Early neonatal mortality, low birth weight and related factors in Japan

Sugie, Takuya

doi:10.1007/bf02897958

Cited by 1 publication

(1 citation statement)

References 21 publications

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“…We propose that increasing the number of obstetricians can lower the perinatal mortality rate. A negative correlation between the number of obstetricians/gynecologists and early neonatal mortality rate has also been demonstrated in a previous study [27]. When the number of obstetricians is reduced, perinatal mortality rate certainly worsens; therefore, it is important to retain the number of obstetricians.…”

Section: Discussionsupporting

confidence: 59%

The Impact of Centralization of Obstetric Care Resources in Japan on the Perinatal Mortality Rate

Sudo

Kuroda

2013

ISRN Obstetrics and Gynecology

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Objective. We investigated the effects of the centralization of obstetricians and obstetric care facilities on the perinatal mortality rate in Japan. Methods. We used the Gini coefficient as an index to represent the centralization of obstetricians and obstetric care facilities. The Gini coefficients were calculated for the number of obstetricians and obstetric care facilities of 47 prefectures using secondary medical care zones as units. To measure the effects of the centralization of obstetricians and obstetric care facilities on the outcomes (perinatal mortality rates), we performed multiple regression analysis using the perinatal mortality rate as the dependent variable. Results. Obstetric care facilities were more evenly distributed than obstetricians. The perinatal mortality rate was found to be significantly negatively correlated with the number of obstetricians per capita and the Gini coefficient of obstetric care facilities. The latter had a slightly stronger effect on the perinatal mortality rate. Conclusion. The centralization of obstetric care facilities can improve the perinatal mortality rate, even when increasing the number of obstetricians is difficult.

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Section: Discussionsupporting

confidence: 59%