The Temporal Association of the Implementation of a Fetal Diagnostic and Surveillance Program and Decreased Fetal Mortality in a Private Hospital
The purpose of this study was to determine whether there was a temporal association between the introduction of a Fetal Diagnostic and Treatment Center and changes in fetal mortality. Two consecutive 15-month pre-program periods (periods I and II) were compared with one 15-month post-program period...
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Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 1990-02, Vol.75 (2), p.210-213 |
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creator | DE VORE, GREGGORY R HEBERTSON, RICHARD M |
description | The purpose of this study was to determine whether there was a temporal association between the introduction of a Fetal Diagnostic and Treatment Center and changes in fetal mortality. Two consecutive 15-month pre-program periods (periods I and II) were compared with one 15-month post-program period (period III). The fetal death rates for the pre-program periods I (6.16) and II (6.02) were similar, and the combined rate was 6.09. After the introduction of the Fetal Diagnostic and Treatment Center, the fetal mortality rate decreased to 2.31 (period III). When periods I and II were compared with period III, the major decrease (73.8%) in fetal mortality occurred for fetuses of greater than 34 weeksʼ gestation. The perinatal mortality rate decreased from 8.76 in periods I and II to 4.42 in period III, reflecting the decrease in fetal deaths. |
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Two consecutive 15-month pre-program periods (periods I and II) were compared with one 15-month post-program period (period III). The fetal death rates for the pre-program periods I (6.16) and II (6.02) were similar, and the combined rate was 6.09. After the introduction of the Fetal Diagnostic and Treatment Center, the fetal mortality rate decreased to 2.31 (period III). When periods I and II were compared with period III, the major decrease (73.8%) in fetal mortality occurred for fetuses of greater than 34 weeksʼ gestation. The perinatal mortality rate decreased from 8.76 in periods I and II to 4.42 in period III, reflecting the decrease in fetal deaths.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>PMID: 2405321</identifier><identifier>CODEN: OBGNAS</identifier><language>eng</language><publisher>New York, NY: The American College of Obstetricians and Gynecologists</publisher><subject>Biological and medical sciences ; Cesarean Section - utilization ; Evaluation Studies as Topic ; Female ; Fetal Death - prevention & control ; Gestational Age ; Gynecology. Andrology. Obstetrics ; Hospital Bed Capacity, 300 to 499 ; Hospitals, Community - organization & administration ; Humans ; Management. Prenatal diagnosis ; Mass Screening - organization & administration ; Medical sciences ; Pregnancy ; Pregnancy. Fetus. 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Two consecutive 15-month pre-program periods (periods I and II) were compared with one 15-month post-program period (period III). The fetal death rates for the pre-program periods I (6.16) and II (6.02) were similar, and the combined rate was 6.09. After the introduction of the Fetal Diagnostic and Treatment Center, the fetal mortality rate decreased to 2.31 (period III). When periods I and II were compared with period III, the major decrease (73.8%) in fetal mortality occurred for fetuses of greater than 34 weeksʼ gestation. The perinatal mortality rate decreased from 8.76 in periods I and II to 4.42 in period III, reflecting the decrease in fetal deaths.</description><subject>Biological and medical sciences</subject><subject>Cesarean Section - utilization</subject><subject>Evaluation Studies as Topic</subject><subject>Female</subject><subject>Fetal Death - prevention & control</subject><subject>Gestational Age</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Hospital Bed Capacity, 300 to 499</subject><subject>Hospitals, Community - organization & administration</subject><subject>Humans</subject><subject>Management. Prenatal diagnosis</subject><subject>Mass Screening - organization & administration</subject><subject>Medical sciences</subject><subject>Pregnancy</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Prenatal Care - organization & administration</subject><subject>Prenatal Diagnosis - utilization</subject><subject>Time Factors</subject><subject>Ultrasonography</subject><subject>Utah</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kdtKxDAQhosouh4eQciFeFfIqWlyKR4XFAVX8K5k26kbTZuapCs-hm9sVsteDZPvm4HMv5PNiCxZThl73c1mGFOVl5Lzg-wwhHeMMRGK7Wf7lOOCUTLLfhYrQAvoBue1RRchuNroaFyPXItiYvNusNBBH7evGt1ATPKV0W-9C9HUSPcNeh79Goy1uq8BPXn35nX3B66g9qADNNPcg_OpmPiNTJ-WPXmz1hHQnQuDSeA422u1DXAy1aPs5eZ6cXmX3z_ezi8v7vOBSixywmTbkmZZC-A1KWXLcNFIJTFNTVlQgXnDSSOlXuKSFlwxRoQgJU-CEG3BjrLz_72Dd58jhFh1JtSw-QC4MVSlEpvBjXg6ieOyg6YavOm0_66mGyZ-NnEdam1bny5gwlYTUpWEqaTxf-3L2Qg-fNjxC3y1Am3jqkrRYEELnBOlUmqpy__SYr-iUYpo</recordid><startdate>199002</startdate><enddate>199002</enddate><creator>DE VORE, GREGGORY R</creator><creator>HEBERTSON, RICHARD M</creator><general>The American College of Obstetricians and Gynecologists</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>199002</creationdate><title>The Temporal Association of the Implementation of a Fetal Diagnostic and Surveillance Program and Decreased Fetal Mortality in a Private Hospital</title><author>DE VORE, GREGGORY R ; HEBERTSON, RICHARD M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p2806-138ff1dbc6e4c178f305d89802178752604d41d88ab0725493316617402166f53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Biological and medical sciences</topic><topic>Cesarean Section - utilization</topic><topic>Evaluation Studies as Topic</topic><topic>Female</topic><topic>Fetal Death - prevention & control</topic><topic>Gestational Age</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Hospital Bed Capacity, 300 to 499</topic><topic>Hospitals, Community - organization & administration</topic><topic>Humans</topic><topic>Management. Prenatal diagnosis</topic><topic>Mass Screening - organization & administration</topic><topic>Medical sciences</topic><topic>Pregnancy</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Prenatal Care - organization & administration</topic><topic>Prenatal Diagnosis - utilization</topic><topic>Time Factors</topic><topic>Ultrasonography</topic><topic>Utah</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DE VORE, GREGGORY R</creatorcontrib><creatorcontrib>HEBERTSON, RICHARD M</creatorcontrib><collection>Pascal-Francis</collection><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>DE VORE, GREGGORY R</au><au>HEBERTSON, RICHARD M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Temporal Association of the Implementation of a Fetal Diagnostic and Surveillance Program and Decreased Fetal Mortality in a Private Hospital</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>1990-02</date><risdate>1990</risdate><volume>75</volume><issue>2</issue><spage>210</spage><epage>213</epage><pages>210-213</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><coden>OBGNAS</coden><abstract>The purpose of this study was to determine whether there was a temporal association between the introduction of a Fetal Diagnostic and Treatment Center and changes in fetal mortality. Two consecutive 15-month pre-program periods (periods I and II) were compared with one 15-month post-program period (period III). The fetal death rates for the pre-program periods I (6.16) and II (6.02) were similar, and the combined rate was 6.09. After the introduction of the Fetal Diagnostic and Treatment Center, the fetal mortality rate decreased to 2.31 (period III). When periods I and II were compared with period III, the major decrease (73.8%) in fetal mortality occurred for fetuses of greater than 34 weeksʼ gestation. The perinatal mortality rate decreased from 8.76 in periods I and II to 4.42 in period III, reflecting the decrease in fetal deaths.</abstract><cop>New York, NY</cop><pub>The American College of Obstetricians and Gynecologists</pub><pmid>2405321</pmid><tpages>4</tpages></addata></record> |
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issn | 0029-7844 1873-233X |
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source | MEDLINE; Journals@Ovid Complete |
subjects | Biological and medical sciences Cesarean Section - utilization Evaluation Studies as Topic Female Fetal Death - prevention & control Gestational Age Gynecology. Andrology. Obstetrics Hospital Bed Capacity, 300 to 499 Hospitals, Community - organization & administration Humans Management. Prenatal diagnosis Mass Screening - organization & administration Medical sciences Pregnancy Pregnancy. Fetus. Placenta Prenatal Care - organization & administration Prenatal Diagnosis - utilization Time Factors Ultrasonography Utah |
title | The Temporal Association of the Implementation of a Fetal Diagnostic and Surveillance Program and Decreased Fetal Mortality in a Private Hospital |
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