1. The Strengths and challenges of multicentric European epidemiological projects in the field of reproductive health
- Author
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Karlin, Sophie, Delvoye, Pierre, Albrecht, Jahn, Breart, Gerard, Buekens, Pierre, Donnen, Philippe, Macq, Jean, Zhang, Wei Hong, Karlin, Sophie, Delvoye, Pierre, Albrecht, Jahn, Breart, Gerard, Buekens, Pierre, Donnen, Philippe, Macq, Jean, and Zhang, Wei Hong
- Abstract
In this dissertation, we base our experience of carrying out participation in 4 EU-funded projects: EUROFETUS (Cost-Effectiveness of ultrasound screening for congenital anomalies); MOMS-B (MOther Mortality and Severe morbidity); PERISTAT(Monitoring and evaluating perinatal health) and EUPHRATES (EUropean Project on obstetric Haemorrhage Reduction: Attitudes, Trial, and Early warning System), an online questionnaire survey for researchers and a literature review, to provide results which will help us to understand the added value and the challenges of the EU collaboration research and the challenges of EU collaboration research in improving the quality and the accessibility of reproductive healthcare.The EUROFETUS project showed that, despite the fact that the birth prevalence of congenital anomalies has been declining during the last twenty years, they are still a major cause of perinatal mortality and childhood disability in Europe. Congenital heart defects were among the most frequent and the most severe malformations, but were the least diagnosed prenatally. There was large variation between and within countries regarding the proportion of cases diagnosed prenatally and the proportion of cases resulting in termination of pregnancy. From the data available in Eurofetus, such variation might result from the cultural differences underling policy or on ultrasonographer’s expertise, or on differing interpretation of scientific evidence in the design and implementation of screening.The MOMS-B project allowed population-based comparisons between countries by using the standardised definition that showed the three conditions (pre-eclampsia, postpartum haemorrhage and sepsis) selected to as markers of acute severe maternal morbidity are not rare in Europe. Severe haemorrhage was the most common of severe maternal morbidity condition, but its incidence varied widely between European countries.The PERISTAT project on the indicators of unfavourable maternal health o, Doctorat en Sciences de la santé publique, info:eu-repo/semantics/nonPublished
- Published
- 2007