Perinatal health inequalities and accessibility of maternity services in a rural French region: Closing maternity units in Burgundy

被引：38

作者：

Combier, Evelyne ^{[1
]}

Charreire, Helene ^{[2
]}

Le Vaillant, Marc ^{[3
]}

Michaut, Francis ^{[1
,4
]}

Ferdynus, Cyril

Amat-Roze, Jeanne-Marie ^{[2
]}

Gouyon, Jean-Bernard ^{[5
]}

Quantin, Catherine ^{[6
]}

Zeitlin, Jennifer ^{[7
,8
]}

机构：

[1] Ctr Epidemiol & Saute Publ Bourgogne EA4184, Fac Med, Dijon, France

[2] Univ Paris Est, LabUrba, Urban Inst Paris, UPEC, Creteil, France

[3] Univ Paris 05, CERMES3, UMR 8211, U988,CNRS,INSERM,EHESS, Villejuif, France

[4] CHU Hop Bocage, Cellule Evaluat Reseaux Soins, Dijon, France

[5] CHU Grp Hosp Sud Reunion, Ctr Etud Perinatales Ocean Indien, F-97448 St Pierre, Reunion, France

[6] CHU Hop Bocage, DIM, Dijon, France

[7] INSERM, UMRS 953, Epidemiol Res Unit Perinatal & Womens & Childrens, 53 Ave 1 Observ, F-75014 Paris, France

[8] Univ Paris 06, F-75014 Paris, France

来源：

HEALTH & PLACE | 2013年 / 24卷

关键词：

Accessibility; Perinatal health; Maternity services; Rural region; Travel time; ADVERSE PREGNANCY OUTCOMES; LOW-RISK PREGNANCIES; OF-HOSPITAL BIRTHS; OBSTETRIC CARE; NEONATAL-MORTALITY; DELIVERY UNIT; LEVEL; ACCESS; VOLUME; SIZE;

D O I：

10.1016/j.healthplace.2013.09.006

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Maternity unit closures in France have increased travel time for pregnant women in rural areas. We assessed the impact of travel time to the closest unit on perinatal outcomes and care in Burgundy using multilevel analyses of data on deliveries from 2000 to 2009. A travel time of 30 min or more increased risks of fetal heart rate anomalies, meconium-stained amniotic fluid, out-of-hospital births, and pregnancy hospitalizations; a positive but non-significant gradient existed between travel time and perinatal mortality. The effects of long travel distances on perinatal outcomes and care should be factored into closure decisions. (C) 2013 Elsevier Ltd. All rights reserved.

引用

页码：225 / 233

页数：9

共 20 条

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[2] The Quality Gap in the Services Provided by Rural Maternity Units in Southeast of Iran
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