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3. Effects of race and ethnicity on perinatal outcomes in high-income and upper-middle-income countries: an individual participant data meta-analysis of 2 198 655 pregnancies

Author

Abdollahain, Mali, Savitri, Ary I., Salvesen, Kjell Åsmund, Bhattacharya, Sohinee, Uiterwaal, Cuno S.P.M., Staff, Annetine C., Andersen, Louise Bjoerkholt, Olive, Elisa Llurba, Daskalakis, George, Macleod, Maureen, Thilaganathan, Baskaran, Ramírez, Javier Arenas, Massé, Jacques, Audibert, Francois, Magnus, Per Minor, Sletner, Line, Baschat, Ahmet, Ohkuchi, Akihide, McAuliffe, Fionnuala M., West, Jane, Askie, Lisa M., Mone, Fionnuala, Farrar, Diane, Zimmerman, Peter A., Smits, Luc J.M., Riddell, Catherine, Kingdom, John C., van de Post, Joris, Illanes, Sebastián E., Holzman, Claudia, van Kuijk, Sander M.J., Carbillon, Lionel, Villa, Pia M., Eskild, Anne, Chappell, Lucy, Prefumo, Federico, Velauthar, Luxmi, Seed, Paul, van Oostwaard, Miriam, Verlohren, Stefan, Poston, Lucilla, Ferrazzi, Enrico, Vinter, Christina A., Nagata, Chie, Brown, Mark, Vollebregt, Karlijn C., Takeda, Satoru, Langenveld, Josje, Widmer, Mariana, Saito, Shigeru, Haavaldsen, Camilla, Carroli, Guillermo, Olsen, Jørn, Wolf, Hans, Zavaleta, Nelly, Eisensee, Inge, Vergani, Patrizia, Lumbiganon, Pisake, Makrides, Maria, Facchinetti, Fabio, Sequeira, Evan, Gibson, Robert, Ferrazzani, Sergio, Frusca, Tiziana, Figueiró-Filho, Ernesto A., Lapaire, Olav, Laivuori, Hannele, Lykke, Jacob A., Conde-Agudelo, Agustin, Galindo, Alberto, Mbah, Alfred, Betran, Ana Pilar, Herraiz, Ignacio, Trogstad, Lill, Smith, Gordon G.S., Steegers, Eric A.P., Salim, Read, Huang, Tianhua, Adank, Annemarijne, Zhang, Jun, Meschino, Wendy S., Browne, Joyce L., Allen, Rebecca E., Da Silva Costa, Fabricio, Klipstein-Grobusch, Kerstin, Jørgensen, Jan Stener, Forest, Jean-Claude, Rumbold, Alice R., Mol, Ben W., Giguère, Yves, Ganzevoort, Wessel, Odibo, Anthony O., Myers, Jenny, Yeo, SeonAe, Teede, Helena J., Goffinet, Francois, McCowan, Lesley, Pajkrt, Eva, Haddad, Bassam G., Dekker, Gustaaf, Kleinrouweler, Emily C., LeCarpentier, Édouard, Roberts, Claire T., Groen, Henk, Skråstad, Ragnhild Bergene, Heinonen, Seppo, Eero, Kajantie, Kenny, Louise C., Anggraini, Dewi, Souka, Athena, Cecatti, Jose, Monterio, Ilza, Coomarasamy, Arri, Smuk, Melanie, Pillalis, Athanasios, Crovetto, Francesca, Souza, Renato, Ann Hawkins, Lee, Gabbay- Benziv, Rinat, Riley, Richard, Snell, Kym, Archer, Lucinda, Figuera, Francesc, van Gelder, Marleen, Sheikh, Jameela, Allotey, John, Kew, Tania, Fernández-Félix, Borja M, Zamora, Javier, Khalil, Asma, and Thangaratinam, Shakila

Published
2022
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10. Building Cross-sectoral Collaborations to Address Perinatal Health Inequities:Insights From the Dutch Healthy Pregnancy 4 All-3 Program

Author

Daalderop, Leonie A., Barsties, Lisa S., Steenbergen, Frank van, Waelput, Adja J.M., Lagendijk, Jacqueline, Been, Jasper V., Steegers, Eric A.P., Loorbach, Derk, Daalderop, Leonie A., Barsties, Lisa S., Steenbergen, Frank van, Waelput, Adja J.M., Lagendijk, Jacqueline, Been, Jasper V., Steegers, Eric A.P., and Loorbach, Derk

Abstract

BACKGROUND: Addressing perinatal health inequities is the joint responsibility of professionals working for local governments, the medical, social, and public health sector. Cross-sectoral collaboration between these professionals is challenging. For such collaborations to succeed, a transition, ie, a fundamental shift in the dominant structure, culture, and practices at the systems level, is necessary. We investigated facilitators and barriers for cross-sectoral collaborations, when addressing perinatal health inequities in the Netherlands. Additionally, we studied how cross-sectoral collaborations can be facilitated by action research. METHODS: We used interview and questionnaire data of the Healthy Pregnancy 4 All-3 (HP4All-3) program, which resulted from action research in six Dutch municipalities. All interviews were coded using open codes related to facilitators and barriers for cross-sectoral collaboration and categorized into three subgroups: structural, cultural, or practical. The answers to the questionnaire were analyzed and summarized quantitatively. RESULTS: We conducted 53 interviews with a total of 81 professionals. The most important ingredients for cross-sectoral collaborations mentioned by the interviewees were: (1) structural: having a solid network with a clear overview of professionals working in the different sectors, (2) cultural: having a joint vision/goal, and (3) practical: short lines of communication and timely sharing of information. A total of 85 professionals filled in (parts of) the questionnaire. Two-thirds to over 80 percent replied that the HP4All-3 program had an added value in building cross-sectoral collaborations. CONCLUSION: Our research shows that cross-sectoral collaborations in the context of perinatal health are hampered by structural, cultural, and practical barriers. Analyzing facilitators and barriers at these three levels helps to identify

Published
2024

11. First-trimester 3D power Doppler imaging markers of utero-placental vascular development are associated with placental weight and diameter at birth: The Rotterdam Periconception Cohort

Author

Pathologie patiënten zorg, MS Verloskunde, Pathologie Pathologen staf, Cancer, de Vos, Eline S., van der Meeren, Lotte E., Koning, Anton H.J., Nikkels, Peter G.J., Steegers, Eric A.P., Steegers-Theunissen, Régine P.M., Mulders, Annemarie G.M.G.J., Pathologie patiënten zorg, MS Verloskunde, Pathologie Pathologen staf, Cancer, de Vos, Eline S., van der Meeren, Lotte E., Koning, Anton H.J., Nikkels, Peter G.J., Steegers, Eric A.P., Steegers-Theunissen, Régine P.M., and Mulders, Annemarie G.M.G.J.

Published
2024

12. Arterial Health Markers in Relation to Behavior and Cognitive Outcomes at School Age

Author

Gonçalves, Romy, Gaillard, Romy, Cecil, Charlotte, Defina, Serena, Steegers, Eric A.P., Jaddoe, Vincent W.V., Gonçalves, Romy, Gaillard, Romy, Cecil, Charlotte, Defina, Serena, Steegers, Eric A.P., and Jaddoe, Vincent W.V.

Abstract

BACKGROUND:Impaired arterial health is associated with a decline in cognitive function and psychopathology in adults. We hypothesized that these associations originate in early life. We examined the associations of blood pressure, common carotid artery intima media thickness, and carotid distensibility with behavior and cognitive outcomes during adolescence. METHODS AND RESULTS: This study was embedded in the Dutch Generation R Study, a population-based prospective cohort study from early fetal life onwards. Blood pressure, carotid intima media thickness, and carotid distensibility were measured at the age of 10 years. At the age of 13 years, total, internalizing and externalizing problems and attention-deficit hyperactivity disorder symptoms were measured using the parent-reported Child Behavior Checklist (CBCL/6-18), autistic traits were assessed by the Social Responsiveness Scale, and IQ was assessed using the Wechsler Intelligence Scale for Children-Fifth Edition. A 1-SD score higher mean arterial pressure was associated with lower odds of internalizing problems (odds ratio [OR], 0.92 [95% CI, 0.85-0.99]). However, this association was nonsignificant after correction for multiple testing. Carotid intima media thickness and carotid distensibility were not associated with behavior and cognitive outcomes at 13 years old. CONCLUSIONS: From our results, we cannot conclude that the associations of blood pressure, carotid intima media thickness, and carotid distensibility at age 10 years with behavior and cognitive outcomes are present in early adolescence. Further follow-up studies are needed to identify the critical ages for arterial health in relation to behavior and cognitive outcomes at older ages.

Published
2024

14. First effective mHealth nutrition and lifestyle coaching program for subfertile couples undergoing in vitro fertilization treatment: a single-blinded multicenter randomized controlled trial

Author

Oostingh, Elsje C., Koster, Maria P.H., van Dijk, Matthijs R., Willemsen, Sten P., Broekmans, Frank J.M., Hoek, Annemieke, Goddijn, Marriëte, Klijn, Nicole F., van Santbrink, Evert J.P., Steegers, Eric A.P., Laven, Joop S.E., and Steegers-Theunissen, Régine P.M.

Published
2020
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24. Preface

Author

Steegers, Eric A.P., primary, Cipolla, Marilyn J., additional, and Miller, Eliza C., additional

Published
2020
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36. Prenatal assessment of pulmonary vasculature development in fetuses with congenital diaphragmatic hernia:A literature review

Author

Weller, Katinka, Edel, Gabriëla G., Steegers, Eric A.P., Reiss, Irwin K.M., DeKoninck, Philip L.J., Rottier, Robbert J., Eggink, Alex J., Peters, Nina C.J., Weller, Katinka, Edel, Gabriëla G., Steegers, Eric A.P., Reiss, Irwin K.M., DeKoninck, Philip L.J., Rottier, Robbert J., Eggink, Alex J., and Peters, Nina C.J.

Abstract

Pathophysiological studies have shown that pulmonary vascular development is impaired in fetuses with a congenital diaphragmatic hernia (CDH), leading to a simplified vascular tree and increased vascular resistance. Multiple studies have described prenatal ultrasound parameters for the assessment of the pulmonary vasculature, but none of these parameters are used in daily clinical practice. We provide a comprehensive review of the literature published between January 1990 and February 2022 describing these parameters, and aim to explain the clinical relevance of these parameters from what is known from pathophysiological studies. Prenatal detection of a smaller diameter of the contralateral (i.e. contralateral to the diaphragmatic defect) first branch of the pulmonary artery (PA), higher pulsatility indices (PI), higher peak early diastolic reverse flow values, and a lower vascularization index seem of added value for the prediction of survival and, to a lesser extent, morbidity. Integration within the routine evaluation is complicated by the lack of uniformity of the methods used. To address the main components of the pathophysiological changes, we recommend future prenatal studies in CDH with a focus on PI values, PA diameters and pulmonary vascular branching.

Published
2023

37. Perinatal Mortality and Neonatal and Maternal Outcome per Gestational Week in Term Pregnancies:A Registry-Based Study

Author

Cornette, Jérôme, Van Der Stok, Catharina J., Reiss, Irwin K.M., Kornelisse, René F., Van Der Wilk, Eline, Franx, Arie, Jacquemyn, Yves, Steegers, Eric A.P., Bertens, Loes C.M., Cornette, Jérôme, Van Der Stok, Catharina J., Reiss, Irwin K.M., Kornelisse, René F., Van Der Wilk, Eline, Franx, Arie, Jacquemyn, Yves, Steegers, Eric A.P., and Bertens, Loes C.M.

Abstract

(Abstracted from Acta Obstet Gynecol Scand 2023;102:82–91) A human pregnancy at term is defined as being from 37+0/7 to 41+6/7 weeks of gestation. In uncomplicated pregnancies within this range, maternal, fetal, and neonatal risks are considered low, and expectant management is associated with positive outcomes, including increased odds of vaginal birth, low risk of intervention, and greater satisfaction for the pregnant individual.

Published
2023

38. Alcohol exposure before and during pregnancy is associated with reduced fetal growth:the Safe Passage Study

Author

Pielage, Marin, El Marroun, Hanan, Odendaal, Hein J., Willemsen, Sten P., Hillegers, Manon H.J., Steegers, Eric A.P., Rousian, Melek, Pielage, Marin, El Marroun, Hanan, Odendaal, Hein J., Willemsen, Sten P., Hillegers, Manon H.J., Steegers, Eric A.P., and Rousian, Melek

Abstract

Background: Prenatal alcohol exposure (PAE) is a worldwide public health concern. While PAE is known to be associated with low birth weight, little is known about timing and quantity of PAE on fetal growth. This study investigated the association between periconceptional and prenatal alcohol exposure and longitudinal fetal growth, focusing on timing and quantity in a high exposure cohort. Methods: The Safe Passage Study was a prospective cohort study, including 1698 pregnant women. Two-dimensional transabdominal ultrasound examinations were performed to measure fetal femur length, abdominal and head circumference, and biparietal diameter, at three time points during pregnancy. Estimated fetal weight and Z-scores of all parameters were calculated. Trimester-specific alcohol exposure was assessed using the Timeline Followback method. To investigate the associations of specific timing of PAE and fetal growth, two models were built. One with alcohol exposure as accumulative parameter over the course of pregnancy and one trimester specific model, in which PAE was separately analyzed. Linear mixed models adjusted for potential confounders were applied with repeated assessments of both alcohol exposure and fetal growth outcomes. Results: This study demonstrated that periconceptional and prenatal alcohol exposure were associated with reduced fetal growth. Effect sizes are displayed as estimated differences (ED) in Z-score and corresponding 95% confidence intervals (95% CIs). When investigated as accumulative parameter, PAE was related to a smaller femur length (ED30; − 0.13 (95% CI; − 0.22; − 0.04), ED36; − 0.14 (95% CI; − 0.25; − 0.04)) and a smaller abdominal circumference (ED36; − 0.09 (95% CI; − 0.18; − 0.01)). Periconceptional alcohol exposure was associated with a smaller abdominal circumference (ED30; − 0.14 (95% CI; − 0.25; − 0.02), ED36; − 0.22 (95% CI

Published
2023

42. Psychological distress during pregnancy and adverse maternal and perinatal health outcomes: The role of socioeconomic status

Author

Daalderop, Leonie A., Lagendijk, Jacqueline, Steegers, Eric A.P., El Marroun, Hanan, Posthumus, Anke G., Obstetrics & Gynecology, Applied Economics, Child and Adolescent Psychiatry / Psychology, and Clinical Psychology

Subjects
SDG 3 - Good Health and Well-being
Abstract

Objective: To study the contribution of socioeconomic status (SES) to the prevalence of psychological distress during pregnancy, and to investigate the association between psychological distress and maternal and perinatal health among different SES groups. Methods: This study was embedded in the Generation R study. Multiple self-reported questionnaires were used to measure psychological distress. Prevalence differences between SES groups were tested with the χ2 test. Linear and logistic regression analyses were used to examine the associations between psychological distress and maternal and perinatal health outcomes. Results: Women of low SES experience symptoms of psychopathology distress 4.5 times as often and symptoms of stress 2.5 times as often as women with of high SES. Women of low SES experiencing symptoms of psychopathology are at greater risk of delivering preterm. We also found associations between psychological distress and adverse perinatal health outcomes among women of middle and high SES. Conclusion: The present study shows that the associations between SES, psychological distress, and maternal and perinatal health are complex, but do exist. To provide a better understanding of these associations, it is important to include mental health information in the standard national data collection on pregnant women, as this allows population-based studies.

Published
2023

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