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

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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
KCE Reports 94 Maternal Intensive Care in Belgium 51 The extreme groups contain few women; there are 9 women aged 10-14 years old, 121 women aged 45-49 years old and only 1 woman between 50 and 54 years old. In the age group 45-49, 81 women are admitted to a hospital without a MIC-service and 40 in a with a MIC-service, the difference is not statistically significant (χ² test, p=or
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Baskett, T. & Sternadel, J. (1998)
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35. Etude relative aux coûts poten
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Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE

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