No registrations found.
ID
Source
Brief title
Health condition
Eclampsia; Cardiac Arrest; Perimortem caesarean section; maternal morbidity; maternal mortality; INOSS; NethOSS; LEMMoN
Sponsors and support
Intervention
Outcome measures
Primary outcome
Incidence
All variables will be ascertained from anonymised photocopies from case-files and entered in a secured database.
Incidence will be calculated using the CBS data on deliveries per anum.
Secondary outcome
Putative risk factors, differences in management stratagies.
By using the control group analysis of different management stratagies will be performed.
Background summary
The NethOSS is a national registration network of severe maternal morbidity. It uses a monthly mailing card to identify cases of specific form of morbidity to ascertain incidence, putative risc factors and managemengt strategies by retriewing this data from anonymised photocopies of case files.
Study objective
Calculate the incidence of eclampsia; cardiac arrest and perimortem caesarean sectio in pregnancy or puerperium in the Netherlands.
Intervention
none. Since this is an national observational study, there are no interventions applicable.
[default]
The Netherlands
[default]
The Netherlands
Inclusion criteria
Eclampsia:
Any woman with convulsion(s) during pregnancy or in the first 10 days postpartum, not attributable to other causes.
Cardiac arrest:
Any pregnant women in the Netherlands identified as receiving basic life support (chest compressions and, where possible, ventilation breaths), including women who have undergone PMCS.
Amniotic fluid embolism:
IN THE ABSENCE OF ANY OTHER CLEAR CAUSE
Either:
Acute maternal collapse with one or more of the following features:
• Acute fetal compromise
• Cardiac arrest
• Cardiac rhythm problems
• Coagulopathy
• Hypotension
• Maternal hemorrhage*
• Premonitory symptoms (restlessness, numbness, agitation, tingling)
• Seizure
• Shortness of breath
* Excluding women with maternal haemorrhage as the first presenting feature in whom there was no evidence of early coagulopathy or cardio-respiratory compromise
Or
Women in whom the diagnosis was made at post-mortem examination with the finding of fetal squames or hair in the lungs
Control group:
For every case of eclampsia, a matching control will be retriewed from the reporting hospital. Controls will be retriewed by using the hospital registrtion of deliveries. Controls a matched only of parity.
Exclusion criteria
Not meeting inclusion criteria.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL3988 |
| NTR-old | NTR4160 |
| Other | METC LUMC : P12.216/SH/sh |
| ISRCTN | ISRCTN wordt niet meer aangevraagd. |