Distribution of maternity units and spatial access to specialised care for women delivering before 32 weeks of gestation in Europe

Hugo Pilkington, Béatrice Blondel, Emile Papiernik, Marina Cuttini, Hélène Charreire, Rolf F. Maier, Stavros Petrou, Evelyne Combier, Wolfgang Künzel, Gérard Bréart, Jennifer Zeitlin

Research output: Contribution to journalArticle

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 women's 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.

Original languageEnglish
Pages (from-to)531-538
Number of pages8
JournalHealth and Place
Volume16
Issue number3
DOIs
Publication statusPublished - May 2010

Keywords

  • Distance
  • Europe
  • Health services accessibility
  • Hospital planning
  • Perinatal care

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Geography, Planning and Development
  • Health(social science)

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    Pilkington, H., Blondel, B., Papiernik, E., Cuttini, M., Charreire, H., Maier, R. F., Petrou, S., Combier, E., Künzel, W., Bréart, G., & Zeitlin, J. (2010). Distribution of maternity units and spatial access to specialised care for women delivering before 32 weeks of gestation in Europe. Health and Place, 16(3), 531-538. https://doi.org/10.1016/j.healthplace.2009.12.011