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[Preterm Birth Rate at 6 Centres for Perinatal Medicine in Baden-Württemberg - Potential to Reduce Prematurity]

Andreas Trotter1, Ricarda Schreiber1, Silvia Sander2

  • 1Klinik für Kinder und Jugendliche, Singen.

Zeitschrift Fur Geburtshilfe Und Neonatologie
|November 2, 2018
PubMed

Insights

The preterm birth rate in Germany varies significantly between centers. Reducing this rate could decrease the number of preterm infants born annually, improving overall neonatal care quality.

Area of Science:

  • Perinatal medicine
  • Neonatal outcomes
  • Public health policy

Background:

  • Germany faces high preterm birth rates, yet lacks center-specific data.
  • Neonatal outcomes are established quality markers in perinatal care.
  • The Federal Joint Committee uses structural and staff requirements as quality proxies.

Purpose of the Study:

  • To evaluate center-specific preterm birth rates.
  • To assess the preterm birth rate as a quality indicator for perinatal care.

Main Methods:

  • Study included 2972 women admitted between 22+0 and 31+6 weeks gestation across six centers.
  • Preterm birth rate before 32 weeks was assessed based on specific clinical criteria within 24 hours of admission.
  • Neonatal outcome data were collected for 70.6% of infants.

Main Results:

  • Among eligible women (n=1325), 21.1% delivered preterm infants before 32 weeks.
  • Preterm birth rates varied from 16.8% to 27.9% across centers.
  • Lower preterm birth rates did not correlate with poorer neonatal outcomes.

Conclusions:

  • The preterm birth rate should be adopted as a key quality indicator for perinatal services.
  • A 5% reduction in preterm birth rate could decrease annual preterm births by approximately 2,400 (25%) in Germany.
  • Implementing this indicator can enhance the quality of care for preterm infants.
Abstract

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