title: [An assessment of Dutch obstetrics: implementation of 6 randomised trials within a national network].
abstract: In the field of obstetrics, important clinical questions have been addressed by multicentre randomised trials, but only a limited number of such trials have been carried out in the Netherlands. Implementation of the results is hampered because the organisation of Dutch obstetric practice differs from that abroad. In view of this, all ten Dutch perinatal centres and more than 30 non-academic hospitals initiated 6 randomised trials with the aim of improving their quality and power, as well as the subsequent implementation of the trial results. Clinical questions that were addressed included: (a) whether or not labour should be induced in women with foetal growth retardation at term; (b) whether or not labour should be induced in women with preeclampsia or pregnancy-induced hypertension at term; (c) whether or not labour should be induced in women with ruptured membranes at term; (d) which form of foetal surveillance is most effective in women with a high-risk pregnancy at or near term; (e) which form of foetal surveillance is most effective in women with growth retardation at 26 to 32 weeks; and (f) whether premature delivery during a multiple pregnancy can be effectively prevented by prophylactic administration of progesterone.
mesh_terms: D005260:Female; D006801:Humans; D009426:Netherlands; D009774:Obstetrics / Q000592:standards*; D011247:Pregnancy; D011787:Quality of Health Care; D016032:Randomized Controlled Trials as Topic