Title :

In France, the organization of perinatal care has a direct influence on the outcome of the mother and the newborn: Contribution from a French nationwide study.

Author(s) :

Levaillant, Mathieu [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Centre Hospitalier Universitaire d'Angers [CHU Angers]
Garabedian, Charles [Auteur]
425779|||Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille] (VALID)
Legendre, Guillaume [Auteur]
Centre Hospitalier Universitaire d'Angers [CHU Angers]
Soula, Julien [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Hamel, Jean-François [Auteur]
Centre Hospitalier Universitaire d'Angers [CHU Angers]
VALLET, BENOIT [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Lamer, Antoine [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Journal title :

BJOG: An International Journal of Obstetrics and Gynaecology

Abbreviated title :

Int J Gynaecol Obstet

Publication date :

2023-07-25

ISSN :

1879-3479

English keyword(s) :

data reuse
delivery
maternity level
perinatal facility mapping
regionalization

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

ObjectiveTo investigate maternal and neonatal outcomes after a delivery in France in 2019, according to hospital characteristics and the impact of distance and time of travel on mother and newborn. MethodsAll parturients ...
Show more >ObjectiveTo investigate maternal and neonatal outcomes after a delivery in France in 2019, according to hospital characteristics and the impact of distance and time of travel on mother and newborn. MethodsAll parturients above 18 years of age who delivered in 2019 and were identified in the French health insurance database were included, with their newborns, in this retrospective cohort study. Main outcome measures were Severe Maternal Morbidity score and the Neonatal Adverse Outcome Indicator (NAOI). ResultsAmong the 733 052 pregnancies included, 10 829 presented a severe maternal morbidity (1.48%) and 77 237 had a neonatal adverse outcome (10.4%). Factors associated with an unfavorable maternal or neonatal outcome were Obstetric Comorbidity Index, primiparity, and cesarean or instrumental delivery. Prematurity was associated with less severe maternal morbidity but more neonatal adverse outcomes. Time of travel above 30 min was associated with a higher NAOI rate. ConclusionsResults suggest the efficiency of regionalization of perinatal care in France, although a difference in both outcomes persists according to unit volume, suggesting the need for a further step in concentrating perinatal care. Perinatal care organization should focus on mapping the territory with high-level, high-volume maternity throughout the territory; this suggests closing down high-volume units and improving low-volume ones to maintain coherent mapping.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Université de Lille
CHU Lille

Collections :

• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2023-11-15T01:41:25Z
2024-03-29T09:22:42Z
2024-03-29T14:31:22Z