Shifting age-parity distribution of births and the decrease in infant mortality.

American Journal of Public Health (Impact Factor: 4.23). 05/1975; 65(4):359-62. DOI: 10.2105/AJPH.65.4.359
Source: PubMed
  • [Show abstract] [Hide abstract]
    ABSTRACT: Regionalization ofperinatal care is widely assumed to be an effective means of improving pregnancy outcomes. However, due to limitations of the research designs employed in previous studies aimed at empirically confirming this conventional wisdom, strong evidence concerning the impact of regionalization on pregnancy outcomes is still lacking. In this article an interrupted time-series design is used to assess the impact of regionalization of perinatal care on infant and early neonatal mortality in Central New York. The analysis indicates that regionalization has had a statistically significant, grad ual permanent impact on both infant and early neonatal mortality.
    Evaluation Review 12/1986; 10(6):806-829. · 1.20 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: THE maternal and infant mortality and morbidity rates in the United States are described as appalling in terms of the technological development of that country. Studies related to factois correlated to maternal and infant mortality and morbidi ty are reviewed. Such con cerns as early prenatal con tact with a physician, nutri tion, age of first parity, drug usage, cigarette smoking, al cohol ingestion, venereal dis ease, and genetic factors are cited as affecting the health of the mother and infant. The need for prenatal educa tion is argued. This educa tion would have as its goal awareness on the part of pregnant women that their behaviour affects the health of their infant. Such pro grammes would be evaluated in terms of their effect upon maternal and infant mortality and morbidity rates. To be most effective, it is suggested that prenatal education prog rammes be developed and con ducted by health educators.
    Health Education Journal 01/1977; 36(3):84-87. · 0.73 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: This article presents a critical review of the available evidence on the effectiveness of programs to improve pregnancy outcome in changing rates of infant mortality. A total of 27 secondary reviews and original evaluation articles were assessed for quality of evidence on program outcomes. Although infant mortality rates are clearly dropping, initial review of the studies showed that history, differential selection, and experimental mortality were powerful alternative hypotheses to the conclusion that any particular program can claim to have caused the drop. Thus, our knowledge of exactly which programs are effective, and which are not, is compromised.
    Evaluation Review 12/1984; 8(6):747-776. · 1.20 Impact Factor


Available from