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

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52 Maternal Intensive Care in Belgium KCE Reports 94 4.2.10.2 Capacity of maternities with MIC-services Region Province Table 20: Number of deliveries in maternities with MIC-services Number of Maternities with MIC-services N of MIC-beds Total deliveries Number of deliveries per maternity with MIC-services Région Bruxelles-Capitale Brussels Hoofdstedelijk gewest 6 64 16,351 2,725 Vlaams Antwerpen 3 24 16,648 5,549 gewest Vlaams Brabant 1 20 5,882 5,882 West Vlaanderen 1 8 10,014 10,014 Oost Vlaanderen 1 8 11,935 11,935 Limburg 1 8 6,742 6,742 Total Vlaams gewest 7 68 51,221 7,303 Région Brabant Wallon 0 0 1,840 No MIC Wallonne Hainaut 2 16 12,704 6.352 Liège 2 24 9,824 4.912 Luxembourg 0 0 2,118 No MIC Namur 0 0 3,505 No MIC Total Wallonie 4 40 29,991 7,497 Unknown Belgium 17 172 97,563 5,739 According to the Royal Decree (RD) of Augustus 20th 1996: « the MIC-service will serve as referral centre for a group of hospitals totalizing a minimum of 5 000 deliveries”. Globally, the conditions of the RD seems to be respected since 17 MIC services were created for 85 000 deliveries. However, as seen in table 20 above, the situation varies widely between regions. The situation is quite similar in Vlaanderen en in Wallonie but in Brussels, there are not enough births to justify the high number of MIC-services (6). Of course, MIC services in Brussels can establish reference agreements with maternity services outside Brussels: this assertion is tested in section 6.3.1. These agreements do not correspond to the primary objective of the Royal Decree, even if the text of this RD does not prevent maternity services to sign agreements with several MIC services, including agreements which are practically never carried out.
KCE Reports 94 Maternal Intensive Care in Belgium 53 70% 60% 50% 40% 30% 20% 10% 0% Figure 7: Proportion of women who deliver in a maternity that has some MIC-beds per province and proportion of beds in MIC-services in each province Brussels Antwerpen Vlaams Brabant West Vlaanderen Oost Vlaanderen Limburg Brabant Wallon Province Hainaut Source: Merged IMA and MKG/RCM Data 01/10/2003 – 30/09/2004 Proportion of beds in MIC maternity Proportion of women delivering in MIC maternities Liège Luxembourg The proportion of women who deliver in maternities with MIC-beds differs according to their place of residence and varies from 6.4% in province Luxembourg, 37.7% in Vlaams Brabant, 48.0% in Brussels, and 51.9% in Liège. This proportion of women delivering in MIC-services is related to the proportion of beds in MIC-services in the province except for Brabant Wallon. In this province, there are no MIC-beds and the proportion of women delivering in MIC-services is equal to the proportion observed in Brussels. It is explained by the fact that most of the women living in this province deliver in Brussels or in the maternity of Braine-L’Alleud. The maternity of Braine-L’Alleud now belongs to the Chirec group. This whole group of hospitals, including one hospital in Brussels having a MIC-service, is considered administratively as a maternity with MIC service. However, there are no MIC bed in Braine-l’Alleud. Therefore, the 1.021 women who delivered in this hospital in 2004 contribute to overestimating the global proportion of pregnant women who really deliver in a maternity with MIC-service in Brabant Wallon. 4.2.10.3 Accessibility of maternities with MIC-services For Belgium in total, the mean distance travelled by women to reach a Maternity without MIC-services is 9.1 km (P10=0; P50= 7.3; P90= 20.2) and the mean distance to reach a maternity with a MIC-service is 10.6 km (P10=0; P50= 7.0; P90= 25.4). According to the place of residence, the distance to reach a hospital with or without a MIC-service differs. More details are shown in the maps underneath. Namur Belgium
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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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