PMID: 3752034Oct 1, 1986Paper

The changing pattern of neonatal mortality in a regionalized system of perinatal care

American Journal of Diseases of Children
H A Hein, S S Lathrop

Abstract

Neonatal deaths in Iowa were reviewed for the years 1982 and 1983. As in a similar review of deaths in 1978 and 1979, respiratory distress syndrome, bacterial sepsis, asphyxia, lethal malformations, and extreme immaturity accounted for approximately 90% of deaths. Fewer deaths occurred in 1982 and 1983 and the causes of death shifted toward the nonpreventable. Lethal malformations became the leading cause of death and showed an increased incidence over the previous period. The greatest reduction of deaths was in level 1 hospitals. Ability to effect further reduction in neonatal deaths was estimated by calculation of an idealized neonatal mortality rate for the state and each level of care. These calculations suggest that future reduction in mortality must come primarily from improved care in level 2 and 3 centers rather than from further change in level 1 provider behavior.

Citations

Sep 11, 2012·Indian Pediatrics·Sutapa Bandyopadhyay NeogiPavitra Mohan
Jan 30, 1991·European Journal of Obstetrics, Gynecology, and Reproductive Biology·X Le CoutourG Levy
Mar 1, 1994·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·S V Schwab, S O'Dowd
Sep 5, 2002·Seminars in Perinatology·Shiliang LiuShi Wu Wen
Mar 1, 1995·The Journal of Pediatrics·A G Philip
Dec 18, 2001·American Journal of Medical Genetics·S LiuUNKNOWN Fetal and Infant Health Study Group of the Canadian Perinatal Surveillance System
Jan 1, 1992·International Journal of Health Services : Planning, Administration, Evaluation·D Banerji

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