ACOG/SMFM Obstetric Care Consensus : Levels of maternal care - 24/01/15
American College of Obstetricians and Gynecologists and the Society for Maternal–Fetal Medicine with the assistance of
M. Kathryn Menard, MD, MPH, Sarah Kilpatrick, MD, PhD, George Saade, MD, Lisa M. Hollier, MD, MPH, Gerald F. Joseph, MD, Wanda Barfield, MD, William Callaghan, MD, John Jennings, MD, Jeanne Conry, MD, PhDCet article a été publié dans un numéro de la revue, cliquez ici pour y accéder
Abstract |
In the 1970s, studies demonstrated that timely access to risk-appropriate neonatal and obstetric care could reduce perinatal mortality. Since the publication of the Toward Improving the Outcome of Pregnancy report, more than 3 decades ago, the conceptual framework of regionalization of care of the woman and the newborn has been gradually separated with recent focus almost entirely on the newborn. In this current document, maternal care refers to all aspects of antepartum, intrapartum, and postpartum care of the pregnant woman. The proposed classification system for levels of maternal care pertains to birth centers, basic care (level I), specialty care (level II), subspecialty care (level III), and regional perinatal health care centers (level IV). The goal of regionalized maternal care is for pregnant women at high risk to receive care in facilities that are prepared to provide the required level of specialized care, thereby reducing maternal morbidity and mortality in the United States.
Le texte complet de cet article est disponible en PDF.Plan
The information reflects emerging clinical and scientific advances as of the date issued, is subject to change, and should not be construed as dictating an exclusive course of treatment or procedure. Variations in practice may be warranted based on the needs of the individual patient, resources, and limitations unique to the institution or type of practice. |
|
The authors report no conflict of interest. |
|
This article is being published in the February 2015 issue of Obstetrics & Gynecology (Obstet Gynecol 2015;125:502-15). |
|
Copyright February 2015 by the American College of Obstetricians and Gynecologists, 409 12th Street, SW, PO Box 96920, Washington, DC 20090-6920. All rights reserved. |
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?