This study examined the relationship between compliance was th US Public Health Service guidelines for prenatal care and the rate of prenatal hospitalization.
For all women admitted to a Boston referral center during January and February 1993 with a pregnancy of at least 18 weeks gestation (n=1400), a proportional hazards model was used to examine factors associated with prenatal hospitalization.
Prenatal hospitalization occurred during 248 (17.7%) pregnancies.
The median length of stay for all prenatal admissions was 4 days ; the median total charge was $5667.
Prior medical and obstetrical problems were strongly associated with prenatal hospitalization.
After adjustment for age, race, and medical and obstetrical complications, women who received less than 70% of the prenatal care recommended were significantly more likely to be hospitalized (relative risk [RR]=2.14,95% confidence interval [CI]=1.50,3.06).
Prenatal hospitalization is a common, costly complication of pregnancy.
Because of its association with compliance with the Public Health Service guidelines for the content of prenatal care, prenatal hospitalization may be a sentinel indicator of inadequate prenatal care amenable to intervention.
Mots-clés Pascal : Soin, Prénatal, Prédiction, Hospitalisation, Gestation pathologie, Femme, Homme, Recommandation, Indicateur, Qualité, Ambulatoire, Système santé, Etats Unis, Amérique du Nord, Amérique, Observance
Mots-clés Pascal anglais : Care, Prenatal, Prediction, Hospitalization, Pregnancy disorders, Woman, Human, Recommendation, Indicator, Quality, Ambulatory, Health system, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0300053
Code Inist : 002B30A01C. Création : 199608.