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Increased prevalence of chronic medical conditions linked to higher rates of adverse perinatal outcomes in Dutch women
  1. Rauf Melekoglu
  1. Department of Obstetrics and Gynecology, Inonu University Faculty of Medicine, Malatya, TURKIYE
  1. Correspondence to Dr Rauf Melekoglu, Inonu University, Malatya, Turkey; rmelekoglu{at}

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Commentary on: Rosman AN, van der Vliet-Torij HWH, Hilberink SR. Trends in perinatal outcomes of women with chronic medical conditions: a 10-year population-based study in the Netherlands. Midwifery. 2023 Mar;118:103572. doi: 10.1016/j.midw.2022.103572. Epub 2022 Dec 13.

Implications for practice and research

  • Due to the heightened risk of preterm birth, caesarean deliveries, NICU admission of neonates and increased perinatal mortality among pregnant women with chronic medical conditions, it is essential that midwives and nurses receive comprehensive training to deliver personalised care for these women.

  • To enhance perinatal outcomes among pregnant women with chronic medical conditions, future research should prioritise identifying the contributing factors to such outcomes and developing novel interventions targeted at optimising perinatal outcomes during both the prepregnancy and pregnancy periods.


Chronic diseases can impact pregnancy and lead to long-term consequences for women during and after childbirth, causing anxiety. However, medical advancements and careful pregnancy planning with specialists can minimise …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.