Distribution of maternity units and spatial access to specialised care for women delivering before 32 weeks of gestation in Europe
Pilkington, Hugo, Blondel, Béatrice, Papiernik, E. (Emile), Cuttini, Marina, Charreire, Hélène, Maier, R. F., Petrou, Stavros, Combier, Evelyne, Künzel, W. (Wolfgang), 1936- and Bréart, Gérard. (2010) Distribution of maternity units and spatial access to specialised care for women delivering before 32 weeks of gestation in Europe. Health & Place, Vol.16 (No.3). pp. 531-538. ISSN 1353-8292Full text not available from this repository.
Official URL: http://dx.doi.org/10.1016/j.healthplace.2009.12.01...
Survival and quality of life are improved for very preterm babies when delivery occurs in a maternity unit with on-site neonatal intensive care (level III unit). We investigated the impact of distance on the probability of delivering in such a unit for births before 32 weeks of gestation from 9 European regions with diverse perinatal health systems (the MOSAIC cohort). We analysed distances between women’s homes, and the nearest level III in population quartiles, adjusting for maternal and pregnancy characteristics. Living farther away from a level III reduced access to specialised care everywhere; in some regions women residing in the fourth quartile were half as likely to deliver in level III units as those in the first. To improve regionalized perinatal care the spatial location of level III units should be taken into account.
|Item Type:||Journal Article|
|Subjects:||R Medicine > RA Public aspects of medicine
R Medicine > RG Gynecology and obstetrics
|Divisions:||Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School
|Library of Congress Subject Headings (LCSH):||Maternal health services -- Europe -- Research, Health services accessibility -- Europe -- Research|
|Journal or Publication Title:||Health & Place|
|Page Range:||pp. 531-538|
|Access rights to Published version:||Restricted or Subscription Access|
The MOSAIC Research Group includes Dr. Stavros Petrou of the University of Warwick.
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