Perinatal mortality - system related and environmental factors

In The Netherlands perinatal mortality rates exceed the European average. On a second geographic level of comparison, i.e., within The Netherlands, adverse perinatal outcome rates are much higher in the four largest cities (‘G4’, i.e., Amsterdam, Rotterdam, The Hague, Utrecht). Again, on a third level, i.e., within the G4-cities, adverse perinatal outcomes are overrepresented in socially deprived areas on the borough- and neighbourhood level. For long, population factors such as the high age of mothers at first childbirth, the high prevalence of multiple pregnancies (as a consequence of either... Mehr ...