Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE

50 Maternal Intensive Care in Belgium KCE Reports 94
4.2.10 Analysis of maternities with and without MIC-services
The MIC-service serves as a referral centre for a group of hospitals caring for a
minimum of 5000 deliveries. A (non-exclusive) convention must be signed between each
hospital and the hospital with a MIC-service. The goal of this organisation is to stimulate
women with high-risk pregnancies to deliver in specialized centres, in order to
maximize quality of care. Women with severe complications in pregnancy should be
transferred as soon as possible to a MIC-service, as intra-uterine transfer improves the
outcome for mother and child (Tency et al, 2007).
Hence, the Belgian inpatient perinatal care of pregnant women is divided into three
levels, namely: 1) standard maternity care, 2) maternal intermediate care, and 3)
intensive care. All calculations are made on 97,718 deliveries.
4.2.10.1 Characteristics of patient population by type of maternities
Proportion of women
40.0%
35.0%
30.0%
25.0%
20.0%
15.0%
10.0%
5.0%
0.0%
Maternal Age
The mean age of the women who deliver in MIC-services is 29.82 (P10=23; P50=30;
P90=37).
The mean age of the women who deliver in non-MIC services is 29.21 (P10=23;
P50=29; P90=36).
The difference of proportion of women in each age category according to type of
maternity is shown in figure 7.
Figure 6: Proportion of women in age categories according to type of
maternity (Non MIC N= 70,400; MIC N = 27,318)
10-14 15-19 20-24 25-29 30-34
Age category in years
35-39 40-44 45-49 50
Source: Merged IMA and MKG/RCM Data 01/10/2003 – 30/09/2004
The figure shows clearly that MIC-services receive a higher proportion of women from
30 to 44 years old. The proportion of women between 20 and 29 years is higher within
the non-MIC services. These differences are statistically significant (p