Publications by authors named "Dorothea M Koppes"
Article Synopsis
- - The study aimed to create prediction models for maternal and neonatal morbidity related to vaginal birth after a previous caesarean section or elective repeat caesarean in Dutch women, highlighting the need for better counseling based on individual risks.
- - Researchers analyzed data from 2,592 women with prior caesarean sections and found a 12.7% rate of maternal or fetal complications, with higher overall morbidity in those opting for trial of labor (TOL) compared to elective repeat caesarean (ERCS).
- - The prediction models developed showed poor performance, with an area under the receiver operating characteristic curve below 0.6, preventing accurate validation of the models prior to addressing overfitting issues.
Article Synopsis
- Anatomy used to be a fundamental part of medical training, but its teaching has declined, particularly affecting the surgical field due to increasing medical knowledge.
- A study explored how anatomical knowledge is applied in the daily practice of gynecologists through interviews with professionals in Belgium and the Netherlands.
- The results revealed that gynecologists rely on anatomical knowledge for daily tasks, building self-confidence, and establishing their reputation as competent doctors, highlighting the need for better anatomical training in postgraduate education.
What do we need to know about anatomy in gynaecology? An international validation study.
Eur J Obstet Gynecol Reprod Biol
December 2022
Objective: International validation of the Dutch Delphi study about which anatomical structures should be taught to ensure safe and competent practice among general gynaecologists.
Study Design: Validation study with gynaecologists and trainees in gynaecology from academic, non-academic teaching and non-academic, non-teaching hospitals worldwide. The relevance of 123 items included in the Dutch Delphi study was scored on a Likert scale between 1 (not relevant) and 5 (highly relevant).
Objective: This literature review aimed to gain more insight into the level of anatomical knowledge based on published measurements among medical students, residents, fellows, and specialists.
Methods: We performed an extensive literature search in three online databases: Medline (using PubMed), Web of Science, and Education Resources Information Centre (ERIC).
Results: A total of 30 relevant studies were found.
Background: Due to the importance, anatomy training is worldwide recognizable in virtually all undergraduate curricula and many postgraduate surgical curricula (Estai and Bunt, 2016; Older, 2004). The postgraduate curriculum of Obstetrics and Gynaecology (O&G) is such a surgical curriculum. It is a diverse branch of medicine and the role of anatomy in O&G is versatile.
View Article and Find Full Text PDFObjectives: Woman with a history of a previous cesarean section (CS) can choose between an elective repeat CS (ERCS) and a trial of labor (TOL), which can end in a vaginal birth after cesarean (VBAC) or an unplanned CS. Guidelines describe women's rights to make an informed decision between an ERCS or a TOL. However, the rates of TOL and vaginal birth after CS varies greatly between and within countries.
View Article and Find Full Text PDFWhat do we need to know about anatomy in gynaecology: A Delphi consensus study.
Eur J Obstet Gynecol Reprod Biol
February 2020
Objective: Determination of the anatomical structures that should be taught to ensure safe and competent practice among general gynaecologists.
Study Design: A two-round Delphi survey, face-to-face meeting in focus groups and an individual interview. Participants were medical doctors and trainees from gynaecology, surgery, urology and radiology from academic, non-academic teaching and non-academic, non-teaching hospitals in the Netherlands.
Aim: To reduce the intrapartum use of antibiotics in women with prolonged rupture of the membranes (PROM) by restriction of antibiotics to women who are colonized with group B streptococci (GBS), as identified with the Cepheid Gene Xpert polymerase chain reaction (PCR) for detecting GBS.
Methods: We conducted a randomized controlled trial among full-term delivering women with PROM. Fifty-four women were enrolled, based on a power calculation with a significance level of 5% and a power of 95%.