Search

Your search keyword '"Devlieger, R."' showing total 3 results
Start Over Author "Devlieger, R." Topic cesarean section Topic pregnancy
3 results on '"Devlieger, R."'

1. WHO Statement on Caesarean Section Rates

Author

Betran, AP, Torloni, MR, Zhang, JJ, Gülmezoglu, AM, Aleem, HA, Althabe, F, Bergholt, T, de Bernis, L, Carroli, G, Deneux‐Tharaux, C, Devlieger, R, Debonnet, S, Duan, T, Hanson, C, Hofmeyr, J, Gonzalez Pérez, R, de Jonge, A, Khan, K, Lansky, S, Lazdane, G, Lumbiganon, P, Mackeen, D, Mahaini, R, Manyame, S, Mathai, M, Mikolajczyk, R, Mori, R, De Mucio, B, Oladapo, OT, Ortiz‐Panozo, E, Ouedraogo, L, Parker, C, Robson, M, Serruya, S, Souza, JP, Spong, CY, Stanton, C, Stanton, ME, Sullivan, EA, Temmerman, M, Tita, A, Tunçalp, Ӧ, Velebil, P, Vogel, JP, Weber, M, Wojdyla, D, Ye, J, Yunis, K, Zamora, J, and Zongo, A

Subjects
Pediatrics, medicine.medical_specialty, medicine.medical_treatment, Consensus Development Conferences as Topic, Population, MEDLINE, Scientific literature, Appropriate technology, Global Health, World Health Organization, 03 medical and health sciences, 0302 clinical medicine, Case mix index, Pregnancy, Commentaries, Health care, Global health, medicine, Humans, Caesarean section, 030212 general & internal medicine, education, Obstetrics & Reproductive Medicine, 11 Medical and Health Sciences, education.field_of_study, 030219 obstetrics & reproductive medicine, business.industry, Cesarean Section, Obstetrics and Gynecology, medicine.disease, MONITORAMENTO, Commentary, Female, Medical emergency, business
Abstract

In 1985 when a group of experts convened by the World Health Organization in Fortaleza, Brazil, met to discuss the appropriate technology for birth, they echoed what at that moment was considered an unjustified and remarkable increase of caesarean section (CS) rates worldwide.1 Based on the evidence available at that time, the experts in Fortaleza concluded: ‘there is no justification for any region to have a caesarean section rate higher than 10–15%’.1 Over the years, this quote has become ubiquitous in scientific literature, being interpreted as the ideal CS rate. Although this reference range was intended for ‘populations’, which are defined by geopolitical boundaries, in many instances it has been mistakenly used as the measurement for healthcare facilities regardless of their complexity or other characteristics. In addition to the case mix of the obstetric population served, the use of CS at healthcare facilities is also affected by factors such as their capacity to handle cases, availability of resource and the clinical management protocols used locally.

Published
2015

2. Development of composite outcomes for individual patient data (IPD) meta-analysis on the effects of diet and lifestyle in pregnancy: a Delphi survey.

Author

Rogozinska, E, D'Amico, MI, Khan, KS, Cecatti, JG, Teede, H, Yeo, S, Vinter, CA, Rayanagoudar, G, Barakat, R, Perales, M, Dodd, JM, Devlieger, R, Bogaerts, A, Poppel, MNM, Haakstad, L, Shen, GX, Shub, A, Luoto, R, Kinnunen, TI, and Phelan, S

Subjects
MEDICAL records, META-analysis, DIET, LIFESTYLES & health, PREGNANCY complications, PREVENTION of obesity, PREVENTION of pregnancy complications, OBESITY complications, CESAREAN section, COMPARATIVE studies, DELPHI method, GESTATIONAL diabetes, PREMATURE infants, RESEARCH methodology, EVALUATION of medical care, MEDICAL cooperation, PREECLAMPSIA, PREGNANCY, PREGNANT women, REDUCING diets, RESEARCH, WEIGHT gain, EVALUATION research, LIFESTYLES
Abstract

Objective: To develop maternal, fetal, and neonatal composite outcomes relevant to the evaluation of diet and lifestyle interventions in pregnancy by individual patient data (IPD) meta-analysis.Design: Delphi survey.Setting: The International Weight Management in Pregnancy (i-WIP) collaborative network. Sample Twenty-six researchers from the i-WIP collaborative network from 11 countries.Methods: A two-generational Delphi survey involving members of the i-WIP collaborative network (26 members in 11 countries) was undertaken to prioritise the individual outcomes for their importance in clinical care. The final components of the composite outcomes were identified using pre-specified criteria.Main Outcome Measures: Composite outcomes considered to be important for the evaluation of the effect of diet and lifestyle in pregnancy.Results: Of the 36 maternal outcomes, nine were prioritised and the following were included in the final composite: pre-eclampsia or pregnancy-induced hypertension, gestational diabetes mellitus (GDM), elective or emergency caesarean section, and preterm delivery. Of the 27 fetal and neonatal outcomes, nine were further evaluated, with the final composite consisting of intrauterine death, small for gestational age, large for gestational age, and admission to a neonatal intensive care unit (NICU).Conclusions: Our work has identified the components of maternal, fetal, and neonatal composite outcomes required for the assessment of diet and lifestyle interventions in pregnancy by IPD meta-analysis. [ABSTRACT FROM AUTHOR]

Published
2016
Full Text
View/download PDF

3. Spontaneous hepatic rupture in a normotensive monoamniotic twin pregnancy: case report and review of the literature.

Author

DeKoninck, P. L. J., Loquet, P., Leyman, P., Leemput, J. Van, D'Archambeau, O., Van Wiemeersch, J., Devlieger, R., and Van Leemput, J

Subjects
CASE studies, LIVER injuries, HYPERTENSION, TWINS, CESAREAN section, PREGNANCY, INTENSIVE care units
Abstract

Background: Spontaneous liver rupture during pregnancy is extremely rare, and often associated with hypertensive disorders. Maternal outcomes are poor and morbidity is high. Case: A 27-year-old women (G1P0), pregnant with monochorionic-monoamniotic twins, developed extensive abdominal pain while she was electively admitted at 32 weeks for fetal pulmonary maturation. Diagnosed with preterm labor, a caesarean section was performed. Postoperatively, our patient deteriorated and a second laparotomy revealed an extensive liver rupture. There was no evidence of hypertensive disorders or hepatic tumors. After perihepatic packing and embolization, our patient required long-term treatment in our intensive care unit. She survived, and both mother and children are healthy after 6 months. Conclusion: Despite being rare, spontaneous liver rupture in absence of hypertensive disorders during pregnancy is associated with high maternal morbidity and mortality. Adequate treatment requires a multidisciplinary approach. [ABSTRACT FROM AUTHOR]

Published
2010
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results