Publication
Title
Distribution of maternity units and spatial access to specialised care for women delivering before 32 weeks of gestation in Europe
Author
Institution/Organisation
MOSAIC Group
Abstract
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 womens 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.
Language
English
Source (journal)
Health and place. - London
Publication
London : 2010
ISSN
1353-8292
Volume/pages
16:3(2010), p. 531-538
ISI
000278044500012
Full text (Publisher's DOI)
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identification
Creation 12.07.2010
Last edited 24.11.2017
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