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

More documents

Recommendations

Info

72 Maternal Intensive Care in Belgium KCE Reports 94 Table 32: Socio-economic characteristics Denominator Standard care Grey zone care Intermediate care Freq % Freq % Freq % Freq % Nb of pregnant women 97,718 54,603 32,946 9,421 Maf social and/or BIM 8,051 8.2% 3,991 7.3% 2,97 9.0% 987 10.5% Maf revenu 5,649 5.8% 2,429 4.4% 2,327 7.1% 802 8.5% Isolated women without child 6,450 6.6% 3,346 6.1% 2,234 6.8% 808 8.6% Isolated women with child 5,723 5.9% 2,847 5.2% 2,252 6.8% 575 6.1% Source: Merged IMA and MKG/RCM Data 01/10/2003 – 30/09/2004 5.7.1.3 Mode of deliveries according to categories The c-section rate varies across categories. It is 10.5% among women in the ‘standard care category’, 28.1% among the women in ‘Grey zone’ and 28.7% among women in the ‘Intermediate care category’. For the ‘grey zone’ group, the association between health status of the women and csection rate is not straightforward. The c-section rate is nearly as high as the c-section rate in the ‘intermediate care group’ but it is a consequence of the selection of indications leading to the classification in ‘Grey Zone’. Table 31 listing the main pathologies in the ‘Grey zone’ shows that 12.8% of the women in this category were classified in this category because of a previous c-section, status linked to a high risk of repeated caesarean section (78.3% of the women with this code deliver by c-section). The women with a diagnosis ‘foetal distress’ have a c-section rate of 30.5%, those with a diagnostic of poor foetal growth have the same c-section rate, those with a diagnostic of ‘foetal cardiac arrhythmia have a c-section of 29.1%. 5.7.1.4 Length of stay according to categories 45.00% 40.00% 35.00% 30.00% 25.00% 20.00% 15.00% 10.00% 5.00% 0.00% The distribution curves of the length of stay of the 3 main categories (standard care, grey zone and intermediate care) ordered by mode of delivery are presented on the graph 12 below. Figure 12: Distribution of length of stay by mode of delivery 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Std - Vag. Deliv (n=48,518) Grey zone - Vag. Deliv (n=23,605) Interm.** - Vag. Deliv (n=6,287) Std - C-sect (n=5,753) Grey zone - C-sect (n=9,250) Interm.** - C-sect (n=2,703) Source: Merged IMA and MKG/RCM Data 01/10/2003 – 30/09/2004 As regard the vaginal deliveries, for all 3 categories the median LoS is the same (P50 = 5 days). For the c-section group the median LoS is 7 days for standard care and the grey zone, yet 8 days for the intermediate care category.
KCE Reports 94 Maternal Intensive Care in Belgium 73 100.00% 90.00% 80.00% 70.00% 60.00% 50.00% 40.00% 30.00% 20.00% 10.00% 0.00% 100.00% 90.00% 80.00% 70.00% 60.00% 50.00% 40.00% 30.00% 20.00% 10.00% 0.00% Hence, the mean LoS for both types of deliveries is higher within the intermediate care category. The mean LoS for a vaginal delivery, within standard care is 4.7 days, in the grey zone 5.1 days and in intermediate care 6.0 days (χ² test, p value
Page 1 and 2:
Soins maternels intensifs (Maternal
Page 3 and 4:
Soins maternels intensifs (Maternal
Page 5 and 6:
KCE Reports 94B Soins Maternels Int
Page 7 and 8:
Page 9 and 10:
Page 11 and 12:
KCE Reports 94 Maternal Intensive C
Page 13 and 14:
Page 15 and 16:
Page 17 and 18:
Page 19 and 20:
Page 21 and 22:
Page 23 and 24:
Page 25 and 26:
Page 27 and 28:
Page 29 and 30:
Page 31 and 32: KCE Reports 94 Maternal Intensive C
Page 53 and 54: Number of women KCE Reports 94 Mate
Page 55 and 56: 45,00% 40,00% 35,00% 30,00% 25,00%
Page 67 and 68: Status KCE Reports 94 Maternal Inte
Page 81: KCE Reports 94 Maternal Intensive C
Page 91 and 92: Percentage intermediate care women
Page 115 and 116: kCE Reports 94 Maternal Intensive C
Page 117 and 118: Fowler, S.J. (2005) kCE Reports 94
Page 119 and 120: Schatz et al ( 15 bis kCE Reports 9
Page 121 and 122: Zeeman, G., Wendel, G. & Cunningham
Page 123 and 124: Ryan, M., Hamiltin, V., Bowen, M. &
Page 125 and 126: Baskett, T. & Sternadel, J. (1998)
Page 127 and 128: Lapinsky, S., Kruczynski, K., Seawa
Page 129 and 130: Cohen, J., Singer, P., Kogan, A., H
Page 131 and 132: Quah, T., Chiu, J., Tan, K., Yeo, S
Page 133 and 134:
Gilbert, T., Smulian, J., Martin, A
Page 135 and 136:
Mirghani, H., Hamed, M. & Weerasing
Page 137 and 138:
Selo-Ojeme, D., Omosaiye, M., Batta
Page 139 and 140:
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
Page 153 and 154:
Page 155 and 156:
Page 157 and 158:
Page 159 and 160:
Page 161 and 162:
Page 163 and 164:
Page 165 and 166:
Page 167:
Page 170 and 171:
Dépôt légal : D/2008/10.273/78
Page 172 and 173:
35. Etude relative aux coûts poten
show all

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

Create successful ePaper yourself

Delete template?

Save as template?