Toward improving the outcome of pregnancy, 1993: perinatal regionalization revisited.

Toward Improving the Outcome of Pregnancy: The 90s and Beyond (TIOP II) was released by The March of Dimes Birth Defects Foundation (MOD) in May of this year. A predecessor, TIOP I, released in 1976 by the MOD, is considered to be the cornerstone document for the structure of the regional perinatal care system present in the United States today. Revisitation of our approach to perinatal care took place because we know we have a persistent problem with perinatal outcomes in the United States. Our perinatal statistics lag behind those reported by many other nations. We know we should do better and are becoming frustrated with relative lack of progress. Infant mortality is an indicator that has attracted professional concern and national initiatives. It has been placed on local political agendas and discussed frequently in the media of cities such as Boston and Washington.

• Publication year

  1993

• Venue

  Pediatrics

• Publication date

  1993-10-01

• Fields of study

  Medicine

• Identifiers
  DOI 10.1542/peds.92.4.611PMID 8414838
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• A Strategy to Reduce Infant Mortality

  1991cited by this paper
• Perinatal care: the threat of deregionalization.

  1988cited by this paper
• Regionalization revisited.

  1987cited by this paper
• The regionalization of perinatal services. Summary of the evaluation of a national demonstration program.

  1985cited by this paper
• Evaluation of neonatal-intensive-care program.

  1981cited by this paper

• Maternal and neonatal risk-appropriate care: gaps, strategies, and areas for further research

  2023cites this paper
• Levels of neonatal care among birth facilities in 20 states and other jurisdictions: CDC levels of care assessment tool^SM (CDC LOCATe^SM)

  2022cites this paper
• Summary of neonatal and maternal transport and reimbursement policies—a 5-year update

  2022cites this paper
• Improving perinatal regionalization: 10 years of experience with an Arkansas initiative

  2020cites this paper
• Evaluation of Nurse's Knowledge in Management of Premature Baby in Neonatal Units

  2018cites this paper
• Trends in Childbirth Before 39 Weeks’ Gestation Without Medical Indication

  2014cites this paper
• Birth volume and the quality of obstetric care in rural hospitals.

  2014cites this paper
• Rural-Urban Differences in Obstetric Care, 2002–2010, and Implications for the Future

  2014cites this paper
• Report on Experiments and Clinical Cases ― Effect on Clinical Work Practice of Establishing a Neonatal Intensive Care Unit at a Medical School-Affiliated Teaching Hospital

  2014cites this paper
• Telemedicine collaboration improves perinatal regionalization and lowers statewide infant mortality

  2013cites this paper
• Perinatal patient safety and quality.

  2011cites this paper
• Global and Cultural Perinatal Nursing Research: Improving Clinical Practice

  2011cites this paper
• Regionalization of neonatal intensive care in Korea

  2011cites this paper
• Analysis of Feto-Infant Mortality Using the BABIES Framework: Georgia 1981-83 through 2001-03

  2011cites this paper
• Variation, perinatal regionalization and total cohort accountability

  2009cites this paper
• The future of very preterm infants: learning from the past.

  2008cites this paper
• Regionalization of neonatal care and neonatal transport system

  2007cites this paper
• Effect of Opening Midlevel Neonatal Intensive Care Units on the Location of Low Birth Weight Births in California

  2006cites this paper
• Feeding practice outcome for preterm infants in two neonatology units in Buraidah, Saudi Arabia

  2004cites this paper
• Growth in neonatal intensive care: when is enough enough?

  2003cites this paper
• SHORT-TERM OUTCOME OF PRETERMS IN TWO NEONATOLOGY UNITS IN AL-QASSIM, SAUDI ARABIA

  2003cites this paper
• Is more neonatal intensive care always better? Insights from a cross-national comparison of reproductive care.

  2002cites this paper
• The relation between the availability of neonatal intensive care and neonatal mortality.

  2002cites this paper
• Which Nurseries Currently Care for Ventilated Neonates in Illinois and Wisconsin? Implications for the Next Generation of Perinatal Regionalization

  2002cites this paper
• Are neonatal intensive care resources located according to need? Regional variation in neonatologists, beds, and low birth weight newborns.

  2001cites this paper
• The uneven landscape of newborn intensive care services: variation in the neonatology workforce.

  2001cites this paper
• State health agencies and quality improvement in perinatal care.

  1999cites this paper
• Very Low Birth Weight Births At Non-NICU Hospitals: The Role of Sociodemographic, Perinatal, and Geographic Factors

  1999cites this paper
• General Pediatrics, Neonatology, and the Law of Diminishing Returns

  1998cites this paper
• The Maintenance Need for Water in Parenteral Fluid Therapy

  1998cites this paper
• Can and should level II nurseries care for newborns who require mechanical ventilation?

  1996cites this paper
• Maternity Patients' Advocates in the 1990s: Changing Debates and New Debaters

  1991cites this paper