Factors affecting the outcome of maternity care. 1. Relationship between staffing and perinatal deaths at the hospital of birth

This is the first of two papers describing a retrospective study of maternity hospitals in an English health region using data for the years 1977-83. The research was designed to investigate the relationship between resources (such as staff and equipment) and the outcomes of births at maternity units. Considerable variation in medical and nursing staffing levels in the units in the study was observed. Regression analysis suggests that, after taking account of differences in very low weight births at each unit, the level of paediatric staffing at a maternity unit is a significant factor in explaining differences in "in house" mortality. There was no identifiable relationship between staff categories other than paediatricians and the rate of perinatal death at the hospital of delivery. As selective referral and transfers between hospitals may affect the interpretation of these findings, a second paper follows presenting the results of a further analysis that adjusts both resources and outcomes to take account of neonatal transfers

Birth weight · Childbirth · Environmental health · Infant mortality · Low birth weight · Neonatal mortality · Population · Pregnancy · Referral · Retrospective cohort study · Staffing · Unit (ring theory) · Emergency Medicine · Health Services Management and Policy · Healthcare Policy and Management · Medical Coding and Health Information · Medicine · Nursing · Pediatrics

• Factors affecting the outcome of maternity care. II. Neonatal outcomes and resources beyond the hospital of birth

  Miranda Mugford, A Szczepura et al.•Journal of Epidemiology and…•1988

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• Estrutura das maternidades

  Open Access•Sônia Azevedo Bittencourt, Sonia Duarte De Azevedo Bittencourt et al.•Cadernos de Saude Publica•2014

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• Perinatal mortality standards

  E G Knox, R Lancashire et al.•Journal of Epidemiology and…•1986

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• Perinatal mortality in Scotland

  J F Forbes, John Forbes et al.•Journal of Epidemiology and…•1982

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• Measuring the Effectiveness of Perinatal Medical Care

  Ronald L Williams•Medical Care•1979

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