Risk factors and prognostic models for perinatal asphyxia at term

This thesis will focus on the risk factors and prognostic models for adverse perinatal outcome at term, with a special focus on perinatal asphyxia and obstetric interventions during labor to reduce adverse pregnancy outcomes. For the majority of the studies in this thesis we were allowed to use data of the Netherlands Perinatal Registry (PRN). The PRN consists of national population-based data containing information on pregnancies, deliveries and (re)admissions until 28 days after birth. For one study the database of the Foundation Perinatal Audit in the Netherlands (PAN) was used.
Aim of this thesis: 1. To identify risk factors for asphyxia related morbidity and mortality at term singleton pregnancies. 2. To investigate the practice variance according to obstetric interventions and explore the association between variation in caesarean delivery rates with maternal and neonatal outcomes. 3. To develop prognostic models to predict adverse neonatal and pregnancy outcomes at term.