National Perinatal Information Center
National Perinatal Information Center


STATE AND NATIONAL POLICY INITIATIVES

Study of Maternal Fetal Medicine Practice
Phase I - Survey of Maternal Fetal Medicine Specialists

This study addressed the policy concerns of the Society of MFM Specialists regarding how many MFM specialists would be trained for the future. The work was accomplished in two phases. The first was a national survey of maternal fetal medicine specialists. The second focused on the distribution of MFM specialists be geography and birth populations.

The survey established a baseline of practice for SMFMS members across the country

It identified physician characteristics (e.g. age, years of practice, certification, etc.) practice structure (academic, hospital-based, free-standing, etc.) workload characteristics (e.g. consultations, antenatal screening, deliveries, research, etc.); reimbursement contracts (HMO, private insurance, Medicaid, etc.); referral base; and related issues. Results of this study were published in the American Journal of Obstetrics and Gynecology in November, 2001.   » View the article's summary of reports

Implications of Short Stay Hospitalizations for Mothers and Newborns
The Maternal and Child Health Bureau funded the National Perinatal Information Center to hold a meeting of medical and health policy professionals to discuss the risks and benefits of the rapidly accelerating trend toward short hospitalizations for mothers and newborns. The meeting, held in fall of 1994, served as a source of recommendations to the Federal government concerning the need for the Surgeon General to have a policy on the issue. The meeting was designed to explore the newborn screening issues, medical risks to the mother and newborn, psycho-social risk and benefits, and program components for earlier discharge which were designed to minimize any risks to the mother or infant.

NPIC prepared a conference report from the meeting which was presented to the Maternal and Child Health Bureau at a meeting held in December 1994. The meeting included representatives from a wide range of the national organizations including provider groups affected by the short stay policies.

Survival and Health Status Analysis of Premature, High Risk Deliveries in the 1991 Longitudinal Follow-up to the 1988 National Maternal and Infant Health Survey
The primary objective of this effort was identification of the source of care for high risk newborns and quantification of the differential impact of hospitals with higher levels of technology on the mortality and subsequent morbidity among survivors.

The source of data for measuring the relative difference in technology among hospitals was the American Hospital Association (AHA) Survey for the year corresponding to the 1988 NMIHS files supplemented by another survey that was completed on the same year collaboratively designed by NPIC and AHA and executed by AHA. That survey, entitled the "Survey of Obstetric and Newborn Services," allowed hospitals to describe with detailed data their level of perinatal care.

The NPIC approach to this task employed of both AHA surveys (1987 and 1997) which allowed us to make important distinctions in patient outcome relative to level of care and technological sophistication of the place of birth. The results of this study were published in the Maternal and Child Health Journal in March, 2000.   » View the article's summary of reports

 
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