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The relation of obstetrical volume and nursery level to perinatal mortality

Author

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  • Mayfield, J.A.
  • Rosenblatt, R.A.
  • Baldwin, L.-M.
  • Chu, J.
  • Logerfo, J.P.

Abstract

We investigated the relation of hospital delivery volume and nursery technology level to perinatal outcome in 226,164 White singleton births in Washington State, 1980-83. Level III facilities (neonatal intensive care unit) were defined by the state licensing commission. We defined the Level II (intermediate) and Level I (normal newborn) facilities using published criteria. Infants under 2000 gm born in Level III facilities had half the risk of perinatal death compared to those born in a Level I or II facility. No significant improvement was noted among level or volume groupings for normal birthweight infants. A loglinear regression model of hospital perinatal death rates showed that when birthweight and maternal risk were controlled, obstetrical volume added minimal explanatory power to level of nursery care.

Suggested Citation

  • Mayfield, J.A. & Rosenblatt, R.A. & Baldwin, L.-M. & Chu, J. & Logerfo, J.P., 1990. "The relation of obstetrical volume and nursery level to perinatal mortality," American Journal of Public Health, American Public Health Association, vol. 80(7), pages 819-823.
    • Handle: RePEc:aph:ajpbhl:1990:80:7:819-823_7
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    Cited by:

    1. Pilkington, Hugo & Blondel, Béatrice & Carayol, Marion & Breart, Gérard & Zeitlin, Jennifer, 2008. "Impact of maternity unit closures on access to obstetrical care: The French experience between 1998 and 2003," Social Science & Medicine, Elsevier, vol. 67(10), pages 1521-1529, November.

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