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Related Experiment Videos

Extended perinatal outreach.

S J Carlan1, R A Knuppel, G Vorachek

  • 1University of South Florida College of Medicine, Department of Obstetrics and Gynecology, Tampa 33606.

The Journal of the Florida Medical Association
|December 1, 1990
PubMed
Summary

This study details a perinatal outreach program for high-risk pregnancies, demonstrating its effectiveness in managing complex cases and improving local perinatal care delivery. The program successfully supported patients, leading to positive shifts in transport trends.

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Area of Science:

  • Perinatal Medicine
  • Public Health
  • Healthcare Management

Background:

  • High-risk pregnancies require specialized care coordination.
  • Effective outreach programs are crucial for improving perinatal health outcomes.
  • Regional disparities in perinatal services necessitate innovative solutions.

Purpose of the Study:

  • To describe a collaborative perinatal outreach program between a university medical center and a community hospital.
  • To evaluate the impact of the outreach program on the management of high-risk pregnancies.
  • To assess the cost-effectiveness and system-wide benefits of the program.

Main Methods:

  • A monthly high-risk obstetric clinic was established at Naples Community Hospital.
  • Seventy-nine high-risk pregnant patients were evaluated over a 12-month period (June 1988-May 1989).

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  • Data collected included indications for referral, delivery outcomes, and associated hospital charges.

    • Main Results:

    • Key referral indications included intrauterine growth retardation, twin gestation, gestational diabetes, and suspected fetal anomalies.
    • High-risk patients experienced a 21% incidence of low birth weight (<2500g) and a 30% cesarean section rate.
    • Average maternal and neonatal hospital charges were $2,403 and $1,777 per patient, respectively.

    Conclusions:

    • Comprehensive perinatal outreach programs are feasible and cost-effective.
    • Such programs strengthen local perinatal health delivery systems by providing essential support and services.
    • The program demonstrated a positive shift in transport trends, indicating improved local management of high-risk cases.