Mode of delivery and level of neonatal care in Lombardy: A descriptive analysis according to volume of care Eonatology and Fetal Medicine

Fabio Parazzini, Sonia Cipriani, Giuseppe Bulfoni, Camilla Bulfoni, Roberto Bellù, Rinaldo Zanini, Fabio Mosca

Research output: Contribution to journalArticle

Abstract

Background: Using data from the Hospital Discharge data-base (SDO) and from the Certificate of Delivery Assistance data-base (CedAP) we analysed mode of delivery and neonatal care in public and private hospitals in Lombardy Region during 2012. Methods: In Lombardy a standard form is used to register all discharges from public or private hospitals (the SDO data-base which contained information on inpatient activity provided to each patient by any hospital or clinic included in the Regional Health System. Further, information on maternal characteristics and pregnancy outcome are available for all deliveries in CedAP data-base. We obtained data regarding all deliveries (mother discharge data-base M-SDO)and newborns discharge (N-SDO) and the CedAP data-base over the period January-December 2012 by the Lombardy Health Directorate. After linkage (using an anonymous key) of the three data-base using anonymized codes we obtained a data-base by the linkage of CedAP and N-SDO records, which includes, after elimination of incorrect codes, information on 90863 neonates and a data-base obtained by the linkage of CedAP and M-SDO records, which includes information on 90868 mother and deliveries. Using these data-base we have analysed mode of delivery and neonatal care in Lombardy according to the volume of care (VoC = number of delivery per year in the care unit). Results: In 2012, in Lombardy, less than 3% of newborns were born in hospitals reporting less than 500 deliveries/year and less than 30% in hospitals reporting <1000 deliveries per year. Cesarean section rate was higher in units reporting less than 1000 deliveries/year (28.7% versus 27.5% in hospitals with more than 1000 deliveries/year). In hospitals reporting 500, 500-799, 800-999 deliveries/year the percentage of preterm births with gestational age

Original languageEnglish
Article number24
JournalItalian Journal of Pediatrics
Volume41
Issue number1
DOIs
Publication statusPublished - Mar 28 2015

Keywords

  • Epidemiology
  • Neonatal care
  • Obstetric care
  • Volume of care

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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