Navigation Links
UT Southwestern teaching hospital halves its rate of premature births, researchers find
Date:2/27/2009

DALLAS Feb. 27, 2009 UT Southwestern Medical Center's primary adult teaching hospital has cut its rate of preterm births by more than half in the past 15 years, even as national rates are rising, researchers have found.

The drop at Parkland Memorial Hospital, from 10.4 percent in 1988 to 4.9 percent in 2006, was associated with a program of strictly coordinated and easy-to-access care including prenatal care for the largely minority, indigent population served by the county hospital, the UT Southwestern researchers said.

"This is a model for the uninsured in the country," said Dr. Kenneth Leveno, professor of obstetrics and gynecology at UT Southwestern and lead author of the study, which appears in the March issue of Obstetrics & Gynecology. "I think we all should be proud of this system."

The researchers began their analysis in response to a 2006 report on preterm births by the Institute of Medicine. The institute stated that the national rate of prematurity was 9.4 percent in 1981 and 12.5 percent in 2004, representing a 33 percent increase.

"Infant mortality is one way in which societies measure how they take care of their people, and two-thirds of infant mortality is due to premature birth," said Dr. Leveno. "It's a measure of the social fabric."

Parkland has one of the country's largest and busiest obstetrics services, with about 16,000 births a year. One in every 250 births in the U.S. takes place at Parkland. Attending physicians are faculty members of UT Southwestern's Department of Obstetrics and Gynecology.

The researchers studied data from 260,167 women who had given birth to singleton babies at Parkland from 1988 to 2006.

Preterm birth was defined as birth before the 37th week of pregnancy, with babies weighing 1.1 pounds or more.

The decrease at Parkland was especially notable, as minority women are more likely to have premature babies because of their higher rate of poverty, the researchers noted. In 1988, Parkland began a program designed to provide minority women better care during pregnancy and birth and just after birth. When the program started, 88 percent of Parkland patients received prenatal care. By 2006, that number had increased to 98 percent.

One feature that allows smooth care in the Parkland system is a strict protocol that lays out how to respond to specific situations. For instance, if a woman goes to a satellite clinic for prenatal care and is found to have a condition that makes the pregnancy risky, she is automatically referred to the main hospital, Dr. Leveno said.

In addition, Parkland has a large staff of nurse-midwives and nurse practitioners who handle routine births, freeing the doctors to work on high-risk cases. And because the hospital is the only public hospital in Dallas County, many indigent patients receive all their medical care through the system, so they have a single medical record that is easily tracked.

"It's a complex interaction of a lot of pieces," Dr. Leveno said.


'/>"/>

Contact: Aline McKenzie
aline.mckenzie@utsouthwestern.edu
214-648-3404
UT Southwestern Medical Center
Source:Eurekalert  

Related medicine news :

1. Burn rehabilitation experts at UT Southwestern outline best treatments for post-burn itching
2. The Cooper Institute and UT Southwestern Announce Medical Research Collaboration
3. High-tech Texas hospitals see fewer complications, lower costs, UT Southwestern researcher finds
4. UT Southwestern researchers identify protein that may explain healthy obesity
5. UT Southwestern researchers discover brains memory buffer in single cells
6. UT Southwestern researchers find drug-coated stents less risky for heart bypass patients
7. UT Southwestern University Hospitals transplant program recognized for increasing organ donor rates
8. Childhood anxiety disorders can and should be treated, according to UT Southwestern national expert
9. Interferon needed for cells to remember how to defeat a virus, UT Southwestern researchers report
10. UT Southwestern researchers develop new strategy for broad spectrum anti-viral drugs
11. Cancer requires support from immune system to develop, UT Southwestern researchers report
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
UT Southwestern teaching hospital halves its rate of premature births, researchers find
(Date:2/11/2016)... Viejo, CA (PRWEB) , ... February 11, 2016 , ... ... Pro X users with customizable backdrops in the Christmas edition of the ProDrop ... of the year. Captivate audiences and invoke the spirit of Christmas using ProDrop's wintry ...
(Date:2/11/2016)... CO. (PRWEB) , ... February 11, 2016 , ... ... people have become more actively engaged in health and wellness best practices in ... importance of riding this trend. February is American Heart Month, which acts as ...
(Date:2/10/2016)... ... February 10, 2016 , ... The 9th annual meeting ... Congress (WMIC), will be held in New York City, NY on September 7 ... The congress will highlight and emphasize how imaging reveals a greater understanding of ...
(Date:2/10/2016)... ... February 10, 2016 , ... ... expand dental health services to the developmentally disabled in the Coachella Valley. , ... to a new facility at 71-949 Highway 111, Suite 100-B, in Rancho Mirage, ...
(Date:2/10/2016)... ... February 10, 2016 , ... Compliancy Group ... associations of medical professionals throughout the country. The Guard was specifically designed to ... and procedures, employee training, regulatory updates, and compliance coaching. , In addition to ...
Breaking Medicine News(10 mins):
(Date:2/10/2016)... A Worldwide Clinical Trials expert will ... Victoria Park Plaza in London , 24-25 ... and future advances for late phase research on Wednesday, 24 ... , associate director of project management at Worldwide, will focus ... regulations and standards in late phase research. ...
(Date:2/10/2016)... Feb. 10, 2016  LexisNexis® Risk Solutions, a ... announced the launch of LexisNexis Provider Performance ... helps improve and optimize the quality and efficiency ... using severity-adjusted scores. By measuring provider performance through ... to deliver better outcomes, improve the patient experience ...
(Date:2/10/2016)... Feb. 10, 2016 Mast Therapeutics, Inc. ... clinical-stage therapies for sickle cell disease and heart failure, ... of 29,090,910 units at a price to the public ... share of the Company,s common stock and one warrant ... at an exercise price of $0.42 per share. The ...
Breaking Medicine Technology: