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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Reducing neonatal mortality rate with nurse-midwives

Barry S Levy1, Frederick S Wilkinson, William M Marine

  • 1Epidemiology Research Training Program, California State Department of Public Health, Berkely, California, USA.

Journal of Midwifery & Women'S Health
|March 8, 2005
PubMed

Newborn health indices were measured before, during, and after a demonstration nurse-midwife program introduced to relieve a health manpower shortage at a county hospital in rural California. During the program, prenatal care increased, and prematurity and neonatal mortality rate decreased at the county hospital. After the 3 year program, prenatal care decreased while prematurity rose from 6.6 to 9.8 per cent (p<0.02) and neonatal mortality rate rose from 10.3 to 32.1 per 1,000 live births (p<0.005). No significant changes occurred in the same indices for births elsewhere in the county throughout the period of the study. It is concluded that the discontinuation of the nurse-midwives' services was the major factor in these changes, and it is suggested that nurse-midwives be used more extensively.

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