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Strengthening the evidence for maternal and child health programs

Find Established Evidence


Displaying records 1 through 3 (3 total).

Hein HA. Evaluation of a rural perinatal care system. J Pediatr. 1980;66(4):540-546.

Link: http://pediatrics.aappublications.org/content/66/4/540

NPM: 3: Perinatal Regionalization
Intervention Components (click on component to see a list of all articles that use that intervention): HOSPITAL, Development/Improvement of Services, Continuing Education of Hospital Providers, Needs Assessment, POPULATION-BASED SYSTEMS, INTER-HOSPITAL SYSTEMS, Maternal/In-Utero Transport Systems, Agreement for Level III Hospital to Accept All Patients, Perinatal Committees/Councils, STATE

Intervention Results:

  • The intervention in Iowa focused on increasing both level III and level II VLBW births due to population density concerns in Iowa.
  • Among all VLBW infants, there were changes in the birth location distribution. Of these infants, there was a statistically significant increase in percentage born in level III hospitals from 6.7% to 22.6% (p<0.05)1 and an increase in births in level II hospitals from 26.9% to 35.6%. The percentage born in level I centers decreased from 68.2% to 41.8%.

Hein HA, & Burmeister LF. The effect of ten years of regionalized perinatal health care in Iowa, U.S.A. Eur J Obstet Gynecol Reprod Biol. 1986;21(1):33-48.

Link: https://www.ncbi.nlm.nih.gov/pubmed/3956827

NPM: 3: Perinatal Regionalization
Intervention Components (click on component to see a list of all articles that use that intervention): HOSPITAL, Development/Improvement of Services, Continuing Education of Hospital Providers, Needs Assessment, POPULATION-BASED SYSTEMS, INTER-HOSPITAL SYSTEMS, Maternal/In-Utero Transport Systems, Agreement for Level III Hospital to Accept All Patients, STATE, Funding Support, Perinatal Committees/Councils

Intervention Results:

  • The intervention in Iowa focused on increasing both level III and level II VLBW births due to population density concerns in Iowa.
  • Among all VLBW infants, there was a statistically significant change in the distribution of VLBW births (p<0.001). Of these infants, there was an increase in percentage born in level III hospitals from 6.7% to 35.3% and an increase in level II hospitals from 30.6% to 42.9%. The percentage born in level I centers decreased from 62.7% to 21.8%.

Hoekstra R, Fangman, J., Perkett, E., Brasel, D., & Knox, G.E. Regionalization of Perinatal Care: Results of a Cooperative Community Based Program. Minn Med. 1981;64(10):637-640.

Link: https://www.ncbi.nlm.nih.gov/pubmed/6801450

NPM: 3: Perinatal Regionalization
Intervention Components (click on component to see a list of all articles that use that intervention): HOSPITAL, Continuing Education of Hospital Providers, Peer-Review of Provider Decisions, POPULATION-BASED SYSTEMS, INTER-HOSPITAL SYSTEMS, Maternal/In-Utero Transport Systems, Consultation Systems, Agreement for Level III Hospital to Accept All Patients, Medical Staff Integration

Intervention Results:

After the intervention, there was a statistically significant decrease in the number of VLBW infants born in a level II hospital (p<0.01).
   

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.