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  • Title: [Assistance to delivery according to hospital classification].
    Author: Lopez-escobar G, Daza-parada L, Riano-gamboa G, Fortney J.
    Journal: Monogr Corp Cent Reg Poblac; 1979 Jun; 11():1-18. PubMed ID: 12310258.
    Abstract:
    Between March and October 1977 40 urban Colombian hospitals participated in an evaluation of services given to women with high risk pregnancies. The purpose of the study was to find out whether high risk cases go to the more appropriate and better equipped hospitals. A total of 13,450 deliveries were observed at random, i.e. 8.3% of all deliveries in all 40 hospitals during the same time. Social, cultural, and clinical characteristics of mothers and infants were carefully recorded. It was found that Social Security hospitals had the lowest number of high risk patients, a moderate number of surgical interventions, and the lowest maternal and perinatal mortality rate. On the other hand, average size hospitals serviced a larger number of high risk patients, had the highest rate of surgical intervention and of perinatal mortality, and a moderate maternal mortality rate. University hospitals, with the highest concentration of high risk patients and with a moderate incidence of surgical interventions, had a moderate rate of perinatal mortality, and a high rate of maternal mortality. Obviously not all high risk patients were serviced by the best equipped hospitals and by the best prepared personnel, which resulted in a high rate of maternal-infant morbidity and mortality. It would be necessary to reorganize all available services in a more functional way, so that high risk patients can be assisted and treated in the most appropriate environment.
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