Risk, Antepartum Care, and Outcome: Impact of a Maternity and Infant Care Project
A Title V Maternity and Infant Care (M&I) Project has been operating from Cleveland Metropolitan General Hospital for more than 13 years. To evaluate the effectiveness of its program of antepartum care, social and medical-obstetric risk factors and perinatal outcome were evaluated for pregnant w...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 1980-08, Vol.56 (2), p.150-156 |
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| container_title | Obstetrics and gynecology (New York. 1953) |
| container_volume | 56 |
| creator | SOKOL, ROBERT J WOOLF, RALPH B ROSEN, MORTIMER G WEINGARDEN, KENNETH |
| description | A Title V Maternity and Infant Care (M&I) Project has been operating from Cleveland Metropolitan General Hospital for more than 13 years. To evaluate the effectiveness of its program of antepartum care, social and medical-obstetric risk factors and perinatal outcome were evaluated for pregnant women delivered during a 2-year period. After the potential biases of patient referral and failure to obtain antepartum care were excluded, patients who received either M&I or non-M&I care were compared. Despite the similar social and antepartum/intrapartum risk of these groups, the M&I patients experienced 60% less perinatal mortality than the non-M&I group (P |
| format | Article |
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To evaluate the effectiveness of its program of antepartum care, social and medical-obstetric risk factors and perinatal outcome were evaluated for pregnant women delivered during a 2-year period. After the potential biases of patient referral and failure to obtain antepartum care were excluded, patients who received either M&I or non-M&I care were compared. Despite the similar social and antepartum/intrapartum risk of these groups, the M&I patients experienced 60% less perinatal mortality than the non-M&I group (P<.0001). These results suggest that M&I antepartum care is of considerable value, possibly ameliorating the risks for preterm delivery. M&I patients receive more patient education, nutrition counseling, social service assessment and intervention, special services for adolescents, and delinquent appointment follow-up. Thus, this study further suggests that these components of antepartum care may be important in producing the observed improvement in fetal-infant outcome.]]></description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>PMID: 7393502</identifier><language>eng</language><publisher>United States: The American College of Obstetricians and Gynecologists</publisher><subject>Female ; Fetal Death - epidemiology ; Fetal Viability ; Health Facilities - standards ; Hospital Bed Capacity, 500 and over ; Hospitals, Municipal ; Humans ; Maternal-Child Health Centers - standards ; Obstetric Labor, Premature - epidemiology ; Ohio ; Outcome and Process Assessment (Health Care) ; Pregnancy ; Pregnancy Complications ; Prenatal Care ; Risk ; Socioeconomic Factors</subject><ispartof>Obstetrics and gynecology (New York. 1953), 1980-08, Vol.56 (2), p.150-156</ispartof><rights>1980 The American College of Obstetricians and Gynecologists</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7393502$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SOKOL, ROBERT J</creatorcontrib><creatorcontrib>WOOLF, RALPH B</creatorcontrib><creatorcontrib>ROSEN, MORTIMER G</creatorcontrib><creatorcontrib>WEINGARDEN, KENNETH</creatorcontrib><title>Risk, Antepartum Care, and Outcome: Impact of a Maternity and Infant Care Project</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description><![CDATA[A Title V Maternity and Infant Care (M&I) Project has been operating from Cleveland Metropolitan General Hospital for more than 13 years. To evaluate the effectiveness of its program of antepartum care, social and medical-obstetric risk factors and perinatal outcome were evaluated for pregnant women delivered during a 2-year period. After the potential biases of patient referral and failure to obtain antepartum care were excluded, patients who received either M&I or non-M&I care were compared. Despite the similar social and antepartum/intrapartum risk of these groups, the M&I patients experienced 60% less perinatal mortality than the non-M&I group (P<.0001). These results suggest that M&I antepartum care is of considerable value, possibly ameliorating the risks for preterm delivery. M&I patients receive more patient education, nutrition counseling, social service assessment and intervention, special services for adolescents, and delinquent appointment follow-up. Thus, this study further suggests that these components of antepartum care may be important in producing the observed improvement in fetal-infant outcome.]]></description><subject>Female</subject><subject>Fetal Death - epidemiology</subject><subject>Fetal Viability</subject><subject>Health Facilities - standards</subject><subject>Hospital Bed Capacity, 500 and over</subject><subject>Hospitals, Municipal</subject><subject>Humans</subject><subject>Maternal-Child Health Centers - standards</subject><subject>Obstetric Labor, Premature - epidemiology</subject><subject>Ohio</subject><subject>Outcome and Process Assessment (Health Care)</subject><subject>Pregnancy</subject><subject>Pregnancy Complications</subject><subject>Prenatal Care</subject><subject>Risk</subject><subject>Socioeconomic Factors</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1980</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNotkFtLw0AQhRdRaq3-BGGffGpgdjfJ7vpWipdCpSoKvoVJMqGX3NxsKP33xrYwMDDnOwfmXLCxMFoFUqmfSzYGkDbQJgyv2U3XbQFAxFaN2EgrqyKQY_bxuel2Uz6rPbXofF_xOTqacqxzvup91lT0yBdVi5nnTcGRv6EnV2_84Ygs6gJrf_Twd9dsKfO37KrAsqO7856w7-enr_lrsFy9LOazZdDKSKggpBjQQgo2ig2GcQimsEqkthA61oDGiiy3SmqTExmDKRIqKqTOsRApSTVhD6fc1jW_PXU-qTZdRmWJNTV9l-hI6NBGMID3Z7BPK8qT1m0qdIfk3MGghyd935TDb92u7PfkkjVh6dfJ0BnEMoJAWAMwDAT_J6X-APsiZzI</recordid><startdate>198008</startdate><enddate>198008</enddate><creator>SOKOL, ROBERT J</creator><creator>WOOLF, RALPH B</creator><creator>ROSEN, MORTIMER G</creator><creator>WEINGARDEN, KENNETH</creator><general>The American College of Obstetricians and Gynecologists</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>198008</creationdate><title>Risk, Antepartum Care, and Outcome: Impact of a Maternity and Infant Care Project</title><author>SOKOL, ROBERT J ; WOOLF, RALPH B ; ROSEN, MORTIMER G ; WEINGARDEN, KENNETH</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p2513-4e60a90b09568a46408f931b9f17670a891cd93278dee88abaea3ef27daf1be23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1980</creationdate><topic>Female</topic><topic>Fetal Death - epidemiology</topic><topic>Fetal Viability</topic><topic>Health Facilities - standards</topic><topic>Hospital Bed Capacity, 500 and over</topic><topic>Hospitals, Municipal</topic><topic>Humans</topic><topic>Maternal-Child Health Centers - standards</topic><topic>Obstetric Labor, Premature - epidemiology</topic><topic>Ohio</topic><topic>Outcome and Process Assessment (Health Care)</topic><topic>Pregnancy</topic><topic>Pregnancy Complications</topic><topic>Prenatal Care</topic><topic>Risk</topic><topic>Socioeconomic Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SOKOL, ROBERT J</creatorcontrib><creatorcontrib>WOOLF, RALPH B</creatorcontrib><creatorcontrib>ROSEN, MORTIMER G</creatorcontrib><creatorcontrib>WEINGARDEN, KENNETH</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SOKOL, ROBERT J</au><au>WOOLF, RALPH B</au><au>ROSEN, MORTIMER G</au><au>WEINGARDEN, KENNETH</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk, Antepartum Care, and Outcome: Impact of a Maternity and Infant Care Project</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>1980-08</date><risdate>1980</risdate><volume>56</volume><issue>2</issue><spage>150</spage><epage>156</epage><pages>150-156</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><abstract><![CDATA[A Title V Maternity and Infant Care (M&I) Project has been operating from Cleveland Metropolitan General Hospital for more than 13 years. To evaluate the effectiveness of its program of antepartum care, social and medical-obstetric risk factors and perinatal outcome were evaluated for pregnant women delivered during a 2-year period. After the potential biases of patient referral and failure to obtain antepartum care were excluded, patients who received either M&I or non-M&I care were compared. Despite the similar social and antepartum/intrapartum risk of these groups, the M&I patients experienced 60% less perinatal mortality than the non-M&I group (P<.0001). These results suggest that M&I antepartum care is of considerable value, possibly ameliorating the risks for preterm delivery. M&I patients receive more patient education, nutrition counseling, social service assessment and intervention, special services for adolescents, and delinquent appointment follow-up. Thus, this study further suggests that these components of antepartum care may be important in producing the observed improvement in fetal-infant outcome.]]></abstract><cop>United States</cop><pub>The American College of Obstetricians and Gynecologists</pub><pmid>7393502</pmid><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 0029-7844 |
| ispartof | Obstetrics and gynecology (New York. 1953), 1980-08, Vol.56 (2), p.150-156 |
| issn | 0029-7844 1873-233X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_75174950 |
| source | MEDLINE; Journals@Ovid Ovid Autoload |
| subjects | Female Fetal Death - epidemiology Fetal Viability Health Facilities - standards Hospital Bed Capacity, 500 and over Hospitals, Municipal Humans Maternal-Child Health Centers - standards Obstetric Labor, Premature - epidemiology Ohio Outcome and Process Assessment (Health Care) Pregnancy Pregnancy Complications Prenatal Care Risk Socioeconomic Factors |
| title | Risk, Antepartum Care, and Outcome: Impact of a Maternity and Infant Care Project |
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