The relation of obstetrical volume and nursery level to perinatal mortality

J.A. Mayfield, R.A. Rosenblatt, L.-M. Baldwin, J. Chu and J.P. Logerfo

American Journal of Public Health, 1990, vol. 80, issue 7, 819-823

Abstract: We investigated the relation of hospital delivery volume and nursery technology level to perinatal outcome in 226,164 White singleton births in Washington State, 1980-83. Level III facilities (neonatal intensive care unit) were defined by the state licensing commission. We defined the Level II (intermediate) and Level I (normal newborn) facilities using published criteria. Infants under 2000 gm born in Level III facilities had half the risk of perinatal death compared to those born in a Level I or II facility. No significant improvement was noted among level or volume groupings for normal birthweight infants. A loglinear regression model of hospital perinatal death rates showed that when birthweight and maternal risk were controlled, obstetrical volume added minimal explanatory power to level of nursery care.

Date: 1990
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:1990:80:7:819-823_7

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