Levels of Neonatal Care

@article{Barfield2012LevelsON,
  title={Levels of Neonatal Care},
  author={Wanda D. Barfield and Lu Ann Papile and Jill E. Baley and William E. Benitz and James J Cummings and Waldemar A. Carlo and Praveen Kumar and Richard A. Polin and Rosemarie C. Tan and Kristi L. Watterberg and George A. Macones and Ann L. Jefferies and Rosalie O. Mainous and Tonse N K Raju and Kasper S. Wang and Jim Couto},
  journal={Pediatrics},
  year={2012},
  volume={130},
  pages={587 - 597}
}
Provision of risk-appropriate care for newborn infants and mothers was first proposed in 1976. This updated policy statement provides a review of data supporting evidence for a tiered provision of care and reaffirms the need for uniform, nationally applicable definitions and consistent standards of service for public health to improve neonatal outcomes. Facilities that provide hospital care for newborn infants should be classified on the basis of functional capabilities, and these facilities… 

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References

SHOWING 1-10 OF 100 REFERENCES

Levels of Neonatal Care

Data supporting the need for uniform nationally applicable definitions and the clinical basis for a proposed classification based on complexity of care for hospital facilities that care for newborn infants are reviewed.

Committee on Fetus and Newborn Levels of Neonatal Care

Data supporting the need for uniform nationally applicable definitions and the clinical basis for a proposed classification based on complexity of care are reviewed.

Variations in the quality of care for very-low-birthweight infants: implications for policy.

Improvement in neonatal intensive care for infants now served by hospitals with poor outcomes can greatly reduce infant mortality, particularly among minority infants who are more likely to be very low birthweight and cared for by hospitalswith poor outcomes.

Trends in Perinatal Regionalization and the Role of Managed Care

Evidence supports the delivery of high-risk neonates at tertiary care centers and trends in regionalization of perinatal care are described and factors that predict the extent of regionalization are identified.

Assessment of State Measures of Risk-Appropriate Care for Very Low Birth Weight Infants and Recommendations for Enhancing Regionalized State Systems

Examination of state measurements and improvements in risk-appropriate care for very low birth weight (VLBW) infants revealed variability in the models themselves, as well as the various mechanisms for measuring and improving risk- appropriate care.

Improving Perinatal Regionalization by Predicting Neonatal Intensive Care Requirements of Preterm Infants: An EPIPAGE-Based Cohort Study

The objective of this study was to determine the antenatal factors that, in association with gestational age, predict the need for neonatal intensive care in preterm infants, to match the size of birth with the level of care required.

Expansion of Community-Based Perinatal Care in California

The rapid growth of monitored Community NICUs supported by a regionalized system of neonatal transport represents an evolving face of regionalization.

Is more neonatal intensive care always better? Insights from a cross-national comparison of reproductive care.

The United States has significantly greater neonatal intensive care resources per capita, compared with 3 other developed countries, without having consistently better birth weight-specific mortality.

Are neonatal intensive care resources located according to need? Regional variation in neonatologists, beds, and low birth weight newborns.

Neonatal intensive care capacity is not preferentially located in regions with greater newborn need as measured by low birth weight rates, and whether greater capacity affords benefits to the newborns remains unknown.

The Effect of Neonatal Intensive Care Level and Hospital Volume on Mortality of Very Low Birth Weight Infants

Although deregionalization of perinatal services may increase access to care for high-risk mothers and newborns, its impact on hospital volume may outweigh its potential benefit.
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