Publications by authors named "Sonja Melman"
Background: The cesarean section (CS) rate has increased over recent decades with poor guideline adherence as a possible cause. The objective of this study was to explore barriers and facilitators for delivering optimal care as described in clinical practice guidelines.
Methods: Key recommendations from evidence-based guidelines were used as a base to explore barriers and facilitators for delivering optimal CS care in The Netherlands.
Introduction: Large practice variation exists in mode of delivery after cesarean section, suggesting variation in implementation of contemporary guidelines. We aim to evaluate this practice variation and to what extent this can be explained by risk factors at patient level.
Material And Methods: This retrospective cohort study was performed among 17 Dutch hospitals in 2010.
Background: There is an ongoing discussion on the rising CS rate worldwide. Suboptimal guideline adherence may be an important contributor to this rise. Before improvement of care can be established, optimal CS care in different settings has to be defined.
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- The rising rates of Caesarean sections (CS) in the Netherlands, particularly among healthy women, have raised concerns about whether better outcomes are achieved for mothers and babies.
- A study aims to create quality indicators for CS decisions based on existing guidelines and assess how well Dutch gynaecologists follow these recommendations, while also identifying barriers and facilitators affecting guideline adherence.
- By developing and testing a tailored strategy in select hospitals, the study seeks to promote better practices and potentially reduce unnecessary CS occurrences while maintaining neonatal outcomes.
Background: Despite its reduced benefit for a single recipient, the transplantation of two single-lung allografts as opposed to one bilateral lung transplant has the indisputable advantage of maximizing the number of patients that benefit from a single donor.
Methods: In the period 1997 to 1999, 90 paired single-lung transplants (SLTx) from 45 donors were performed in 16 lung centers in Eurotransplant, with a complete follow-up of 1 year.
Results: No significant differences between left- and right-lung allograft recipients were observed regarding age, sex, primary disease, number of human leukocyte antigen mismatches, cold ischemic time, and donor-to-recipient cytomegalovirus match.