Perinatal health inequalities and accessibility of maternity services in a rural French region: Closing maternity units in Burgundy
Perinatal health inequalities and accessibility of maternity services in a rural French region: Closing maternity units in Burgundy
复制标题
DOI：
10.1016/j.healthplace.2013.09.006
复制
发表时间：
2013-11-01
期刊：
影响因子：
4.8
通讯作者：
Zeitlin, Jennifer
中科院分区：
文献类型：
--
作者：
Combier, Evelyne;Charreire, Helene;Zeitlin, Jennifer
法国产科单位的关闭增加了农村地区孕妇的出行时间。我们通过对 2000 年至 2009 年分娩数据的多层次分析，评估了前往最近单位的出行时间对围产期结局和护理的影响。30 分钟或更长的出行时间会增加胎心率异常、羊水胎粪污染、院外分娩和妊娠住院的风险；旅行时间和围产期死亡率之间存在正梯度，但不显着。关闭决策时应考虑长途旅行对围产期结局和护理的影响。 (C) 2013 Elsevier Ltd. 保留所有权利。
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.