Page 32 - 2019-06 presentatie LUMC

e a y n e b graphic 5 p e s eo w ae p s m r schriften.nl en.nl ie hy te € 475,- ad ogramma d pe (schreefloos cl paginacijfers, aan zijkant) e uitingen ijv hoofdstuk cucumber \[18\] Furans with period, professional care is generally acknowledged to be effective in preventing conjugation in side adverse pregnancy outcomes, and it is considered to bnealeffective in detecting and chain mg/kg bw C labelled 2-propenal by gavage \[23\]. Urine was the major excretion rocuatre on their own accountability, and a small number of general practitioners active in midwifery care. Latter are mainly engaged in rural areas with a low • • conducting this study. The second rationale was gaining insight into the This thesis is specifically focusing on primary maternity care, with the \[2\] red wine \[1\], tabacco smoke \[2\] \[17\] grape, orange \[1\] cucumber \[18\] black tea \[19\] lime \[1\] \[21\] Furthermore, it offers new parents support for parenting and the responsibilities that come with it \[2\]. Despite these advantages and the universal accessibility of prenatal and postnatal care, previous studies in the Netherlands have demonstrated that non-western women from various ethnic origins are more likely to make inadequate use of these services \[3-7\]. Rnoesne-warecshtecrondwuocmteedns’sopfarer,nhaataslnaontdbepeonstanbaltealtocagrieveutailcisoamtiopnletine uthnedeNrestahnedrlianngdosf. Filling this gap in knowledge and understanding provided the main rationale for conducting this study. The second rationale was gaining insight into the interactions between non-western women and the maternity care professionals involved, as this may affect the utilisation of prenatal and postnatal care. births and postnatal periods in primary maternity care, and only cases of (expected) complications/pathology in secondary maternity care, the various maternity care professionals’ expertise can be applied to its full potential \[11\]. To guide the risk selection, the indications for referral to and consultation of secondary care are defined in the List of Obstetric Indications (Verloskundige Indicatie Lijst) – a list based on scientific evidence and consensus among the pvaurbiolisuhsedmiante2r0n0it3y, iscainreusper.ofessionals. Currently the third revision of this list, This thesis is specifically focusing on primary maternity care, with the abovementioned primary care midwives as the main care providers. Approximately 77% of the 2444 midwives in the Netherlands provide this type of Paginarand 1 daard banana \[1\], fig citral (mixture of neral and geranial) van uw proefschr care \[12\]. Between 1999 and 2012, the majority of pregnant women in the 1.3 \[1\] ds within 24 hours. Only trace amou nt of trans- 2-nonenal or trans-2 -pentenal w re in th eN ethe rl ands black tea \[19\] lime \[1\] fig \[17\], gatekeepers to secondary maternity care. The basic principle behinad rkisk seltecation is that in the l period are in k births and po only cases of (expected) co e, the various aromatic alkyl substituted aldehydes General Introduction 2-alkylated aldehydes trans-2-cis-6-nonadie nal 2-methylcrotonaldehy de Furans with conjugation in side chain Furfurylidene-2-buta nal 2-phenyl-2-alke n eth yl -2 -p ete Other sulphur 2-(Methylthiomethyl) containing substances -3-phenylpropenal childbirth, but also during the prenatal and postnatal period. In the prenatal nity care is organise d in a mode l consisting of so called activities are performed. According to the standards of the Royal Dutch Organisation of Midwives (KNOV), the first prenatal visit (intake) should ideally be made between the 6th and 8th week of pregnancy \[14\]. Throughout pregnancy 10 to 16 prenatal visits should ideally be made, with an average of 13, depending on necessary medical care and the needs and expectations of clients. In the first treating complications, providing timely interventions, promoting a healthy newborns with complications or an increa e d risk for developing com p l ications to Others lifestyle and facilitating informed chOotihceer s\[u1lp\]h.uIrn the po2s-(tMneatthaylthpioemreiothdyl)professional 32620 Reiko Kiwamoto.indd 11 17-03-15 15:34 with or without additional double tr 2 Others i v nFou ien al circulation from the mgasteroaintesptinraol (dGIu) tcratcst, and were aci faeces \[22\]. In anoth\[er2st1ud\]y, male and female Sprague-Dawley rats were exposed to 2.5 or 15 on n i s rt h i l ( r t i a r y c a r e ) \[ 1 0 \] . a ls -b 3-alkylated aldehydes ds nal furoalnly important during Opmaak en vormgeving ADME (absorption, distribution, metabolism and excretion) ift Heterocyclic Skilled professional care for pregnFaurnfutralwdeormivaet trans-2-trans-4-hexad ienal fig \[17\], blueberry \[20\] cacao,coffee, and specialise ‘clinical’ midwives in gener c l birth (n s c o n d a r a r e ) and academic e s met o double-bonds cg n n -c on jug a ted anis ati containing substances -3-phenylpropenal foster an environment that offers help and support for physical and mental health as well as social and cultural issues that can affect health and wellbeing. essence perce preg na n cie s, 5- m -phenylhe ans- e t h y x-2-enal with or without additional double-bonds Two or more conjugated double-bonds with or without additional trans-2-trans-4-octad 2- m 1.3 ADME (absorption, distribution, metabolism and excretion) Furthermore, it offers new parents support for parenting and the responsibilities that come with it \[2\]. Despite these advantages and the universal accessibility of l - Furfurylidene-2-buta 10 α,β-Unsaturated aldehydes are rapidly absorbed, distributed, metabolized and excreted in urine, • koptekst guide the risk selection, the indications for referral to and consultation of prenatal and postnatal care, previous studies in the Netherlands have maternity care professionals’ expertise can be applied to its full potential \[11\]. To blueberry \[20\] faeces and expired air. When male Wistar rats were exposed to 100 mg/kg bw of 14C labelled demonstrated that non-western women from various ethnic origins are more • paginacijfers secondary care are defined in the List of Obstetric Indications (Verloskundige trans-2-nonenal or trans-2-pentenal by gavage \[22\], both aldehydes entered the systemic likely to make inadequate use of these services \[3-7\]. • zijkant blokje various maternity care professionals. Currently the third revision of this list, Opmaak vanuit W circulation from the gastrointestinal (GI) tract, and were metabolized to yield C-3 mercapturic acids within 24 hours. Only trace amount of trans-2-nonenal or trans-2-pentenal were found in Indicatie Lijst) – a list based on scientific evidence and consensus among the Research conducted so far, has not been able to give a complete understanding of Filling this gap in knowledge and understanding provided the main rationale for ord document faeces \[22\]. In another study, male and female Sprague-Dawley rats were exposed to 2.5 or 15 published in 2003, is in use. non-western women’s prenatal and postnatal care utilisation in the Netherlands. Opmaak (linker-) 14 mg/kg bw C labelled 2-propenal by gavage \[23\]. Urine was the major excretion route Standaard; professionele opmaak, enkele keuzes in vormgeving, excl omslag interactions between non-western women and the maternity care professionals abovementioned primary care midwives as the main care providers. Custom; incl gesprek in Ede, professionele opmaak, keuze uit diverse lettertypen, pe rs oonlijk ontwerp and 34.2% gave birth in a primary care sebttainsgi\[s1’.3\]. This introductory chapter provides background information on the organisation of Netherlands (83.2%) had their first maternity care check-up in a primary care maternity care, the non-western population, perinatal and maternal mortality Organisation of maternity care in the Netherlands is organised in a mod re \[8\]. Primary care is medical professionals and a small number re mainly engaged in Non-western women in setting. Eventually, 54.3% of the pregnant women started labour in primary care, This introductory chapter provides background information on the organisation of Netherlands (83.2%) had their first maternity care check-up in a primary care population density \[9\]. Secondary and tertiary care is provided by obstetricians tting. E faeces and expired air. When male Wistar rats were exposed to 100 mg/kg bw of 14C labeltlheedaim, research questions and theoretical framework of the research presented Primary midwifery care includes care provided during pregnancy (prenatal care), 4.3% o a hild Prenatal care encompasses supervision of pregnant women from pregnancy cseovnefirraml aftoiollonwd-urpingvistihtse pinrewnahtiachl pdeiraiogndousntitci,l bcoiruthn.seItlincgonasnisdts hoefaaltnh inetdaukceataionnd One of the basic pillars of the Dutch maternity care system is risk selection. Risk 811 Non-western women in maternity care in the Netherlands Chapter 1 9 selection is conducted at primary care level by only referring women and se α,β-Unsaturated aldehydes are rapidly absorbed, distributed, metabolized and excreted in urianmeo, ng non-western women and the utilisation of prenatal and postnatal care by and 34.2% gave birth in a primary care setting \[13\]. trans-2-nonenal or trans-2-pentenal by gavage \[22\], both aldehydes entered the in th is thesis. at al c are) and afte r bir th (p ostn ata l/postpa rtu m ca re ). o s p systemic t rlands, mater 14 midwives, autonomous qualified medical professionals providing full maternity abo liz ed to y a s t iel d C-3 m e rca pt uOrir e ere fou ma non-western women in the Netherlands. In addition, information is given about en s y rted terni a re, n- wes ter ula tion , pe rina tal a ate rna ality ty c d the no n pop nd m l mort on of ma ter nit y ca ndIninthe Nethe primary, secondary and tertiary care \[8\]. Primary care is provided by primary care s secondary care. Thus these primary maternity care professionals serve as 3 2429 Boerlei der.indd 9 21-02 -15 18 :47 titelpagina ven ( tuall y, 5 e om ft he pre gnan tw ta c labo ur in pr imar y care, care is necessary to maintain and promote the health of mother and child, to involved, as this may affect the utilisation of prenatal and postnatal care. 11 (op aanvraag): Approximately 77% of the 2444 midwives in the Netherlands provide this type of Zie voorbeeld care \[12\]. Between 1999 and 2012, the majority of pregnant women in the ‘opmaak compleet ,- ogramma rofessionele floos of schreef) tandaard peciale omgeving ), the first prenatal visit (intake) should ideally be 32620 Reiko Kiwamoto.indd 11 17-03-15 15:34 am non-western women in the Netherlands. In addition, information is given about the aim, research questions and theoretical framework of the research presented in this thesis. on gn on -w e s te rn wo me n and t he utilisation of prenatal and postnatal care by my.thesis mplications/pathology in 3segcroanfidasrcyhme autietrinnitgy ecna:r P Netherlands, pregnancy, childbirth and the postnata ived as being ‘physiologic al’. By supe rv isin g low ris Primary midwifery care includes care provided during pregnancy (prenatal care), childbirth (natal care) and after birth (postnatal/postpartum care). Prenatal care encompasses supervision of pregnant women from pregnancy confirmation during the prenatal period until birth. It consists of an intake and several follow-up visits in which diagnostic, counseling and health education D F o p m nl a stnatal periods in primary maternity care, and Digitale publicatie rding to the standards of the Royal Dutch eek of pregnancy \[14\]. Throughout pregnancy 10 Bladerbare PDF € 150,- needs and expectations of clients. In the first ly be made, with an average of 13, depending on In te zien via de browser, details goed zich (vergroten tot 400%), met: • zoekfunctie • markeren • bladwijzers Incl 2 jaar hosting eventueel met • download- • print- 21-02-15 • film • ges tek 18:47 E-pub €150,- Te lezen via e-book (e-reader of program computer), tekst loopt mee met schermb 9 In the Netherlands, maternity c primary, secondary and tertiary midwives, autonomous qualifie care on their own accountabili active in midwifery care. Latte 8 el consisting of so called provided by primary care providing full maternity of general practitioners rural areas with a low maternity care in the Netherlands activities are performed. A Organisation of Midwives (KN made between the 6th and 8t to 16 prenatal visits should id necessary medical care and Chapter 1 9 32429 Boerleider.indd cc OV h eal th ar ca d ty, r