Jump to ContentJump to Main Navigation
Show Summary Details
More options …

Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, MD, FRCOG, Joachim W.

Editorial Board Member: / Bancalari, Eduardo / Greenough, Anne / Genc, Mehmet R. / Chervenak, Frank A. / Chappelle, Joseph / Bergmann, Renate L. / Bernardes, J.F. / Bevilacqua, G. / Blickstein, Isaac / Cabero Roura, Luis / Carbonell-Estrany, Xavier / Carrera, Jose M. / D`Addario, Vincenzo / D'Alton, MD, Mary E. / Dimitrou, G. / Grunebaum, Amos / Hentschel, Roland / Köpcke, W. / Kawabata, Ichiro / Keirse, Marc J.N.C. / Kurjak M.D., Asim / Lee, Ben H. / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Makatsariya, Alexander / Nishida, Hiroshi / Papp, Zoltán / Pejaver, Ranjan Kumar / Pooh, Ritsuko K. / Reiss, Irwin / Romero, Roberto / Saugstad, Ola D. / Schenker, Joseph G. / Sen, Cihat / Seri, Istvan / Vetter, Klaus / Winn, Hung N. / Young, Bruce K. / Zimmermann, Roland

9 Issues per year

IMPACT FACTOR 2016: 1.577
5-year IMPACT FACTOR: 1.705

CiteScore 2016: 1.49

SCImago Journal Rank (SJR) 2016: 0.602
Source Normalized Impact per Paper (SNIP) 2016: 0.832

See all formats and pricing
More options …
Volume 37, Issue 3 (May 2009)


Access to level III perinatal care for pregnancies of very short duration (<32 weeks)

Anteo Di Napoli / Domenico Di Lallo / Francesco Franco / Maria Eleonora Scapillati / Carlo Zocchetti / Rocco Agostino / Marcello Orzalesi
Published Online: 2009-02-06 | DOI: https://doi.org/10.1515/JPM.2009.049


Aims: To evaluate to which extent pregnancies of very short duration (<32 weeks' gestation) are concentrated in level III centers.

Methods: Area-based study in the 57 maternity units of the Lazio Region (Italy), years 2003–2004, including: 1012 live births (gestational age 22–31 weeks), 261 fetal losses (22–31 weeks) and 209 induced abortions (22–25 weeks). Variables associated with access to a level III unit were evaluated through multivariable logistic regression models.

Results: 83.7% of all pregnancies <32 weeks (88.8% of live births, 71.6% of fetal losses and 75.1% of induced abortions) were admitted to a level III perinatal center; 23.4% of live newborns, delivered in a level III hospital, were subsequently transferred to a same level facility. The probability that a fetal loss was not treated in a level III perinatal unit was higher for women without pregnancy complication, with lower education level, and living outside the metropolitan area.

Conclusions: Regionalization of perinatal care in Lazio is not satisfactory. Concentration of high-risk deliveries in level III centers is good, but in utero transfer is insufficient. This study can help to define the effectiveness of different organizational systems on access to locally available perinatal facilities and to optimize general organizational patterns of perinatal care.

Keywords: Access to perinatal care; appropriateness; perinatal level unit; perinatal transfer; very preterm pregnancies

About the article

Corresponding author: Dr. Anteo Di Napoli, MD Agency for Public Health of Lazio Region Via di Santa Costanza 53 – 00198 Rome Italy Tel.: +39-0683060452 Fax: +39-0683060463

Received: 2008-07-09

Revised: 2008-10-14

Accepted: 2008-11-07

Published Online: 2009-02-06

Published Online: 2009-02-06

Published in Print: 2009-05-01

Citation Information: Journal of Perinatal Medicine, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: https://doi.org/10.1515/JPM.2009.049.

Export Citation

Citing Articles

Here you can find all Crossref-listed publications in which this article is cited. If you would like to receive automatic email messages as soon as this article is cited in other publications, simply activate the “Citation Alert” on the top of this page.

Giovanni Fatttore, Dino Numerato, Mikko Peltola, Helen Banks, Rebecca Graziani, Richard Heijink, Eelco Over, Søren Toksvig Klitkou, Eilidh Fletcher, Péter Mihalicza, and Sofia Sveréus
Health Economics, 2015, Volume 24, Page 65
Christian F Poets
Archives of Disease in Childhood - Fetal and Neonatal Edition, 2014, Volume 99, Number 3, Page F176
J. Clerc, M. Doret, E. Decullier, O. Claris, J.-C. Picaud, and O. Dupuis
Gynécologie Obstétrique & Fertilité, 2011, Volume 39, Number 7-8, Page 412
Kelly Kelleher
Administration and Policy in Mental Health and Mental Health Services Research, 2010, Volume 37, Number 1-2, Page 89

Comments (0)

Please log in or register to comment.
Log in