Delivering Neonates at High Risk at the Right Place

Regionalization of perinatal care has long been known to improve neonatal outcomes. The March of Dimes, in their original iteration of Toward Improving the Outcome of Pregnancy in 1976, strongly advocated for regionalized perinatal care and development of levels of neonatal care. In response, health care systems created regional perinatal networks to facilitate antenatal transfer of women at risk for preterm birth in the hopes of improving neonatal outcome and maternal care. In the 1990s, with the advent of managed care and expansion of Medicaid reimbursement, hospitals sought to control costs within systems. These changes led to an increase in the number of community neonatal intensive care units, which have outpaced local acuity and volume and contributed to the relative disintegration of regionalized perinatal networks. With variable definitions of levels of neonatal care, smaller neonatal intensive care units (NICUs) may not be able to offer the same resources as larger units, and lower daily volumes of NICU census can be associated with poorer outcomes. For women with pregnancies requiring very preterm deliveries, receiving care at the right hospital with the right resources can be a matter of survival or normal development for their children.
Source: JAMA Pediatrics - Category: Pediatrics Source Type: research

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Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
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Source: Case Reports in Womens Health - Category: OBGYN Source Type: research
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Source: CNN.com - Health - Category: Consumer Health News Source Type: news
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Source: Hypertension in Pregnancy - Category: OBGYN Tags: Hypertens Pregnancy Source Type: research
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Source: Hypertension in Pregnancy - Category: OBGYN Tags: Hypertens Pregnancy Source Type: research
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Source: GEO: Gene Expression Omnibus - Category: Genetics & Stem Cells Tags: Expression profiling by array Homo sapiens Source Type: research
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Source: Romanian Journal of Morphology and Embryology - Category: General Medicine Tags: Rom J Morphol Embryol Source Type: research
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Source: SafetyLit - Category: International Medicine & Public Health Tags: Risk Factor Prevalence, Injury Occurrence Source Type: news
This cross-sectional, observational, and descriptive study was conducted to evaluate the association between age at menarche in the adolescent population and the age at sexual initiation, age at first pregnancy, and experience of sexual violence in the ado...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
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Source: Reuters: Health - Category: Consumer Health News Tags: healthNews Source Type: news
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