1. The Relation of Obstetrical Volume and Nursery Level to Perinatal Mortality.
- Author
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Mayfield, Jennifer A., Rosenblatt, Roger A., Baldwin, Laura-Mae, Chu, Joseph, and Lagerfo, James P.
- Subjects
DELIVERY (Obstetrics) ,NURSERIES (Children's rooms) ,CHILDBIRTH ,NEONATAL intensive care ,INFANT health services ,PEDIATRIC intensive care ,HOSPITAL care of newborn infants ,PERINATAL death ,OBSTETRICS ,INFANT care - 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 an 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. [ABSTRACT FROM AUTHOR]
- Published
- 1990
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