Development of a maternity hospital classification for use in perinatal research

Michael O. Falster, Christine L. Roberts, Jane Ford, Jonathan Morris, Ann Kinnear, Michael Nicholl

    Research output: Contribution to journalArticlepeer-review

    Abstract

    We aimed to develop a maternity hospital classification, using stable and easily available criteria, that would have wide application in maternity services research and allow comparison across state, national and international jurisdictions. A classification with 13 obstetric groupings (12 hospital groups and home births) was based on neonatal care capability, urban and rural location, annual average number of births and public/private hospital status. In a case study of early elective birth we demonstrate that neonatal morbidity differs according to the maternity hospital classification, and also that the 13 groups can be collapsed in ways that are pragmatic from a clinical and policy decision-making perspective, and are manageable for analysis.
    Original languageEnglish
    Pages (from-to)12-16
    Number of pages5
    JournalNSW Public Health Bulletin
    Volume23
    Issue number45323
    DOIs
    Publication statusPublished - 2012

    Keywords

    • birth rate
    • classification
    • health services research
    • hospitals
    • maternal health services
    • perinatal care
    • pregnancy

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