Open AccessPerinatal regionalization system: efficiency analysis
Author(s) -
О. П. Ковтун,
Н. С. Давыдова,
Р. Ф. Мухаметшин
Publication year - 2020
Publication title -
rossijskij vestnik perinatologii i pediatrii
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.139
H-Index - 4
eISSN - 2500-2228
pISSN - 1027-4065
DOI - 10.21508/1027-4065-2020-65-3-18-24
Subject(s) - perinatal mortality , population , medicine , pediatrics , intensive care medicine , environmental health , pregnancy , fetus , genetics , biology
The first principles and fundamental elements of perinatal regionalization were formulated more than 40 years ago. Over the past years this organizational model was substantially complicated and modernized. Numerous large, population-based studies describe and analyze the effects of perinatal regionalization, propose and study the possible directions of its development. It has been proven that the bed capacity of the obstetric hospital and the flow of extremely premature newborns in the hospital largely determine the outcome of the premature newborn, morbidity, mortality, long-term results, affecting important population indicators, neonatal and infant mortality. The review summarizes the data on available population studies, outlines the basic principles of the formation and development of the perinatal regionalization system.