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Strengthening the evidence for maternal and child health programs

Find Established Evidence

Displaying records 1 through 3 (3 total).

Nugent RR. Perinatal regionalization in North Carolina, 1967-1979: services, programs, referral patterns, and perinatal mortality rate declines for very low birthweight infants. N C Med J. 1982;43(7):513-515.

Link: https://www.ncbi.nlm.nih.gov/pubmed/6956811

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, STATE, Policy/Guideline (State), Funding Support, Perinatal Committees/Councils, Increased Reimbursement

Intervention Results:

Among all VLBW infants, there was a change in birth location distribution. Of these infants, the percentage born in level III hospitals increased from 25.7% in period one to 46.8% in period four. The percentage born in level II hospitals decreased from 41.7% to 36% and the percentage born in level I also decreased from 32.6% to 17.2%. The authors do not comment on the statistical significance of these results.

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%.
   

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.