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[Maternal transfer and neonatal transfer]

E Papiernik1

  • 1Service de gynécologie-obstétrique I, Matemité Port-Royal Baudelocque, hôpital Cochin, Paris.

La Revue Du Praticien
|September 15, 1995
PubMed
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Regionalizing perinatal care in France aims to reduce newborn mortality and morbidity. Studies show a significantly higher death ratio for premature infants born in level 1 facilities compared to level 3 centers.

Area of Science:

  • Perinatal health care
  • Neonatal intensive care
  • Public health policy

Context:

  • Regionalization of perinatal health care is underdeveloped in France.
  • High mortality and morbidity rates affect newborns under 33 weeks gestation or weighing less than 1,500g.
  • Currently, only 14% of eligible infants are born in level 3 perinatal centers.

Purpose:

  • To evaluate the impact of regionalized perinatal care on neonatal outcomes.
  • To analyze the disparities in mortality rates between different levels of maternity care facilities.
  • To advocate for improved organization of perinatal health services.

Summary:

  • The proposed concept involves transferring mothers before birth to perinatal centers with neonatal intensive care units (NICUs).

Related Experiment Videos

  • Data from Seine-Saint-Denis reveals a 5.27-fold higher mortality ratio for newborns (28-36 weeks gestation) born in level 1 maternity units compared to level 3 centers.
  • This highlights significant geographical and facility-level disparities in neonatal outcomes.

    • Impact:

    • Implementing regionalized perinatal care could significantly reduce preventable newborn deaths and complications.
    • Improved organization of care can lead to better resource allocation and specialized treatment for high-risk infants.
    • Addressing disparities in access to level 3 care is crucial for improving national perinatal health statistics.