Prematurity prevention programs : an analysis of successes and failures.
Our purpose was to assess the long-term results of established prematurity prevention programs.
A population cohort of pregnant women from two major urban health care organizations were examined.
Rates and cost-benefit analysis of prematurity and patient, system, or physician failures were analyzed.
During 1990 1143 pregnant women were prospectively reviewed.
A total of 11.8% of the mothers were high risk and responsible for 108 (50.2%) of the preterm deliveries.
The preterm birth rate of all enrollees was 4.6%. One percent of the preterm neonates required level III care for complications.
The average charge for a 35 week infant was 18 times, and a 36 week infant was five times more costly than a term infant.
Patient, physician, and health care system failures occurred at different rates.
Mots-clés Pascal : Accouchement prématuré, Prématurité, Homme, Prévention, Programme sanitaire, Facteur risque, Efficacité
Mots-clés Pascal anglais : Premature delivery, Prematurity, Human, Prevention, Sanitary program, Risk factor, Efficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0343684
Code Inist : 002B27B11. Création : 199406.