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:5/23/2017)... ... May 23, 2017 , ... Therachat , a smart guided journaling tool ... on the current state of anxiety in support of National Mental Health Awareness Month. ... April 2017 and benchmarked general anxiety levels as well as identified the top triggers, ...
(Date:5/22/2017)... ... May 22, 2017 , ... ... now welcoming new patients with periodontal plastic surgery treatments, including crown lengthening ... dentist. Dr. Green provides these esthetic and functional procedures to help patients improve ...
(Date:5/22/2017)... ... May 22, 2017 , ... Galena, Alaska, has a population of less than ... when it was targeted to build a nuclear plant by the TOSHIBA Corporation. , ... Marvin L. Yoder describes the journey to get power to his small town, off ...
(Date:5/21/2017)... ... ... 52, was found dead on the night of Wednesday, May 17, 2017. It can be ... rock industry would take his own life, but the extremely talented and admired singer ... role in the death of Chris Cornell . , Depression and Drug Use , ...
(Date:5/21/2017)... PARK, FL (PRWEB) , ... May 20, 2017 , ... ... sell it, find it, review it, and share its attributes like never before. More ... dispensary directory to connect cannabis enthusiasts to stores, strains, products – and for the ...
Breaking Medicine News(10 mins):
(Date:5/9/2017)... , May 9, 2017  Demonstrating its commitment ... of directors for the Pharmaceutical Research and Manufacturers ... membership. Biopharmaceutical companies will now have to meet ... to be eligible to join PhRMA. ... board is sending a clear message that being ...
(Date:5/8/2017)... YORK , May 8, 2017 ... the transition from fee for service reimbursement. Black Book ... 2017. 1.       The Market for MIPS ... 77% of physician practices with 3 or more ... Technology Solutions by Q4. "Given the magnitude of the ...
(Date:5/6/2017)... 2017  May is Stroke Awareness Month and Omron ... important methods to prevent a stroke: monitor and manage ... Control and Prevention, undetected and uncontrolled hypertension is a ... global leader in personal heart health technology, recently evolved ... attack and stroke and is advancing a national public ...
Breaking Medicine Technology: