Factors affecting the outcome of maternity care. II. Neonatal outcomes and resources beyond the hospital of birth

M. Mugford, A. Szczepura, A. Lodwick, J. Stilwell

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Analysis of data about perinatal mortality and indicators of resources at maternity hospitals in the West Midlands region between 1977 and 1983 showed that paediatric staff ratios were inversely related to in-house mortality rates. In this paper, the outcomes for and resources used by transferred babies are added to those of the hospital of birth for three of the study years - 1978, 1980, and 1982. Patterns of transfer differ between units and over time in the region, and a regional neonatal intensive care policy was introduced in 1980. Analysis of the new variables showed that in 1978 paediatric staffing was significantly inversely related to neonatal mortality. In later years, neonatal mortality of births at maternity units is explained entirely by the proportion of low or very low weight births.

Original languageEnglish
Pages (from-to)170-176
Number of pages7
JournalJournal of Epidemiology and Community Health
Volume42
Issue number2
DOIs
Publication statusPublished - 1 Jun 1988
Externally publishedYes

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

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