Merkus J M W M
Ned Tijdschr Geneeskd. 2008 Dec 13;152(50):2707-8.
According to the Peristat II study, based on data from 2004, The Netherlands has almost the highest perinatal mortality rate in Europe. In 2006 perinatal mortality in The Netherlands was also higher than in the Flemish part of its neighbouring country Belgium (10.40 per thousand versus 7.76 per thousand). The difference in perinatal mortality between Flanders and The Netherlands cannot be explained by the risk factors analysed in the Peristat study, nor by the Dutch system of home deliveries. It is more likely that the attitude of Dutch professionals is too expectative, based on too much confidence in a non-intervention policy. Since the Peristat I publication many measures have been taken in The Netherlands in order to improve the quality of perinatal care. The most important are the start of the perinatal audit preparations, better prenatal screening and the introduction of preconception care.
根据2004年数据的围产期统计II研究，荷兰的围产期死亡率几乎是欧洲最高的。2006年，荷兰的围产期死亡率也高于其邻国比利时的弗拉芒地区（分别为千分之10.40和千分之7.76）。弗拉芒地区和荷兰之间围产期死亡率的差异，既不能用围产期统计研究中分析的风险因素来解释，也不能用荷兰的家庭分娩体系来解释。更有可能的是，荷兰专业人员的态度过于期待，这基于对不干预政策的过度自信。自从围产期统计I发布以来，荷兰已经采取了许多措施来提高围产期护理质量。最重要的措施是开始围产期审计准备、更好的产前筛查以及引入孕前护理。
