Children's Hospital of Philadelphia, Division of Neonatology, United States; Perelman School of Medicine, University of Pennsylvania, United States.
The Pennsylvania State University, United States.
Semin Perinatol. 2021 Jun;45(4):151409. doi: 10.1016/j.semperi.2021.151409. Epub 2021 Mar 21.
Variations in infant and neonatal mortality continue to persist in the United States and in other countries based on both socio-demographic characteristics, such as race and ethnicity, and geographic location. One potential driver of these differences is variations in access to risk-appropriate delivery care. The purpose of this article is to present the importance of delivery hospitals on neonatal outcomes, discuss variation in access to these hospitals for high-risk infants and their mothers, and to provide insight into drivers for differences in access to high-quality perinatal care using the available literature. This review also illustrates the lack of information on a number of topics that are crucial to the development of evidence-based interventions to improve access to appropriate delivery hospital services and thus optimize the outcomes of high-risk mothers and their newborns.
美国和其他国家的婴儿和新生儿死亡率仍然存在差异，这取决于社会人口特征，如种族和民族，以及地理位置。造成这些差异的一个潜在因素是获得适当风险分娩护理的机会不同。本文的目的是阐述分娩医院对新生儿结局的重要性，讨论高危婴儿及其母亲获得这些医院的机会的差异，并利用现有文献深入了解获得高质量围产期护理机会的差异的驱动因素。这篇综述还说明了在一些关键主题上缺乏信息，这些主题对于制定基于证据的干预措施以改善获得适当分娩医院服务的机会以及优化高危母亲及其新生儿的结局至关重要。
