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High risk perinatal care in California.

W E Hawes, J Hodgman

    The Western Journal of Medicine
    |January 1, 1976
    PubMed
    Summary

    Perinatal mortality rates in California remain high. Consolidating obstetric and neonatal units into fewer hospitals can make advanced care economically feasible, improving outcomes for high-risk pregnancies.

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    Area of Science:

    • Perinatal Medicine
    • Healthcare Management
    • Public Health

    Background:

    • High rates of perinatal mortality and morbidity persist in California.
    • Modern technology and specialized personnel can significantly reduce these adverse outcomes, especially in high-risk pregnancies.
    • The California Medical Association has updated perinatal care goals to incorporate these advancements.

    Purpose of the Study:

    • To address the high rates of perinatal mortality in California.
    • To explore strategies for implementing advanced perinatal care standards statewide.
    • To determine the economic feasibility of providing high-quality perinatal services.

    Main Methods:

    • Analysis of current perinatal care standards and technological capabilities.
    • Evaluation of the cost-effectiveness of consolidating obstetric and neonatal units.
    • Review of California Medical Association's new goals for perinatal care.

    Main Results:

    • Current perinatal care models in small, dispersed units are often too costly to meet modern standards.
    • Consolidation of obstetric and neonatal services into fewer, larger facilities presents an economically viable solution.
    • This consolidation can enable facilities to meet present-day standards for high-risk pregnancy care.

    Conclusions:

    • Consolidating obstetric and neonatal units is a crucial strategy to improve perinatal care in California.
    • Economic viability can be achieved through centralization, allowing for the implementation of advanced technologies and expert care.
    • This approach is essential for reducing perinatal mortality and morbidity rates statewide.

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