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Marianne Amelink-Verburg behandelt drie thema’s binnen de zorgverlening door eerstelijns verloskundigen. Het eerste is de normale zwangerschap en baring: wat is een normale zwangerschap? Het tweede thema is de verwijzing naar een gynaecoloog. Ten slotte keek Amelink-Verburg naar kwaliteit van zorg. Het aantal spoedverwijzingen tijdens de bevalling blijkt relatief gering. Een belangrijke bevinding, gezien de beeldvorming dat alle verwijzingen spoed zouden zijn. Wel heeft de spoedgroep de relatief slechtste neonatale gezondheidsuitkomsten.
We investigated pubertal development of 4019 boys and 3562 girls >8 y of age participating in a cross-sectional survey in The Netherlands and compared the results with those of two previous surveys. Reference curves for all pubertal stages were constructed. The 50th percentile of Tanner breast stage 2 was 10.7 y, and 50% of the boys had reached a testicular volume of 4 mL at 11.5 y of age. Median age at menarche was 13.15 y. The median age at which the various stages of pubertal development were observed has stabilized since 1980. The increase of the age at stage G2 between 1965 and 1997 is probably owing to different interpretations of its definition. The current age limits for the definition of precocious are close to the third percentile of these references. A high agreemen...
OBJECTIVE. The goal was to compare health-related quality of life of 12- to 16-year-old adolescents born at an extremely low birth weight in regional cohorts from Ontario (Canada), Bavaria (Germany), and the Netherlands. METHODS. Patients were extremely low birth weight survivors from Canada, Germany, and the Netherlands. Health-related quality of life was assessed with Health Utilities Index 3. Missing data were substituted by proxy reports. Differences in mean Health Utilities Index 3 scores were tested by using analysis of variance. Differences in the numbers of children with affected attributes were tested by using logistic regression analyses. RESULTS. Survival rates were similar; response rates varied between 71% and 90%. Significant differences in health-related quality of life were found between the cohorts, with Dutch chil...
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