Abstract
A prospective survey of activity in neonatal nurseries associated with 17 specialist maternity units delivering some 38,700 babies in the Northern region was undertaken during 1991. Data were collected concerning the numbers of babies requiring various forms of neonatal care, using a nursing dependency scale validated by work study. Facilities for prolonged high dependency care are partially decentralised in the Northern region, with a network of five units operating on a flexible and collaborative basis. The data collected suggest that, with such arrangements, even peak demands for non-surgical high dependency nursing care can be met by the provision of 1.0 cot per 1000 births. The requirement for high dependency cots would increase by some 50% if the referral centres were required to function independently for administrative or financial reasons. Because neonatal units act independently in providing low dependency care, allowance must be made for day to day variations in the pattern of admission of infants requiring such care. These variations will have a lesser impact in larger obstetric units than in those with small caseloads. Within an apparent average regional requirement for only 2.1 cots per 1000 births, a unit with 6000 births per year would need 4.5 cots per 1000 births to accommodate low dependency neonates, apart from those admitted for no other reason than relatively low birth weight; for a unit dealing with only 1000 births, this level of provision would need to be increased to 9.0 cots per 1000 births.(ABSTRACT TRUNCATED AT 250 WORDS)
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- Field D. J., Hodges S., Mason E., Burton P., Yates J., Wale S. The demand for neonatal intensive care. BMJ. 1989 Nov 25;299(6711):1305–1308. doi: 10.1136/bmj.299.6711.1305. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hey E. Special care nurseries: admitting to a policy. Br Med J (Clin Res Ed) 1983 Nov 19;287(6404):1524–1527. doi: 10.1136/bmj.287.6404.1524. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Morris D., Handyside A. J. Effects of methods of admitting emergencies on use of hospital beds. Br J Prev Soc Med. 1971 Feb;25(1):1–11. doi: 10.1136/jech.25.1.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
- NEWELL D. J. Provision of emergency beds in hospitals. Br J Prev Soc Med. 1954 Apr;8(2):77–80. doi: 10.1136/jech.8.2.77. [DOI] [PMC free article] [PubMed] [Google Scholar]
- PIKE M. C., PROCTOR D. M., WYLLIE J. M. ANALYSIS OF ADMISSIONS TO A CASUALTY WARD. Br J Prev Soc Med. 1963 Oct;17:172–176. doi: 10.1136/jech.17.4.172. [DOI] [PMC free article] [PubMed] [Google Scholar]