twisk J, Hutton EK.
(2013) Perinatal mortality rate in the Netherlands compared
Kuppens SM, Brugman A, Hasaart TH, Hutton EK, Pop
to other European countries: a secondary analyses of
VJ. The effect of change in a labour management protocol
EURO-Peristat data. Midwifery; 29(8):1011-1018.
on caesarean section rate in nulliparous women. J Obstet
Gynaecol Can. 2013 Jun;35(6):508-14.
De Jonge A, Kweekel L, Oudshoorn T, Keijzer-Landkroon
G (2013). The birth shell for the second stage of labour:
Martin, L., Dulmen, S. van, Spelten, E., Jonge, A. de, Cock,
a modern tool to support physiological birth. Canadian
P. de, Hutton, E. Prenatal counseling for congenital anomaly
Journal of Midwifery Research and Practice, 12 (1), 19-30.
tests: Parental preferences and perceptions of midwife
performance. February 2013. Prenatal Diagnosis
De Jonge A, Mesman A, Manniën J, Zwart J, Dillen J van,
Roosmalen J van. Severe adverse maternal outcomes among
Murray-Davis B, McDonald H, Rietsma A, Coubrough M,
low risk women with planned home versus planned hospital
Hutton E. Deciding on home or hospital birth: results of
births in the Netherlands: a nationwide cohort study. BMJ,
the Ontario Choice of Birthplace Survey. Midwifery. 2014
346:f3263 (June 2013)
Jul;30(7):869-76. doi: 10.1016/j.midw.2014.01.008. Epub 2014
Feijen-de Jong E, Baarveld F, Jansen D, Ursum J, Reijneveld
S, Schellevis F. Do pregnant women contact their general
Nieuwenhuijze M, De Jonge A, Korstjens I, Lagro-Janssen
practitioner? A register-based comparison of healthcare
ALM (2013). "Influence on birthing positions affects
utilisation. February 2013, BMC Family Practice 2013; 14:10
women's sense of control in second stage of labour".
Midwifery, 29, e 107- e114.
Gitsels J, Manniën J, Ghaly M, Verhoeven N, Hutton E,
Reinders J. Islam and prenatal screening: practice and
Offerhaus P, Hukkelhoven C, De Jonge A, Van der Pal K,
theory amongst muslim Turkish women in the Netherlands.
Scheepers P, Lagro-Janssen ALM (2013). Persisting rise in
Midwifery, April 2013, DOI information: 10.1016/j.
referrals in primary midwife- led care in the Netherlands.
Birth, 40(3): 192-201. (Obs: Impact Factor=1.264)
Hutton EK, Stoll K, Taha N. An observational study
Pereboom MT, Manniën J, Spelten ER, Schellevis FG,
of umbilical cord clamping practices of maternity care
Hutton EK. Observational study to assess pregnant women's
providers in a tertiary care center. Birth. 2013 Mar;40(1):39-
knowledge and behaviour to prevent toxoplasmosis,
45. doi: 10.1111/birt.12027.
listeriosis and cytomegalovirus. BMC Pregnancy Childbirth.
2013 Apr 30;13:98. doi: 10.1186/1471-2393-13-98
Jans S, Henneman L, de Jonge, A, van El, C, van Tuyl L,
Cornel, Lagro-Janssen A. "A morass of considerations":
Seijmonsbergen-Schermers AE, Geerts CC, Prins M, van
Exploring attitudes towards primary care ethnicity-based
Diem MT, Klomp T, Lagro-Janssen ALM, de Jonge A. The use
haemoglobinopathy screening. Family Practice. April 2013.
of episiotomy in a low-risk population in the Netherlands:
a secondary analysis. Birth 2013, 40 (4), 247-55.
Jans S, Petrou M, Galanello R, Harteveld C.
Westerneng M, de Cock P, Spelten E, Honig A, Hutton
Hemoglobinopathiescreening in een multi-etnische
E, Factorial invariance of pregnancy-specific anxiety
samenleving. P.C. Giordano*1, J.O. Kaufmann1, A. Amato3.
dimensions across nulliparous and parous pregnant
Reproductieve geneeskunde, Gynaecologie en Obstetrie anno
women, Journal of Health Psychology, September 20, 2013,
2013. 442-450. April 2013
Klomp T, de Jonge A, Hutton EK, Lagro-Janssen ALM.
Dutch women in midwife-led care at the onset of labour: which pain relief do they prefer and what do they use? Journal: BMC Pregnancy and Childbirth.2013, 13:230. DOI: 10.1186/10.1186/1471-2393-13-230
Boerleider AW, Francke AL, Wiegers TA, Manniën J, Deville
Manniën J., Klomp T., Wiegers T., Pereboom M., Brug J., De
WLJM. Provision of care to clients of migrant origin: the
Jonge A., Van der Meijde M., Hutton E., Schellevis F., Spelten
experiences of maternity care providers. European Journal of
E. (Febr 2012). Evaluation of primary care midwifery in the
Public Health 2012;22(Suppl 2): 239
Netherlands: design and rationale of a dynamic cohort
study (DELIVER). BMC Health Services Research; 12:69.
de Hundt M, Vlemmix F, Bais JM, Hutton EK, de Groot CJ,
Mol BW, Kok M. Risk factors for developmental dysplasia of
Martin L, van Dulmen S, Spelten E, Hutton E. Prenatal genetic
the hip: a meta-analysis. Eur J Obstet Gynecol Reprod Biol.
counseling: future parents prefer to make decisions together,
2012 Nov;165(1):8-17. doi: 10.1016/j.ejogrb.2012.06.030. Epub
using professional advice. Prenat Diagn 2012;32(1):1-128
2012 Jul 21. Review.
McDonald SD, Pullenayegum E, Bracken K, Chen AM,
De Jonge A (2012). Paradox of the Dutch Maternity
McDonald H, Malott A, Hutchison R, Haley S, Lutsiv O, Taylor
Care System. Birth Matters (Australian journal published by
VH, Good C, Hutton E, Sword W. Comparison of midwifery,
Maternity Coalition). Winter 2012; p. 24.
family medicine, and obstetric patients' understanding
of weight gain during pregnancy: a minority of women
Gitsels J, Manniën J, Gitsels LA, Verhoeven PS,
report correct counselling. J Obstet Gynaecol Can. 2012
Ghaly M, Klomp T, Reinders H, Hutton E. Midwives'
misconceptionabout early termination of pregnancy in
Islamic law with regard to prenatal screening. Prenat Diagn
Murray-Davis B, Marion A, Malott A, Reitsma A, Hutton EK;
Early ECV2 Trial Collaborative Group. Women's experiences
of participating in the early external cephalic version
Gitsels J, Spelten E, Manniën J, Reinders H, Hutton E.
2 trial. Birth. 2012 Mar;39(1):30-8. doi: 10.1111/j.1523-
Women's Religion affects the Uptake for Non Invasive
536X.2011.00510.x. Epub 2012 Jan 9.
Prenatal screening Tests for Congenital Anomalies. Prenat
Murray-Davis B, McNiven P, McDonald H, Malott A, Elarar
L, Hutton E. Why home birth? A qualitative study exploring
Hall WA, Stoll K, Hutton EK, Brown H. A prospective study
women's decision making about place of birth in two
of effects of psychological factors and sleep on obstetric
Canadian provinces. Midwifery. 2012 Oct;28(5):576-81. doi:
interventions, mode of birth, and neonatal outcomes
10.1016/j.midw.2012.01.013. Epub 2012 Aug 11.
among low-risk British Columbian women. BMC Pregnancy
Childbirth. 2012 Aug 3;12:78.
Nieuwenhuijze M, De Jonge A, Korstjens I, Lagro-Janssen
ALM (March 2012). Factors influencing the use of women's
Hutton EK, Kornelsen J. Patient-initiated elective
preferences in birthing positions during the second stage of
cesarean section of nulliparous women in British Columbia,
labour. Journal of Psych Obs and Gyn; 33(1): 25-31.
Canada. Birth. 2012 Sep;39(3):175-82. doi: 10.1111/j.1523-
536X.2012.00546.x. Epub 2012 Jun 27.
Spelten E and Nieuwenhuijze M. 2013. Midwifery in the
Netherlands: research gaining momentum. International
Jans S, de Jonge A, Henneman L, Cornel M, Lagro-
Journal of Childbirth. 3(4),195-202(8) DOI: http://dx.doi.
Janssen ALM (May 2012). Attitudes of general practitioners
and midwives towards ethnicity-based screening for
haemoglobinopathies-carrier screening. Eur J Human
Spelten E, Gitsels J, Pereboom M, Martin L, Hutton E, van
Dulmen S. Video recording to improve the quality of prenatal
genetic counseling. Prenat Diagn 2012;32(1):1-128
Klomp T, Van Poppel M, Jones L, Lazet J, Di Nisio M, Lagro-
Janssen ALM, Inhaled analgesia for pain management in
Sword W, Heaman MI, Brooks S, Tough S, Janssen PA, Young
labour. (September 2012), Cochrane Library Pregnancy and
D, Kingston D, Helewa ME, Akhtar-Danesh N, Hutton E. Women's
and care providers' perspectives of quality prenatal care: a
qualitative descriptive study. BMC Pregnancy Childbirth. 2012
Malott AM, Kaufman K, Thorpe J, Saxell L, Becker G,
Apr 13;12:29. doi: 10.1186/1471-2393-12-29.
Paulette L, Ashe A, Martin K, Yeates L, Hutton EK; Models
of Organization of Maternity Care (MOM-Care) Group.
Warmelink, JC. Stramrood, CIA, Paarlberg, KM, Haisma,
Models of organization of maternity care by midwives in
HH, Vingerhoets, AJJM, Weijmar Schultz, WCM, van Pampus,
Canada: a descriptive review. J Obstet Gynaecol Can. 2012
MG. (2012) Journal of Reproductive Medicine. Posttraumatic
stress disorder, anxiety and depression following pregnancies conceived by assisted reproductive technologies. Journal of Reproductive Medicine Mar-Apr;57(3-4):115-22
Albers-Heitner PCP, Lagro-Janssen ALM, Venema PPL,
timing of ECV for breech pregnancies. BJOG.International
Berghmans BLCM, Winkens RAG, De Jonge A, Joore MA.
Journal of Obstetrics and Gynaecology. Published online: Feb 4
Experiences and attitudes of nurse specialists in primary
2011; DOI: 10.1111/j.1471-0528.2010.02837.x
care regarding their role in care for patients with urinary
incontinence, 2011. Scand J Caring Services; 25: 303-310.
Kornelsen J, Hutton E, Munro S. Influences on decision
making among primiparous women choosing elective
De Jonge A, Rijnders MEB, Agyemang C, Van der Stouwe
caesarean section in the absence of medical indications:
R, Den Otter J, Van den Muijsenbergh M, Buitendijk SE.
findings from a qualitative investigation. J Obstet Gynaecol
Limited midwifery care for undocumented women in
Can. 2010 Oct;32(10):962-9.
the Netherlands. Journal of Psychosomatic Obstetrics and
Gynecology; 32(4): 182-8.
Magee LA, Abalos E, von Dadelszen P, Sibai B, Easterling
T, Walkinshaw S; CHIPS Study Group. How to manage
De Jonge A, Rijnders MEB, Van Diem M TH, Scheepers PLH,
hypertension in pregnancy effectively. Br J Clin Pharmacol.
Lagro-Janssen ALM (2011). Birthing positions during second
2011 Sep;72(3):394-401. doi: 10.1111/j.1365-2125.2011.04002.x.
stage of labour and long-term psychological outcomes in
low risk women. Int J Childbirth; 1(4): 242-253.
McDonald SD, Pullenayegum E, Taylor VH, Lutsiv O, Bracken
De Jonge A, Twisk J, Hutton E. Daytime births are
K, Good C, Hutton E, Sword W. Despite 2009 guidelines, few
associated with better perinatal outcomes in secondary
women report being counseled correctly about weight gain
and tertiary hospitals. [commentary on De Graaf JP et
during pregnancy. Am J Obstet Gynecol. 2011 Oct;205(4):333.
al. BJOG 2010;117:1098-1107] Evidence-Based Medicine
e1-6. doi: 10.1016/j.ajog.2011.05.039. Epub 2011 May 27.
Erratum in: Am J Obstet Gynecol. 2015 Jan;212(1):102.
Feijen-de Jong EI, Jansen DEMC, Baarveld F, van der Schans
Michal CA, Janssen PA, Vedam S, Hutton E, De Jonge A.
CP, Schellevis FG, Reijneveld SA. Determinants of late and/
2011. Planned home vs planned hospital births: a meta-
or inadequate use of prenatal healthcare in high-income
analysis gone wrong. Medscape, posted 1 April 2011. (most
countries: a systematic review. European Journal of Public
often read article on Medscape in April 2011)
Health 2011; doi:10.1093/eurpub/ckr164.
Prins M, Boxem J, Lucas C, Hutton E. Effect of
Hutton E, Hannah M, Ross S, Delisle MF, Carson G, Windrim
spontaneous pushing versus Valsalva pushing in the
R, Ohlsson A, Willan A, Gafni A, Sylvestre G, Natale R, Barrett Y,
second stage of labour on mother and fetus: a systematic
Pollard J, Dunn M, Turtle P; for the Early ECV2 Trial Collaborative
review of randomised trials. BJOG epub;DOI:10.1111/j.1471-
Group. The Early External Cephalic Version (ECV) 2 Trial: an
international multicentre randomized controlled trial of
De Jonge A, Van Diem MTH, Scheepers PLH, Buitendijk SE,
Kooi TTI van der, Manniën J, Wille JC, Benthem BHB van.
Lagro-Janssen ALM. Risk of perineal damage is not a reason to
Prevalence of nosocomial infections in the Netherlands,
discourage a sitting birthing position: a secondary analysis.
2007-2008: results of the first four national studies. Journal
Int J Clin Pract 2010;64(5):611-18. (Med: Impact Factor=2.007).
of Hospital Infection 2010;75:168-172.
Jans SMPJ, De Jonge A, Lagro-Janssen ALM (2010).
Manniën J, Wille JC, Kloek JJ, Benthem B van. Surveillance
Differences in maternal morbidity and perinatal mortality
and epidemiology of surgical site infections after
and morbidity among haemoglobinopathy carriers compared
cardiothoracic surgery in the Netherlands, 2002-2007.
to women with normal haemoglobins: a systematic review of
J Thorac Cardiovasc Surg, doi:10.1016/j.jtcvs.2010.09.047.
the literature. Int J Clin Pract, 64(12), 1688-1698.
Janssen P, Nolan ML, Spiby H, Green J, Gross MM, Cheyne
H, Hundley V, Rijnders M, De Jonge A, Buitendijk S (2009). Roundtable discussion: early labor: what's the problem? Birth 2009;36(4):332-339. (Nurs: Impact Factor=2.836)
SUBSTANCE ABUSE TRAINING MANUAL Information Guide for Peer Educators NCDA Field Department FIELD SERVICES DEPARTMENT Table of Contents Contents Training Objectives: . 4 Course Outline: . 5 The National Council on Drug Abuse- Structure, Objectives, and Operations. 5 Categories of drugs . 5 Commonly abused substances – alcohol, tobacco, marijuana, crack cocaine, amphetamines, steroids. 5
Beneficial Use of Winston Craig, PhD, RD Professor of Nutrition Andrews University Herb and Spices Herbs (leaves) basil, cilantro, dill, oregano, parsley, sage, thyme Spices (aromatic parts of plants) pepper, cumin, garlic, cloves, caraway, ginger, cinnamon, turmeric, cardamom