45 results on '"Leemhuis, Aleid G."'
Search Results
2. Development and evaluation of a fidelity tool in a post-discharge responsive parenting intervention program for very preterm born children
- Author
-
Flierman, Monique, Vriend, Eline, Leemhuis, Aleid G., Engelbert, Raoul H.H., and Jeukens-Visser, Martine
- Published
- 2023
- Full Text
- View/download PDF
3. Structured Multidisciplinary Follow-Up After Pediatric Intensive Care: A Model for Continuous Data-Driven Health Care Innovation
- Author
-
de Sonnaville, Eleonore S. V., van Woensel, Job B. M., van Goudoever, Johannes B., Otten, Marieke H., Teela, Lorynn, Aarnoudse-Moens, Cornelieke S. H., Terheggen-Lagro, Suzanne W. J., van der Hulst, Annelies E., Engelen, Marc, Königs, Marsh, Oosterlaan, Jaap, Knoester, Hennie, Rotteveel, Joost, Haarman, Eric G., Oostrom, Kim J., van Zelm - van Eldik, Margreet J., Ernest van Heurn, L.W., Gorter, Ramon R., Derikx, Joep P.M., van Kaam, Anton H., Leemhuis, Aleid G., Blom, Nico A., and Kuipers, Irene M.
- Published
- 2023
- Full Text
- View/download PDF
4. Long-term health and neurodevelopment in children after antenatal exposure to low-dose aspirin for the prevention of preeclampsia and fetal growth restriction: A systematic review of randomized controlled trials
- Author
-
Landman, Anadeijda J.E.M.C., van Limburg Stirum, Emilie V.J., de Boer, Marjon A., van 't Hooft, Janneke, Ket, Johannes C.F., Leemhuis, Aleid G., Finken, Martijn J.J., Oudijk, Martijn A., and Painter, Rebecca C.
- Published
- 2021
- Full Text
- View/download PDF
5. Maternal, perinatal and childhood outcomes of the PPROMEXIL-III cohort: Pregnancies complicated by previable prelabor rupture of membranes
- Author
-
Simons, Noor E., de Ruigh, Annemijn A., van der Windt, Larissa I., Kazemier, Brenda M., van Wassenaer-Leemhuis, Aleid G., van Teeffelen, Augustinus S., van Leeuwen, Elisabeth, Mol, Ben Willem, van 't Hooft, Janneke, and Pajkrt, Eva
- Published
- 2021
- Full Text
- View/download PDF
6. Neurodevelopmental outcome at 5.5 years in Dutch preterm infants born at 24-26 weeks' gestational age: the EPI-DAF study
- Author
-
van Beek, Pauline E., Rijken, Monique, Broeders, Lisa, ter Horst, Hendrik J., Koopman-Esseboom, Corine, de Kort, Ellen, Laarman, A.R.C., Mulder-de Tollenaer, S.M., Steiner, Katerina, Swarte, Renate M.C., van Westering-Kroon, Elke, Oei, Guid, Leemhuis, Aleid G., Andriessen, Peter, van Beek, Pauline E., Rijken, Monique, Broeders, Lisa, ter Horst, Hendrik J., Koopman-Esseboom, Corine, de Kort, Ellen, Laarman, A.R.C., Mulder-de Tollenaer, S.M., Steiner, Katerina, Swarte, Renate M.C., van Westering-Kroon, Elke, Oei, Guid, Leemhuis, Aleid G., and Andriessen, Peter
- Abstract
OBJECTIVE: After lowering the Dutch threshold for active treatment from 25 to 24 completed weeks' gestation, survival to discharge increased by 10% in extremely preterm live born infants. Now that this guideline has been implemented, an accurate description of neurodevelopmental outcome at school age is needed.DESIGN: Population-based cohort study.SETTING: All neonatal intensive care units in the Netherlands.PATIENTS: All infants born between 240/7 and 266/7 weeks' gestation who were 5.5 years' corrected age (CA) in 2018-2020 were included.MAIN OUTCOME MEASURES: Main outcome measure was neurodevelopmental outcome at 5.5 years. Neurodevelopmental outcome was a composite outcome defined as none, mild or moderate-to-severe impairment (further defined as neurodevelopmental impairment (NDI)), using corrected cognitive score (Wechsler Preschool and Primary Scale of Intelligence Scale-III-NL), neurological examination and neurosensory function. Additionally, motor score (Movement Assessment Battery for Children-2-NL) was assessed. All assessments were done as part of the nationwide, standardised follow-up programme.RESULTS: In the 3-year period, a total of 632 infants survived to 5.5 years' CA. Data were available for 484 infants (77%). At 5.5 years' CA, most cognitive and motor (sub)scales were significantly lower compared with the normative mean. Overall, 46% had no impairment, 36% had mild impairment and 18% had NDI. NDI-free survival was 30%, 49% and 67% in live born children at 24, 25 and 26 weeks' gestation, respectively (p<0.001).CONCLUSIONS: After lowering the threshold for supporting active treatment from 25 to 24 completed weeks' gestation, a considerable proportion of the surviving extremely preterm children did not have any impairment at 5.5 years' CA.
- Published
- 2024
7. Doppler ultrasound of umbilical and middle cerebral artery in third trimester small‐for‐gestational age fetuses to decide on timing of delivery for suspected fetal growth restriction: A cohort with nested RCT (DRIGITAT).
- Author
-
Marijnen, Mauritia C., Kamphof, Hester D., Damhuis, Stefanie E., Smies, Maddy, Leemhuis, Aleid G., Wolf, Hans, Gordijn, Sanne J., Ganzevoort, Wessel, Schaaf, J. M., de Boer, M. A., Zwart, J. J., Huisjes, A. J. M., Veerbeek, J. H. W., van Laar, J. O. E. H., Al‐Nasiry, S., Bremer, H. A., Hermsen, B. B. J., van de Nieuwenhof, H. P., Sueters, M., and van der Ham, D. P.
- Subjects
FETAL growth retardation ,DOPPLER ultrasonography ,CEREBRAL arteries ,SMALL for gestational age ,FETUS - Abstract
Objective: To assess the association of the umbilicocerebral ratio (UCR) with adverse perinatal outcome in late preterm small‐for‐gestational age (SGA) fetuses and to investigate the effect on perinatal outcomes of immediate delivery. Design: Multicentre cohort study with nested randomised controlled trial (RCT). Setting: Nineteen secondary and tertiary care centres. Population: Singleton SGA pregnancies (estimated fetal weight [EFW] or fetal abdominal circumference [FAC] <10th centile) from 32 to 36+6 weeks. Methods: Women were classified: (1) RCT‐eligible: abnormal UCR twice consecutive and EFW below the 3rd centile at/or below 35 weeks or below the 10th centile at 36 weeks; (2) abnormal UCR once or intermittent; (3) never abnormal UCR. Consenting RCT‐eligible patients were randomised for immediate delivery from 34 weeks or expectant management until 37 weeks. Main outcome measures: A composite adverse perinatal outcome (CAPO), defined as perinatal death, birth asphyxia or major neonatal morbidity. Results: The cohort consisted of 690 women. The study was halted prematurely for low RCT‐inclusion rates (n = 40). In the RCT‐eligible group, gestational age at delivery, birthweight and birthweight multiple of the median (MoM) (0.66, 95% confidence interval [CI] 0.59–0.72) were significantly lower and the CAPO (n = 50, 44%, p < 0.05) was more frequent. Among patients randomised for immediate delivery there was a near‐significant lower birthweight (p = 0.05) and higher CAPO (p = 0.07). EFW MoM, pre‐eclampsia, gestational hypertension and Doppler classification were independently associated with the CAPO (area under the curve 0.71, 95% CI 0.67–0.76). Conclusions: Perinatal risk was effectively identified by low EFW MoM and UCR. Early delivery of SGA fetuses with an abnormal UCR at 34–36 weeks should only be performed in the context of clinical trials. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
8. Long-Term Health and Neurodevelopment in Children After Antenatal Exposure to Low-Dose Aspirin for the Prevention of Preeclampsia and Fetal Growth Restriction: A Systematic Review of Randomized Controlled Trials
- Author
-
Landman, Anadeijda J. E. M. C., van Limburg Stirum, Emilie V. J., de Boer, Marjon A., van ‘t Hooft, Janneke, Ket, Johannes C. F., Leemhuis, Aleid G., Finken, Martijn J. J., Oudijk, Martijn A., and Painter, Rebecca C.
- Published
- 2022
- Full Text
- View/download PDF
9. Neurodevelopmental outcome at 5.5 years in Dutch preterm infants born at 24–26 weeks’ gestational age: the EPI-DAF study
- Author
-
van Beek, Pauline E, primary, Rijken, Monique, additional, Broeders, Lisa, additional, ter Horst, Hendrik J, additional, Koopman-Esseboom, Corine, additional, de Kort, Ellen, additional, Laarman, A R C, additional, Mulder - de Tollenaer, S M, additional, Steiner, Katerina, additional, Swarte, Renate M C, additional, van Westering-Kroon, Elke, additional, Oei, Guid, additional, Leemhuis, Aleid G, additional, and Andriessen, Peter, additional
- Published
- 2023
- Full Text
- View/download PDF
10. Childhood outcomes after induction of labor or expectant management for preterm prelabor rupture of membranes: a 10-year follow-up of the PPROMEXIL trials
- Author
-
Simons, Noor E., de Ruigh, Annemijn A., van ’t Hooft, Janneke, Aarnoudse-Moens, Cornelieke S.H., van Wely, Madelon, van der Ham, David P., van Teeffelen, Augustinus S.P., Roseboom, Tessa J., Mol, Ben W., Leemhuis, Aleid G., and Pajkrt, Eva
- Published
- 2023
- Full Text
- View/download PDF
11. Neurologic sequelae of severe chikungunya infection in the first 6 months of life: a prospective cohort study 24-months post-infection
- Author
-
van Ewijk, Roelof, Huibers, Minke H. W., Manshande, Meindert E., Ecury-Goossen, Ginette M., Duits, Ashley J., Calis, Job C., and van Wassenaer-Leemhuis, Aleid G.
- Published
- 2021
- Full Text
- View/download PDF
12. Identifying effect modifiers of systemic hydrocortisone treatment initiated 7–14 days after birth in ventilated very preterm infants on long-term outcome: secondary analysis of a randomised controlled trial.
- Author
-
Halbmeijer, Nienke Marjolein, Sonnaert, Michel, Swarte, Renate M., Koopman-Esseboom, Corine, van Stuijvenberg, Margriet, Tollenaer, Susanne Mulder-de, Tan, Ratna N. G. B., Mohns, Thilo, Bruneel, Els, Steiner, Katerina, Kramer, Boris W., Debeer, Anne, van Weissenbruch, Mirjam M., Marechal, Yoann, Blom, Henry, Plaskie, Katleen, Offringa, Martin, Merkus, Maruschka P., Onland, Wes, and Leemhuis, Aleid G.
- Published
- 2024
- Full Text
- View/download PDF
13. Risk Factors for Neurodevelopmental Impairment at 2- and 5-Years Corrected Age in Preterm Infants with Established Bronchopulmonary Dysplasia
- Author
-
Katz, Trixie A., primary, van Kaam, Anton H., additional, Mugie, Suzanne M., additional, Aarnoudse-Moens, Cornelieke S.H., additional, de Groof, Femke, additional, van Kempen, Anne A.M.W., additional, van den Heuvel, Maria E. N, additional, Vogelzang, Judith, additional, Rijpert, Maarten, additional, Schiering, Irene A., additional, Koomen-Botman, Irene, additional, Visser, Fenna, additional, Leemhuis, Aleid G., additional, and Onland, Wes, additional
- Published
- 2023
- Full Text
- View/download PDF
14. Identifying effect modifiers of systemic hydrocortisone treatment initiated 7–14 days after birth in ventilated very preterm infants on long-term outcome: secondary analysis of a randomised controlled trial
- Author
-
Halbmeijer, Nienke Marjolein, primary, Sonnaert, Michel, additional, Swarte, Renate M, additional, Koopman-Esseboom, Corine, additional, van Stuijvenberg, Margriet, additional, Mulder-de Tollenaer, Susanne, additional, Tan, Ratna N G B, additional, Mohns, Thilo, additional, Bruneel, Els, additional, Steiner, Katerina, additional, Kramer, Boris W, additional, Debeer, Anne, additional, van Weissenbruch, Mirjam M, additional, Marechal, Yoann, additional, Blom, Henry, additional, Plaskie, Katleen, additional, Offringa, Martin, additional, Merkus, Maruschka P, additional, Onland, Wes, additional, Leemhuis, Aleid G, additional, and van Kaam, Anton H, additional
- Published
- 2023
- Full Text
- View/download PDF
15. Gestational age and socio‐demographic factors associated with school performance at the age of 12 years, a population‐based study
- Author
-
Burger, Renée J., primary, Roseboom, Tessa J., additional, Ganzevoort, Wessel, additional, Gordijn, Sanne J., additional, Pajkrt, Eva, additional, Abu‐Hanna, Ameen, additional, Eskes, Martine, additional, Leemhuis, Aleid G., additional, Mol, Ben W., additional, de Groot, Christianne J. M., additional, and Ravelli, Anita C. J., additional
- Published
- 2023
- Full Text
- View/download PDF
16. Duration of Neonatal Antibiotic Exposure in Preterm Infants in Association with Health and Developmental Outcomes in Early Childhood
- Author
-
Deianova, Nancy, primary, de Boer, Nanne K., additional, Aoulad Ahajan, Hafsa, additional, Verbeek, Cilla, additional, Aarnoudse-Moens, Cornelieke S. H., additional, Leemhuis, Aleid G., additional, van Weissenbruch, Mirjam M., additional, van Kaam, Anton H., additional, Vijbrief, Daniel C., additional, Hulzebos, Chris V., additional, Giezen, Astrid, additional, Cossey, Veerle, additional, de Boode, Willem P., additional, de Jonge, Wouter J., additional, Benninga, Marc A., additional, Niemarkt, Hendrik J., additional, and de Meij, Tim G. J., additional
- Published
- 2023
- Full Text
- View/download PDF
17. Risk Factors for Neurodevelopmental Impairment at 2- and 5-Years Corrected Age in Preterm Infants with Established Bronchopulmonary Dysplasia.
- Author
-
Katz, Trixie A., van Kaam, Anton H., Mugie, Suzanne M., Aarnoudse-Moens, Cornelieke S.H., de Groof, Femke, van Kempen, Anne A.M.W., van den Heuvel, Maria E. N, Vogelzang, Judith, Rijpert, Maarten, Schiering, Irene A., Koomen-Botman, Irene, Visser, Fenna, Leemhuis, Aleid G., and Onland, Wes
- Subjects
PREMATURE infants ,BRONCHOPULMONARY dysplasia ,NEURAL development ,LOGISTIC regression analysis ,GESTATIONAL age - Abstract
Introduction: The objective of this study was to identify risk factors for neurodevelopmental impairment (NDI) at 2- and 5-years corrected age (CA) in a cohort of preterm infants with established bronchopulmonary dysplasia (BPD). Methods: This single-center retrospective cohort study included infants born between 2009 and 2016 at a gestational age (GA) <30 weeks with moderate or severe BPD at 36 weeks' postmenstrual age. Perinatal characteristics, (social) demographics, and comorbidities were collected from the electronic patient records. Odds ratios for NDI were calculated with univariate and multivariate logistic regression analyses adjusting for potential confounders. Results: Of the 602 eligible infants, 123 infants were diagnosed with BPD. NDI was present in 30.3% and 56.1% at 2- and 5-years CA, respectively. The only independent risk factors associated with NDI in the multivariate analyses were birthweight (adjusted odds ratio [aOR] 0.74, 95% CI 0.57–0.95; aOR 0.70, 95% CI 0.54–0.91, respectively), small for GA (SGA) (aOR 3.25, 95% CI 1.09–9.61; aOR 5.44, 95% CI 1.62–18.2, respectively) at both time points, and male gender at 5-years CA (OR 2.49, 95% CI 1.11–5.57). Conclusion: Birthweight and SGA are independent risk factors for NDI at 2- and 5-years CA and male gender at 5-years CA in preterm infants with BPD. In contrast, well-known other risk factors for NDI in the general population of preterm infants, such as GA, maternal education, and neonatal comorbidities were not independently associated with NDI. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
18. Effect of systemic hydrocortisone in ventilated preterm infants on parent-reported behavioural outcomes at 2 years' corrected age
- Author
-
SToP-BPD Study Group, Halbmeijer, Nienke Marjolein, Onland, Wes, Cools, Filip, Swarte, Renate M, van der Heide-Jalving, Marja, Dijk, Peter, Mulder-de Tollenaer, Susanne, Tan, Ratna N G B, Mohns, Thilo, Bruneel, Els, van Heijst, Arno F J, Kramer, Boris, Debeer, Anne, van Weissenbruch, Mirjam M, Marechal, Yoann, Blom, Henry, Plaskie, Katleen, Offringa, Martin, van Wassenaer-Leemhuis, Aleid G, van Kaam, Anton H, Aarnoudse-Moens, Cornelieke S H, Neonatology, Brussels Heritage Lab, UZB Other, Clinical sciences, Growth and Development, STOP-BPD Study Group, RS: MHeNs - R3 - Neuroscience, RS: GROW - R4 - Reproductive and Perinatal Medicine, and MUMC+: MA Medische Staf Kindergeneeskunde (9)
- Subjects
BIRTH ,MORTALITY ,SCHOOL-AGE ,MULTICENTER ,Obstetrics and Gynecology ,General Medicine ,BRONCHOPULMONARY DYSPLASIA ,THERAPY ,neonatology ,DEXAMETHASONE ,Pediatrics, Perinatology and Child Health ,SURVIVAL ,Human medicine ,Pediatrics, Perinatology, and Child Health ,CHILDREN BORN ,Child development ,INITIATED 7 - Abstract
ObjectiveTo report the parent-reported behavioural outcomes of infants included in the Systemic Hydrocortisone To Prevent Bronchopulmonary Dysplasia in preterm infants study at 2 years’ corrected age (CA).DesignRandomised placebo-controlled trial.SettingDutch and Belgian neonatal intensive care units.PatientsInfants born InterventionInfants were randomly assigned to a 22-day course of systemic hydrocortisone (cumulative dose 72.5 mg/kg; n=182) or placebo (n=190).Main outcome measuresParent-reported behavioural outcomes at 2 years’ CA assessed with the Child Behavior Checklist (CBCL 1½−5).ResultsParents completed the CBCL of 183 (70% (183/262)) infants (hydrocortisone group, n=96; placebo group, n=87). Multiple imputation was used to account for missing data. Infants with critically elevated T-scores (>55) were found in 22.9%, 19.1% and 29.4% of infants for total, internalising and externalising problems, respectively; these scores were not significantly different between groups (mean difference −1.52 (95% CI −4.00 to 0.96), −2.40 (95% CI −4.99 to 0.20) and −0.81 (95% CI −3.40 to 1.77), respectively). In the subscales, we found a significantly lower T-score for anxiety problems in the hydrocortisone group (mean difference −1.26, 95% CI −2.41 to –0.12).ConclusionThis study found high rates of behaviour problems at 2 years’ CA following very preterm birth, but these problems were not associated with hydrocortisone treatment initiated between 7 and 14 days after birth in ventilated preterm infants.Trial registration numberNTR2768; EudraCT 2010-023777-19.
- Published
- 2023
19. Comparison of new bronchopulmonary dysplasia definitions on long-term outcomes in preterm infants
- Author
-
Epi Methoden Team 4, JC onderzoeksprogramma Methodologie, Katz, Trixie A, van Kaam, Anton H, Schuit, Ewoud, Mugie, Suzanne M, Aarnoudse-Moens, Cornelieke S H, Weber, Elske H, de Groof, Femke, van Laerhoven, Henriette, Counsilman, Clare E, van der Schoor, Sophie R D, Rijpert, Maarten, Schiering, Irene A, Wilms, Janneke, Leemhuis, Aleid G, Onland, Wes, Epi Methoden Team 4, JC onderzoeksprogramma Methodologie, Katz, Trixie A, van Kaam, Anton H, Schuit, Ewoud, Mugie, Suzanne M, Aarnoudse-Moens, Cornelieke S H, Weber, Elske H, de Groof, Femke, van Laerhoven, Henriette, Counsilman, Clare E, van der Schoor, Sophie R D, Rijpert, Maarten, Schiering, Irene A, Wilms, Janneke, Leemhuis, Aleid G, and Onland, Wes
- Published
- 2023
20. Neurodevelopmental outcome at 5.5 years in Dutch preterm infants born at 24–26 weeks’ gestational age: the EPI-DAF study
- Author
-
van Beek, Pauline E, Rijken, Monique, Broeders, Lisa, ter Horst, Hendrik J, Koopman-Esseboom, Corine, de Kort, Ellen, Laarman, A R C, Mulder - de Tollenaer, S M, Steiner, Katerina, Swarte, Renate M C, van Westering-Kroon, Elke, Oei, Guid, Leemhuis, Aleid G, and Andriessen, Peter
- Abstract
ObjectiveAfter lowering the Dutch threshold for active treatment from 25 to 24 completed weeks’ gestation, survival to discharge increased by 10% in extremely preterm live born infants. Now that this guideline has been implemented, an accurate description of neurodevelopmental outcome at school age is needed.DesignPopulation-based cohort study.SettingAll neonatal intensive care units in the Netherlands.PatientsAll infants born between 240/7and 266/7weeks’ gestation who were 5.5 years’ corrected age (CA) in 2018–2020 were included.Main outcome measuresMain outcome measure was neurodevelopmental outcome at 5.5 years. Neurodevelopmental outcome was a composite outcome defined as none, mild or moderate-to-severe impairment (further defined as neurodevelopmental impairment (NDI)), using corrected cognitive score (Wechsler Preschool and Primary Scale of Intelligence Scale-III-NL), neurological examination and neurosensory function. Additionally, motor score (Movement Assessment Battery for Children-2-NL) was assessed. All assessments were done as part of the nationwide, standardised follow-up programme.ResultsIn the 3-year period, a total of 632 infants survived to 5.5 years’ CA. Data were available for 484 infants (77%). At 5.5 years’ CA, most cognitive and motor (sub)scales were significantly lower compared with the normative mean. Overall, 46% had no impairment, 36% had mild impairment and 18% had NDI. NDI-free survival was 30%, 49% and 67% in live born children at 24, 25 and 26 weeks’ gestation, respectively (p<0.001).ConclusionsAfter lowering the threshold for supporting active treatment from 25 to 24 completed weeks’ gestation, a considerable proportion of the surviving extremely preterm children did not have any impairment at 5.5 years’ CA.
- Published
- 2024
- Full Text
- View/download PDF
21. Effect of systemic hydrocortisone in ventilated preterm infants on parent-reported behavioural outcomes at 2 years’ corrected age: follow-up of a randomised clinical trial
- Author
-
Halbmeijer, Nienke Marjolein, primary, Onland, Wes, additional, Cools, Filip, additional, Swarte, Renate M, additional, van der Heide-Jalving, Marja, additional, Dijk, Peter, additional, Mulder-de Tollenaer, Susanne, additional, Tan, Ratna N G B, additional, Mohns, Thilo, additional, Bruneel, Els, additional, van Heijst, Arno F J, additional, Kramer, Boris, additional, Debeer, Anne, additional, van Weissenbruch, Mirjam M, additional, Marechal, Yoann, additional, Blom, Henry, additional, Plaskie, Katleen, additional, Offringa, Martin, additional, van Wassenaer-Leemhuis, Aleid G, additional, van Kaam, Anton H, additional, and Aarnoudse-Moens, Cornelieke S H, additional
- Published
- 2023
- Full Text
- View/download PDF
22. Childhood outcomes after induction of labour or expectant management for PPROM: PPROMEXIL 10 year follow-up
- Author
-
Simons, Noor E., primary, de Ruigh, Annemijn, additional, Hooft, Janneke van't, additional, Aarnoudse-Moens, Cornelieke, additional, van Wely, Madelon, additional, van der ham, david, additional, van Teeffelen, Stijn, additional, Roseboom, Tessa J., additional, Mol, Ben W., additional, Leemhuis, Aleid G., additional, and Pajkrt, Eva, additional
- Published
- 2023
- Full Text
- View/download PDF
23. Preterm Birth is Associated with Lower Academic Attainment at Age 12 Years: A Matched Cohort Study by Linkage of Population-Based Datasets
- Author
-
van Beek, Pauline E., primary, Leemhuis, Aleid G., additional, Abu-Hanna, Ameen, additional, Pajkrt, Eva, additional, Aarnoudse-Moens, Cornelieke S.H., additional, van Baar, Anneloes L., additional, Andriessen, Peter, additional, and Ravelli, Anita C.J., additional
- Published
- 2022
- Full Text
- View/download PDF
24. Pessary or progesterone to prevent preterm birth in women with short cervical length:protocol of the 4-6 year follow-up of a randomised controlled trial (Quadruple-P)
- Author
-
van Limburg Stirum, Emilie V J, van der Windt, Larissa I, van Dijk, Charlotte E, van Baar, Anneloes L, Leemhuis, Aleid G, van Wely, Madelon, de Boer, Marjon A, van 't Hooft, Janneke, Oudijk, Martijn A, Pajkrt, Eva, Development and Treatment of Psychosocial Problems, Leerstoel Baar, Leerstoel Bogt, Development and Treatment of Psychosocial Problems, Leerstoel Baar, Leerstoel Bogt, Graduate School, Obstetrics and Gynaecology, APH - Personalized Medicine, APH - Quality of Care, Amsterdam Reproduction & Development (AR&D), Neonatology, Other Research, Center for Reproductive Medicine, APH - Methodology, and Obstetrics and gynaecology
- Subjects
Medicine(all) ,Vascular damage Radboud Institute for Health Sciences [Radboudumc 16] ,Developmental neurology & neurodisability ,Infant, Newborn ,General Medicine ,Fetal medicine ,Cervix Uteri ,Pessaries ,Maternal medicine ,Cervical Length Measurement ,Pregnancy ,Humans ,Multicenter Studies as Topic ,Premature Birth ,Female ,Child ,Progesterone ,Follow-Up Studies ,Randomized Controlled Trials as Topic - Abstract
IntroductionVaginal progesterone and a cervical pessary are both interventions that are investigated for the prevention of preterm birth (PTB). Thus far, beneficial or harmful effects of these interventions on long-term child health and development are described, but evidence is not robust enough to draw firm conclusions. With this follow-up study, we intent to investigate if progesterone or a pessary is superior for the prevention of PTB considering the child’s health at 4–6 years of corrected age.Methods and analysisThis study is a follow-up study of the Quadruple-P trial; a multicentre, randomised clinical trial (NL42926.018.13, Eudractnumber 2013-002884-24) which randomises women with an asymptomatic midtrimester short cervix to daily progesterone or a pessary for the prevention of PTB. All children born to mothers who participated in the Quadruple-P study (n=628 singletons and n=332 multiples) will be eligible for follow-up at 4–6 years of corrected age. Children will be assessed using parental questionnaires. Main outcomes are child (neuro)development and behaviour. Other outcomes include child mortality, growth and general health. A composite of adverse child outcomes will be compared between the progesterone and pessary groups reporting OR and the corresponding 95% CI. Analyses will be performed separately for singletons and multiples and using the intention-to-treat approach.Ethics and disseminationThe Medical Research Ethics Committee from Amsterdam UMC confirmed that de Medical Research Involving Human Subjects Act (WMO) did not apply to our study (W20_481 #20.531). Results will be published in a peer-reviewed journal and shared with stakeholders and participants. This protocol is published before analysis of the results.Trial registration numberDutch Trial Register (NL9646).
- Published
- 2022
25. Long-term outcomes following antenatal exposure to low-dose aspirin: study protocol for the 4-year follow-up of the APRIL randomised controlled trial
- Author
-
Landman, Anadeijda J E M C, Van limburg stirum, Emilie V J, Van 't hooft, Janneke, Leemhuis, Aleid G, Finken, Martijn J J, Van baar, Anneloes L, Roseboom, Tessa J, Ravelli, Anita C J, Van wely, Madelon, Oosterlaan, Jaap, Painter, Rebecca C, Pajkrt, Eva, Oudijk, Martijn A, De boer, Marjon A, Leerstoel Baar, Development and Treatment of Psychosocial Problems, Graduate School, Obstetrics and Gynaecology, Neonatology, Other Research, Epidemiology and Data Science, APH - Aging & Later Life, APH - Health Behaviors & Chronic Diseases, Amsterdam Reproduction & Development (AR&D), Medical Informatics, APH - Methodology, Center for Reproductive Medicine, APH - Personalized Medicine, General Paediatrics, APH - Quality of Care, Paediatrics, Obstetrics and gynaecology, Pediatrics, Amsterdam Gastroenterology Endocrinology Metabolism, Leerstoel Baar, and Development and Treatment of Psychosocial Problems
- Subjects
Medicine(all) ,Aspirin ,Tumor Necrosis Factor Ligand Superfamily Member 13 ,Infant, Newborn ,PAEDIATRICS ,General Medicine ,Fetal medicine ,Maternal medicine ,PERINATOLOGY ,Pregnancy ,Child, Preschool ,Humans ,Premature Birth ,EPIDEMIOLOGY ,Female ,Child ,Follow-Up Studies ,Randomized Controlled Trials as Topic - Abstract
IntroductionThe use of low-dose aspirin by pregnant women to prevent preterm pre-eclampsia is gradually increasing. The administration of aspirin during pregnancy improves perinatal outcome, which could translate into improved child outcome in the long term. However, antenatal exposure to aspirin could have adverse effects on child development that may manifest later in life. The aim of this follow-up study is to assess the long-term effects of antenatal exposure to low-dose aspirin compared with placebo on survival, (neuro)development, behaviour and general health at 4 years corrected age.Methods and analysisThis is a follow-up study of the Dutch double-blind randomised controlled APRIL trial which assessed the effectiveness of treatment with aspirin (80 mg daily) compared with placebo for the prevention of preterm birth in women with a previous spontaneous preterm birth. Treatment was initiated before 16 weeks of gestation and continued until 36 weeks or birth. We aim to follow-up all 379 children born to women who participated in the APRIL trial and survived the neonatal period, at the corrected age of 4 years. The main outcomes are (neuro)development as assessed by the Ages and Stages Questionnaire, and behaviour as assessed by the Strength and Difficulties Questionnaire. Additional outcomes include mortality, growth and general health from birth up to 4 years, and a composite outcome including mortality, abnormal (neuro)development and problem behaviour. Analyses will be performed by intention-to-treat using a superiority design.Ethics and disseminationInstitutional Review Board approval was obtained from the Medical Research Ethics Committee from Amsterdam Medical Center (no. W20 289#20.325). The results will be published in a peer-reviewed journal and presented at conferences.Trial registration numberThe APRIL trial (NTR5675, NL5553; EudraCT number 2015-003220-31) and the APRIL follow-up study (NL8950) are registered in the Dutch trial register. The study is funded by the Amsterdam Reproduction & Development research institute.
- Published
- 2022
26. Comparison of new bronchopulmonary dysplasia definitions on long-term outcomes in preterm infants
- Author
-
Katz, Trixie A., primary, van Kaam, Anton H., additional, Schuit, Ewoud, additional, Mugie, Suzanne M., additional, Aarnoudse-Moens, Cornelieke S.H., additional, Weber, Elske H., additional, de Groof, Femke, additional, van Laerhoven, Henriette, additional, Counsilman, Clare E., additional, van der Schoor, Sophie R.D., additional, Rijpert, Maarten, additional, Schiering, Irene A., additional, Wilms, Janneke, additional, Leemhuis, Aleid G., additional, and Onland, Wes, additional
- Published
- 2022
- Full Text
- View/download PDF
27. Pessary or progesterone to prevent preterm birth in women with short cervical length: protocol of the 4–6 year follow-up of a randomised controlled trial (Quadruple-P)
- Author
-
van Limburg Stirum, Emilie V J, primary, van der Windt, Larissa I, additional, van Dijk, Charlotte E, additional, van Baar, Anneloes L, additional, Leemhuis, Aleid G, additional, van Wely, Madelon, additional, de Boer, Marjon A, additional, van 't Hooft, Janneke, additional, Oudijk, Martijn A, additional, and Pajkrt, Eva, additional
- Published
- 2022
- Full Text
- View/download PDF
28. Machine Learning Prediction Models for Neurodevelopmental Outcome After Preterm Birth: A Scoping Review and New Machine Learning Evaluation Framework
- Author
-
van Boven, Menne R., primary, Henke, Celina E., additional, Leemhuis, Aleid G., additional, Hoogendoorn, Mark, additional, van Kaam, Anton H., additional, Königs, Marsh, additional, and Oosterlaan, Jaap, additional
- Published
- 2022
- Full Text
- View/download PDF
29. Long-term outcomes following antenatal exposure to low-dose aspirin: study protocol for the 4-year follow-up of the APRIL randomised controlled trial
- Author
-
Leerstoel Baar, Development and Treatment of Psychosocial Problems, Landman, Anadeijda J E M C, Van limburg stirum, Emilie V J, Van 't hooft, Janneke, Leemhuis, Aleid G, Finken, Martijn J J, Van baar, Anneloes L, Roseboom, Tessa J, Ravelli, Anita C J, Van wely, Madelon, Oosterlaan, Jaap, Painter, Rebecca C, Pajkrt, Eva, Oudijk, Martijn A, De boer, Marjon A, Leerstoel Baar, Development and Treatment of Psychosocial Problems, Landman, Anadeijda J E M C, Van limburg stirum, Emilie V J, Van 't hooft, Janneke, Leemhuis, Aleid G, Finken, Martijn J J, Van baar, Anneloes L, Roseboom, Tessa J, Ravelli, Anita C J, Van wely, Madelon, Oosterlaan, Jaap, Painter, Rebecca C, Pajkrt, Eva, Oudijk, Martijn A, and De boer, Marjon A
- Published
- 2022
30. Pessary or progesterone to prevent preterm birth in women with short cervical length.: Protocol of the 4–6 year follow-up of a randomised controlled trial (Quadruple-P)
- Author
-
Development and Treatment of Psychosocial Problems, Leerstoel Baar, Leerstoel Bogt, van Limburg Stirum, Emilie V J, van der Windt, Larissa I, van Dijk, Charlotte E, van Baar, Anneloes L, Leemhuis, Aleid G, van Wely, Madelon, de Boer, Marjon A, van 't Hooft, Janneke, Oudijk, Martijn A, Pajkrt, Eva, Development and Treatment of Psychosocial Problems, Leerstoel Baar, Leerstoel Bogt, van Limburg Stirum, Emilie V J, van der Windt, Larissa I, van Dijk, Charlotte E, van Baar, Anneloes L, Leemhuis, Aleid G, van Wely, Madelon, de Boer, Marjon A, van 't Hooft, Janneke, Oudijk, Martijn A, and Pajkrt, Eva
- Published
- 2022
31. Machine Learning Prediction Models for Neurodevelopmental Outcome After Preterm Birth: A Scoping Review and New Machine Learning Evaluation Framework
- Author
-
van Boven, Menne R., Henke, Celina E., Leemhuis, Aleid G., Hoogendoorn, Mark, van Kaam, Anton H., Königs, Marsh, Oosterlaan, Jaap, van Boven, Menne R., Henke, Celina E., Leemhuis, Aleid G., Hoogendoorn, Mark, van Kaam, Anton H., Königs, Marsh, and Oosterlaan, Jaap
- Abstract
BACKGROUND AND OBJECTIVES: Outcome prediction of preterm birth is important for neonatal care, yet prediction performance using conventional statistical models remains insufficient. Machine learning has a high potential for complex outcome prediction. In this scoping review, we provide an overview of the current applications of machine learning models in the prediction of neurodevelopmental outcomes in preterm infants, assess the quality of the developed models, and provide guidance for future application of machine learning models to predict neurodevelopmental outcomes of preterm infants. METHODS: A systematic search was performed using PubMed. Studies were included if they reported on neurodevelopmental outcome prediction in preterm infants using predictors from the neonatal period and applying machine learning techniques. Data extraction and quality assessment were independently performed by 2 reviewers. RESULTS: Fourteen studies were included, focusing mainly on very or extreme preterm infants, predicting neurodevelopmental outcome before age 3 years, and mostly assessing outcomes using the Bayley Scales of Infant Development. Predictors were most often based on MRI. The most prevalent machine learning techniques included linear regression and neural networks. None of the studies met all newly developed quality assessment criteria. Studies least prone to inflated performance showed promising results, with areas under the curve up to 0.86 for classification and R2 values up to 91% in continuous prediction. A limitation was that only 1 data source was used for the literature search. CONCLUSIONS: Studies least prone to inflated prediction results are the most promising. The provided evaluation framework may contribute to improved quality of future machine learning models.
- Published
- 2022
- Full Text
- View/download PDF
32. Two-year neurodevelopmental outcome in children born extremely preterm:The EPI-DAF study
- Author
-
Van Beek, Pauline E., Rijken, Monique, Broeders, Lisa, Ter Horst, Hendrik J., Koopman-Esseboom, Corine, De Kort, Ellen, Laarman, Céleste, Mulder-De Tollenaer, Susanne M., Steiner, Katerina, Swarte, Renate M.C., Van Westering-Kroon, Elke, Oei, S. Guid, Leemhuis, Aleid G., Andriessen, Peter, Van Beek, Pauline E., Rijken, Monique, Broeders, Lisa, Ter Horst, Hendrik J., Koopman-Esseboom, Corine, De Kort, Ellen, Laarman, Céleste, Mulder-De Tollenaer, Susanne M., Steiner, Katerina, Swarte, Renate M.C., Van Westering-Kroon, Elke, Oei, S. Guid, Leemhuis, Aleid G., and Andriessen, Peter
- Abstract
Objective In 2010, the Dutch practice regarding initiation of active treatment in extremely preterm infants was lowered from 25 completed weeks' to 24 completed weeks' gestation. The nationwide Extremely Preterm Infants - Dutch Analysis on Follow-up Study was set up to provide up-to-date data on neurodevelopmental outcome at 2 years' corrected age (CA) after this guideline change. Design: National cohort study. Patients All live born infants between 240/7 weeks' and 266/7 weeks' gestational age who were 2 years' CA in 2018-2020. Main outcome measure Impairment at 2 years' CA, based on cognitive score (Bayley-III-NL), neurological examination and neurosensory function. Results 651 of 991 live born infants (66%) survived to 2 years' CA, with data available for 554 (85%). Overall, 62% had no impairment, 29% mild impairment and 9% moderate-to-severe impairment (further defined as neurodevelopmental impairment, NDI). The percentage of survivors with NDI was comparable for infants born at 24 weeks', 25 weeks' and 26 weeks' gestation. After multivariable analysis, severe brain injury and low maternal education were associated with higher odds on NDI. NDI-free survival was 48%, 67% and 75% in neonatal intensive care unit (NICU)-admitted infants at 24, 25 and 26 weeks' gestation, respectively. Conclusions Lowering the threshold has not been accompanied by a large increase in moderate-to-severely impaired infants. Among live-born and NICU-admitted infants, an increase in NDI-free survival was observed from 24 weeks' to 26 weeks' gestation. This description of a national cohort with high follow-up rates gives an accurate description of the range of outcomes that may occur after extremely preterm birth.
- Published
- 2022
33. Severity of Bronchopulmonary Dysplasia and Neurodevelopmental Outcome at 2 and 5 Years Corrected Age
- Author
-
Katz, Trixie A., primary, Vliegenthart, Roseanne J.S., additional, Aarnoudse-Moens, Cornelieke S.H., additional, Leemhuis, Aleid G., additional, Beuger, Sabine, additional, Blok, Geert Jan, additional, van Brakel, Monique J.M., additional, van den Heuvel, Maria E.N., additional, van Kempen, Anne A.M.W., additional, Lutterman, Claire, additional, Rijpert, Maarten, additional, Schiering, Irene A., additional, Ran, Nicolien C., additional, Visser, Fenna, additional, Wilms, Janneke, additional, van Kaam, Anton H., additional, and Onland, Wes, additional
- Published
- 2022
- Full Text
- View/download PDF
34. Two-year neurodevelopmental outcome in children born extremely preterm: the EPI-DAF study
- Author
-
van Beek, Pauline E, primary, Rijken, Monique, additional, Broeders, Lisa, additional, ter Horst, Hendrik J, additional, Koopman-Esseboom, Corine, additional, de Kort, Ellen, additional, Laarman, Céleste, additional, Mulder-de Tollenaer, Susanne M, additional, Steiner, Katerina, additional, Swarte, Renate MC, additional, van Westering-Kroon, Elke, additional, Oei, S Guid, additional, Leemhuis, Aleid G, additional, and Andriessen, Peter, additional
- Published
- 2022
- Full Text
- View/download PDF
35. Ontwikkelingsproblemen bij vroeggeborenen
- Author
-
de Grauw, Anne M., van Beek, Pauline E., Leemhuis, Aleid G., Neonatology, Other Research, and Amsterdam Reproduction & Development (AR&D)
- Abstract
The French EPIPAGE-2 study evaluated a large group of premature born children (24-34 weeks' gestational age (GA))) at age 5.5 years. Outcome information of the whole cohort was presented after careful imputation including/using the variable socio-economic-status (SES), because participation rate improved with increasing SES. Survival improved with increasing GA. Survival without moderate or severe impairment was 20% in children born at 24-26 weeks' GA, but among the survivors 75% had no or mild impairment. Mild cognitive impairment rates were comparable and common among all GA groups (25-28%) and thus frequent in prematures. School problems were also common. In addition to prematurity, SES is an important risk factor for developmental impairment. Follow-up programs for premature infants beyond 30 weeks' GA are less common and may need extra attention in low SES families. Future studies should focus on both prevention of prematurity and programs to improve outcome.
- Published
- 2021
36. Gestational age and predictors at birth that are associated with education outcomes at age 12
- Author
-
Burger, Renée J., primary, Roseboom, Tessa J., additional, Pajkrt, Eva, additional, Abu-Hanna, Ameen, additional, Eskes, Martine, additional, Leemhuis, Aleid G., additional, Mol, Ben W., additional, Ganzevoort, Wessel, additional, Gordijn, Sanne J., additional, de Groot, Christianne, additional, and Ravelli, Anita C., additional
- Published
- 2022
- Full Text
- View/download PDF
37. Comparison of New Bronchopulmonary Dysplasia Definitions on Long-Term Outcomes in Preterm Infants.
- Author
-
Katz, Trixie A., van Kaam, Anton H., Schuit, Ewoud, Mugie, Suzanne M., Aarnoudse-Moens, Cornelieke S.H., Weber, Elske H., de Groof, Femke, van Laerhoven, Henriette, Counsilman, Clare E., van der Schoor, Sophie R.D., Rijpert, Maarten, Schiering, Irene A., Wilms, Janneke, Leemhuis, Aleid G., and Onland, Wes
- Published
- 2023
- Full Text
- View/download PDF
38. Follow-up and management of preterm prelabour rupture of membranes and preterm birth
- Author
-
Simons, Noor E., Pajkrt, E., Roseboom, T.J., Leemhuis, A.G., van 't Hooft, Janneke, Faculteit der Geneeskunde, Pajkrt, Eva, Roseboom, Tessa J., Leemhuis, Aleid G., van Hooft, Jeanin E., Graduate School, ARD - Amsterdam Reproduction and Development, APH - Aging & Later Life, APH - Health Behaviors & Chronic Diseases, and Obstetrics and Gynaecology
- Abstract
If the membranes rupture before 37 weeks of gestational age and without contractions, this is referred to as preterm prelabour rupture of membranes (PPROM). After PPROM there is a high chance of a preterm delivery and possible subsequent complications for the neonate. However, when delivery does not occur spontaneously and expectant management is pursued, the risk for an intra-amniotic infection is increased. This can also have neonatal and maternal complications. This thesis focusses on the treatment and prevention, and short-term and long-term developmental child outcomes of preterm prelabour rupture of membranes and preterm birth. The results of this thesis can be used by clinicians in daily clinical practice to inform pregnant women and their partners about these severe pregnancy complications and its sequelae. -- In de zwangerschap kunnen de vliezen prematuur breken (onder de 37 weken zwangerschapsduur) zonder dat aansluitend hierop weeën activiteit optreedt. Dit is gedefinieerd als preterm prelabour rupture of membranes, PPROM. Het prematuur breken van de vliezen gaat gepaard met een verhoogde kans op een intra-uteriene infectie, er is immers een open verbinding tussen de amnionholte en de buitenwereld. In ongeveer 30-40% van de gevallen zal na prematuur gebroken vliezen ook de bevalling op gang komen en leidt dit tot een vroeggeboorte (geboorte
- Published
- 2023
39. Impaired lung function and associated risk factors in children born prematurely: a systematic review and meta-analysis.
- Author
-
van Boven MR, Hutten GJ, Richardson R, Königs M, Leemhuis AG, Onland W, Terheggen-Lagro SWJ, Oosterlaan J, and van Kaam AH
- Subjects
- Humans, Risk Factors, Child, Forced Expiratory Volume, Infant, Newborn, Adolescent, Female, Male, Child, Preschool, Risk Assessment, Age Factors, Spirometry, Lung physiopathology, Infant, Premature, Gestational Age, Lung Diseases physiopathology, Lung Diseases diagnosis, Lung Diseases epidemiology
- Abstract
Background: Immature lung development and respiratory morbidity place preterm-born children at high risk of long-term pulmonary sequelae. This systematic review and meta-analysis aims to quantify lung function in preterm-born children and identify risk factors for a compromised lung function., Methods: We searched MEDLINE, Embase, Cochrane Library, Web of Science and Scopus for relevant studies published on preterm cohorts born since 1990. Studies comparing forced expiratory volume in 1 s (FEV
1 ) in preterm-born children aged ≥5 years to term-born controls or normative data were included. Study quality was assessed using the Newcastle-Ottawa Scale for cohort studies. Standardised mean differences in FEV1 and secondary spirometry outcomes per study were pooled using meta-analysis. The impact of different demographic and neonatal variables on studies' FEV1 effect sizes was investigated by meta-regression analyses. Certainty of evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluations framework., Results: We identified 42 studies with unique cohorts including 4743 preterm children and 9843 controls. Median gestational age in the studies was 28.0 weeks and age at assessment ranged from 6.7 to 16.7 years. Preterm children had lower FEV1 than controls (-0.58 sd, 95% CI -0.69- -0.47 sd, p<0.001) resulting in a relative risk of 2.9 (95% CI 2.4-3.4) for abnormal outcome, with high certainty of evidence. FEV1 was significantly associated with gestational age, birthweight, bronchopulmonary dysplasia and invasive mechanical ventilation in univariate meta-regression analyses (R2 =36-96%)., Conclusion: This systematic review shows robust evidence of impaired lung function in preterm-born children with a high certainty of evidence., Competing Interests: Conflict of interest: M. Königs reports grants from GSK, KNVB and Daan Theeuwes Center for Intensive Neurorehabilitation, payment or honoraria for lectures, presentations, manuscript writing or educational events from Vrije Universiteit Amsterdam and Applied University for Physiotherapy SOMT, and their partner has stock options in Open Up BV, a psychological care provider. All other authors have nothing to disclose., (Copyright ©The authors 2024.)- Published
- 2024
- Full Text
- View/download PDF
40. Atosiban versus placebo in the treatment of threatened preterm birth between 30 and 34 weeks gestation: study protocol of the 4-year APOSTEL 8 follow-up.
- Author
-
van der Windt L, Klumper J, van Limburg Stirum EVJ, van 't Hooft J, van Wely M, van Wassenaer-Leemhuis AG, Pajkrt E, and Oudijk MA
- Subjects
- Humans, Female, Pregnancy, Double-Blind Method, Follow-Up Studies, Infant, Newborn, Child, Preschool, Gestational Age, Randomized Controlled Trials as Topic, Child Development drug effects, Multicenter Studies as Topic, Infant, Premature Birth prevention & control, Tocolytic Agents therapeutic use, Vasotocin analogs & derivatives, Vasotocin therapeutic use
- Abstract
Introduction: Currently, the majority of women worldwide with threatened preterm birth are treated with tocolytics. Although tocolytics can effectively delay birth for 48 hours, no tocolytic drug has convincingly been shown to improve neonatal outcomes and effects on long-term child development are unknown. The aim of this follow-up study of a placebo controlled randomised trial is to investigate the long-term effects of atosiban administration in case of threatened preterm birth on child's neurodevelopment and behaviour development, overall health and mortality., Methods and Analysis: This protocol concerns a follow-up study of the multicentre randomised double-blind placebo controlled APOSTEL 8 trial (NL61439.018.17, EudraCT-number 2017-001007-72). In this trial, women with threatened preterm birth (between 30 and 34 weeks of gestation) defined as uterine contractions with (1) a cervical length of <15 mm or (2) a cervical length of 15-30 mm and a positive fibronectin test or (3) in centres where cervical length measurement is not part of the local protocol: a positive fibronectin test or Actim-Partus test or (4) ruptured membranes, are randomised to atosiban or placebo for 48 hours. The primary outcome is a composite of perinatal mortality and severe neonatal morbidity. Children born to mothers who participated in the APOSTEL 8 study (n=760) will be eligible for follow-up at 4 years of corrected age and assessed using four parent-reported questionnaires. Primary outcomes are neurodevelopment and behaviour problems. Secondary outcomes are on child growth and general health. All outcomes will be compared between the atosiban and placebo group with OR and corresponding 95% CI. Analyses will be performed using the intention-to-treat approach., Ethics and Dissemination: The Medical Research Ethics Committee from Amsterdam UMC confirmed that de Medical Research Involving Human Subjects Act (Dutch WMO-law) did not apply to our study (W21_386 # 21.431). Results will be published in a peer-reviewed journal and shared with stakeholders and participants. This protocol is published before analysis of the results., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2024
- Full Text
- View/download PDF
41. Doppler ultrasound of umbilical and middle cerebral artery in third trimester small-for-gestational age fetuses to decide on timing of delivery for suspected fetal growth restriction: A cohort with nested RCT (DRIGITAT).
- Author
-
Marijnen MC, Kamphof HD, Damhuis SE, Smies M, Leemhuis AG, Wolf H, Gordijn SJ, and Ganzevoort W
- Subjects
- Humans, Female, Pregnancy, Adult, Infant, Newborn, Delivery, Obstetric methods, Pregnancy Outcome, Cohort Studies, Gestational Age, Fetal Growth Retardation diagnostic imaging, Infant, Small for Gestational Age, Umbilical Arteries diagnostic imaging, Pregnancy Trimester, Third, Middle Cerebral Artery diagnostic imaging, Ultrasonography, Prenatal, Ultrasonography, Doppler
- Abstract
Objective: To assess the association of the umbilicocerebral ratio (UCR) with adverse perinatal outcome in late preterm small-for-gestational age (SGA) fetuses and to investigate the effect on perinatal outcomes of immediate delivery., Design: Multicentre cohort study with nested randomised controlled trial (RCT)., Setting: Nineteen secondary and tertiary care centres., Population: Singleton SGA pregnancies (estimated fetal weight [EFW] or fetal abdominal circumference [FAC] <10th centile) from 32 to 36
+6 weeks., Methods: Women were classified: (1) RCT-eligible: abnormal UCR twice consecutive and EFW below the 3rd centile at/or below 35 weeks or below the 10th centile at 36 weeks; (2) abnormal UCR once or intermittent; (3) never abnormal UCR. Consenting RCT-eligible patients were randomised for immediate delivery from 34 weeks or expectant management until 37 weeks., Main Outcome Measures: A composite adverse perinatal outcome (CAPO), defined as perinatal death, birth asphyxia or major neonatal morbidity., Results: The cohort consisted of 690 women. The study was halted prematurely for low RCT-inclusion rates (n = 40). In the RCT-eligible group, gestational age at delivery, birthweight and birthweight multiple of the median (MoM) (0.66, 95% confidence interval [CI] 0.59-0.72) were significantly lower and the CAPO (n = 50, 44%, p < 0.05) was more frequent. Among patients randomised for immediate delivery there was a near-significant lower birthweight (p = 0.05) and higher CAPO (p = 0.07). EFW MoM, pre-eclampsia, gestational hypertension and Doppler classification were independently associated with the CAPO (area under the curve 0.71, 95% CI 0.67-0.76)., Conclusions: Perinatal risk was effectively identified by low EFW MoM and UCR. Early delivery of SGA fetuses with an abnormal UCR at 34-36 weeks should only be performed in the context of clinical trials., (© 2024 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd.)- Published
- 2024
- Full Text
- View/download PDF
42. Association between bronchopulmonary dysplasia severity and its risk factors and long-term outcomes in three definitions: a historical cohort study.
- Author
-
Katz TA, van Kaam AH, Zuithoff NPA, Mugie SM, Beuger S, Blok GJ, van Kempen AAMW, van Laerhoven H, Lutterman CAM, Rijpert M, Schiering IA, Ran NC, Visser F, van Straaten E, Aarnoudse-Moens CSH, van Wassenaer-Leemhuis AG, and Onland W
- Abstract
Objective: To compare the association of the severity categories of the 2001-National Institutes of Health (NIH), the 2018-NIH and the 2019-Jensen bronchopulmonary dysplasia (BPD) definitions with neurodevelopmental and respiratory outcomes at 2 and 5 years' corrected age (CA), and several BPD risk factors., Design: Single-centre historical cohort study with retrospective data collection., Setting: Infants born between 2009 and 2015 at the Amsterdam University Medical Centers, location Amsterdam Medical Center., Patients: Preterm infants born at gestational age (GA) <30 weeks and surviving up to 36 weeks' postmenstrual age., Interventions: Perinatal characteristics, (social) demographics and comorbidities were collected from the electronic patient records., Main Outcome Measures: The primary outcomes were neurodevelopmental impairment (NDI) or late death, and respiratory morbidity at 2 and 5 years' CA. Using logistic regression and Brier scores, we investigated if the ordinal grade severity is associated with incremental increase of adverse long-term outcomes., Results: 584 preterm infants (median GA: 28.1 weeks) were included and classified according to the three BPD definitions. None of the definitions showed a clear ordinal incremental increase of risk for any of the outcomes with increasing severity classification. No significant differences were found between the three BPD definitions (Brier scores 0.169-0.230). Respiratory interventions, but not GA, birth weight or small for GA, showed an ordinal relationship with BPD severity in all three BPD definitions., Conclusion: The severity classification of three BPD definitions showed low accuracy of the probability forecast on NDI or late death and respiratory morbidity at 2 and 5 years' CA, with no differences between the definitions., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2024
- Full Text
- View/download PDF
43. Interventions affecting the nitric oxide pathway versus placebo or no therapy for fetal growth restriction in pregnancy.
- Author
-
Pels A, Ganzevoort W, Kenny LC, Baker PN, von Dadelszen P, Gluud C, Kariya CT, Leemhuis AG, Groom KM, Sharp AN, Magee LA, Jakobsen JC, Mol BWJ, and Papageorghiou AT
- Subjects
- Infant, Newborn, Pregnancy, Female, Humans, Sildenafil Citrate, Nitric Oxide therapeutic use, Nitroglycerin, Tadalafil, Placenta, Fetal Death, Fetal Growth Retardation drug therapy, Premature Birth prevention & control
- Abstract
Background: Fetal growth restriction (FGR) is a condition of poor growth of the fetus in utero. One of the causes of FGR is placental insufficiency. Severe early-onset FGR at < 32 weeks of gestation occurs in an estimated 0.4% of pregnancies. This extreme phenotype is associated with a high risk of fetal death, neonatal mortality, and neonatal morbidity. Currently, there is no causal treatment, and management is focused on indicated preterm birth to prevent fetal death. Interest has risen in interventions that aim to improve placental function by administration of pharmacological agents affecting the nitric oxide pathway causing vasodilatation., Objectives: The objective of this systematic review and aggregate data meta-analysis is to assess the beneficial and harmful effects of interventions affecting the nitric oxide pathway compared with placebo, no therapy, or different drugs affecting this pathway against each other, in pregnant women with severe early-onset FGR., Search Methods: We searched Cochrane Pregnancy and Childbirth's Trials Register, ClinicalTrials.gov, the WHO International Clinical Trials Registry Platform (ICTRP) (16 July 2022), and reference lists of retrieved studies., Selection Criteria: We considered all randomised controlled comparisons of interventions affecting the nitric oxide pathway compared with placebo, no therapy, or another drug affecting this pathway in pregnant women with severe early-onset FGR of placental origin, for inclusion in this review., Data Collection and Analysis: We used standard Cochrane Pregnancy and Childbirth methods for data collection and analysis., Main Results: We included a total of eight studies (679 women) in this review, all of which contributed to the data and analysis. The identified studies report on five different comparisons: sildenafil compared with placebo or no therapy, tadalafil compared with placebo or no therapy, L-arginine compared with placebo or no therapy, nitroglycerin compared with placebo or no therapy and sildenafil compared with nitroglycerin. The risk of bias of included studies was judged as low or unclear. In two studies the intervention was not blinded. The certainty of evidence for our primary outcomes was judged as moderate for the intervention sildenafil and low for tadalafil and nitroglycerine (due to low number of participants and low number of events). For the intervention L-arginine, our primary outcomes were not reported. Sildenafil citrate compared to placebo or no therapy (5 studies, 516 women) Five studies (Canada, Australia and New Zealand, the Netherlands, the UK and Brazil) involving 516 pregnant women with FGR were included. We assessed the certainty of the evidence as moderate. Compared with placebo or no therapy, sildenafil probably has little or no effect on all-cause mortality (risk ratio (RR) 1.01, 95% confidence interval (CI) 0.80 to 1.27, 5 studies, 516 women); may reduce fetal mortality (RR 0.82, 95% CI 0.60 to 1.12, 5 studies, 516 women), and increase neonatal mortality (RR 1.45, 95% CI 0.90 to 2.33, 5 studies, 397 women), although the results are uncertain for fetal and neonatal mortality as 95% confidence intervals are wide crossing the line of no effect. Tadalafil compared with placebo or no therapy (1 study, 87 women) One study (Japan) involving 87 pregnant women with FGR was included. We assessed the certainty of the evidence as low. Compared with placebo or no therapy, tadalafil may have little or no effect on all-cause mortality (risk ratio 0.20, 95% CI 0.02 to 1.60, one study, 87 women); fetal mortality (RR 0.11, 95% CI 0.01 to 1.96, one study, 87 women); and neonatal mortality (RR 0.89, 95% CI 0.06 to 13.70, one study, 83 women). L-Arginine compared with placebo or no therapy (1 study, 43 women) One study (France) involving 43 pregnant women with FGR was included. This study did not assess our primary outcomes. Nitroglycerin compared to placebo or no therapy (1 studies, 23 women) One study (Brazil) involving 23 pregnant women with FGR was included. We assessed the certainty of the evidence as low. The effect on the primary outcomes is not estimable due to no events in women participating in both groups. Sildenafil citrate compared to nitroglycerin (1 study, 23 women) One study (Brazil) involving 23 pregnant women with FGR was included. We assessed the certainty of the evidence as low. The effect on the primary outcomes is not estimable due to no events in women participating in both groups., Authors' Conclusions: Interventions affecting the nitric oxide pathway probably do not seem to influence all-cause (fetal and neonatal) mortality in pregnant women carrying a baby with FGR, although more evidence is needed. The certainty of this evidence is moderate for sildenafil and low for tadalafil and nitroglycerin. For sildenafil a fair amount of data are available from randomised clinical trials, but with low numbers of participants. Therefore, the certainty of evidence is moderate. For the other interventions investigated in this review there are insufficient data, meaning we do not know whether these interventions improve perinatal and maternal outcomes in pregnant women with FGR., (Copyright © 2023 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.)
- Published
- 2023
- Full Text
- View/download PDF
44. Long-term outcomes following antenatal exposure to low-dose aspirin: study protocol for the 4-year follow-up of the APRIL randomised controlled trial.
- Author
-
Landman AJEMC, van Limburg Stirum EVJ, van 't Hooft J, Leemhuis AG, Finken MJJ, van Baar AL, Roseboom TJ, Ravelli ACJ, van Wely M, Oosterlaan J, Painter RC, Pajkrt E, Oudijk MA, and de Boer MA
- Subjects
- Aspirin adverse effects, Child, Child, Preschool, Female, Follow-Up Studies, Humans, Infant, Newborn, Pregnancy, Randomized Controlled Trials as Topic, Tumor Necrosis Factor Ligand Superfamily Member 13, Premature Birth prevention & control
- Abstract
Introduction: The use of low-dose aspirin by pregnant women to prevent preterm pre-eclampsia is gradually increasing. The administration of aspirin during pregnancy improves perinatal outcome, which could translate into improved child outcome in the long term. However, antenatal exposure to aspirin could have adverse effects on child development that may manifest later in life. The aim of this follow-up study is to assess the long-term effects of antenatal exposure to low-dose aspirin compared with placebo on survival, (neuro)development, behaviour and general health at 4 years corrected age., Methods and Analysis: This is a follow-up study of the Dutch double-blind randomised controlled APRIL trial which assessed the effectiveness of treatment with aspirin (80 mg daily) compared with placebo for the prevention of preterm birth in women with a previous spontaneous preterm birth. Treatment was initiated before 16 weeks of gestation and continued until 36 weeks or birth. We aim to follow-up all 379 children born to women who participated in the APRIL trial and survived the neonatal period, at the corrected age of 4 years. The main outcomes are (neuro)development as assessed by the Ages and Stages Questionnaire, and behaviour as assessed by the Strength and Difficulties Questionnaire. Additional outcomes include mortality, growth and general health from birth up to 4 years, and a composite outcome including mortality, abnormal (neuro)development and problem behaviour. Analyses will be performed by intention-to-treat using a superiority design., Ethics and Dissemination: Institutional Review Board approval was obtained from the Medical Research Ethics Committee from Amsterdam Medical Center (no. W20 289#20.325). The results will be published in a peer-reviewed journal and presented at conferences., Trial Registration Number: The APRIL trial (NTR5675, NL5553; EudraCT number 2015-003220-31) and the APRIL follow-up study (NL8950) are registered in the Dutch trial register. The study is funded by the Amsterdam Reproduction & Development research institute., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2022
- Full Text
- View/download PDF
45. [Developmental problems in prematures].
- Author
-
De Grauw AM, Van Beek PE, and Leemhuis AG
- Subjects
- Child, Child, Preschool, Cohort Studies, Gestational Age, Humans, Infant, Infant, Newborn, Infant, Premature, Risk Factors, Infant, Premature, Diseases etiology
- Abstract
The French EPIPAGE-2 study evaluated a large group of premature born children (24-34 weeks' gestational age (GA))) at age 5.5 years. Outcome information of the whole cohort was presented after careful imputation including/using the variable socio-economic-status (SES), because participation rate improved with increasing SES. Survival improved with increasing GA. Survival without moderate or severe impairment was 20% in children born at 24-26 weeks' GA, but among the survivors 75% had no or mild impairment. Mild cognitive impairment rates were comparable and common among all GA groups (25-28%) and thus frequent in prematures. School problems were also common. In addition to prematurity, SES is an important risk factor for developmental impairment. Follow-up programs for premature infants beyond 30 weeks' GA are less common and may need extra attention in low SES families. Future studies should focus on both prevention of prematurity and programs to improve outcome.
- Published
- 2021
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.