Abstract
Rates of perinatal mortality are still too high in California. Mortality and morbidity, particularly for high risk pregnancies, can be reduced by the use of modern technology in the hands of highly trained personnel. New goals for perinatal care have been published by the California Medical Association reflecting these changes. This kind of care is too costly to be developed in all the small obstetric units presently providing services in California. Consolidation of obstetric and neonatal units into fewer hospitals can make it economically possible for these units to meet present-day standards.
Full text
PDF




Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Doran T. A., Benzie R. J., Harkins J. L., Owen V. M., Porter C. J., Thompson D. W., Liedgren S. I. Amniotic fluid tests for fetal maturity. Am J Obstet Gynecol. 1974 Jul 15;119(6):829–837. doi: 10.1016/0002-9378(74)90097-0. [DOI] [PubMed] [Google Scholar]
- Freeman R. K. The use of the oxytocin challenge test for antepartum clinical evaluation of uteroplacental respiratory function. Am J Obstet Gynecol. 1975 Feb 15;121(4):481–489. doi: 10.1016/0002-9378(75)90079-4. [DOI] [PubMed] [Google Scholar]
- Gluck L., Kulovich M. V., Borer R. C., Jr, Brenner P. H., Anderson G. G., Spellacy W. N. Diagnosis of the respiratory distress syndrome by amniocentesis. Am J Obstet Gynecol. 1971 Feb 1;109(3):440–445. doi: 10.1016/0002-9378(71)90342-5. [DOI] [PubMed] [Google Scholar]
- Hobbins J. C., Mahoney M. J., Goldstein L. A. New method of intrauterine evaluation by the combined use of fetoscopy and ultrasound. Am J Obstet Gynecol. 1974 Apr 15;118(8):1069–1072. doi: 10.1016/0002-9378(74)90684-x. [DOI] [PubMed] [Google Scholar]
- Hobel C. J., Hyvarinen M. A., Okada D. M., Oh W. Prenatal and intrapartum high-risk screening. I. Prediction of the high-rish neonate. Am J Obstet Gynecol. 1973 Sep 1;117(1):1–9. doi: 10.1016/0002-9378(73)90720-5. [DOI] [PubMed] [Google Scholar]
- Klaus M. H., Kennell J. H. Mothers separated from their newborn infants. Pediatr Clin North Am. 1970 Nov;17(4):1015–1037. doi: 10.1016/s0031-3955(16)32493-2. [DOI] [PubMed] [Google Scholar]
- Quilligan E. J., Paul R. H. Fetal monitoring: is it worth it? Obstet Gynecol. 1975 Jan;45(1):96–100. [PubMed] [Google Scholar]
- Tokuhata G. K., Colflesh V. G., Ramaswamy K., Mann L. A., Digon E. Hospital and related characteristics associated with perinatal mortality. Am J Public Health. 1973 Mar;63(3):227–237. doi: 10.2105/ajph.63.3.227. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Usher R. H. Clinical implications of perinatal mortality statistics. Clin Obstet Gynecol. 1971 Sep;14(3):885–925. doi: 10.1097/00003081-197109000-00014. [DOI] [PubMed] [Google Scholar]
- Wegman M. E. Annual summary of vital statistics--1973. Pediatrics. 1974 Dec;54(6):677–681. [PubMed] [Google Scholar]
