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

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86 Maternal Intensive Care in Belgium KCE Reports 94 As seen in the above figures 20 and 21, women requiring intermediate care travel longer distances to reach a MIC maternity than standard care women. The travelled distance of standard care women is similar in all hospitals with a MIC-service and do not exceed 40kms except for the UZ Gent. The figure 21 shows that some centres the UCL or KUL and in a lower proportion AZ Sint Jan, UZ Gent and CHU La Citadelle admit intermediate care women who travel longer distance. These centres may be attractive thanks to their reputation or specialisation. Nevertheless, this attractivity should play an equal role for standard care or intermediate care. On the other hand, the longer distance travelled by some intermediate care women question the accessibility of MIC units in some areas. This problem of accessibility could that as seen in table 39, in some province less than 20% of the intermediate care women delivered in a maternity with MIC service . 6.4 PREMATURE NEONATES AND VERY LOW BIRTH WEIGHT-INFANTS This study chose to focus on an evaluation of the MIC-services in Belgium.and an important parameter to evaluate the quality of the care received by pregnant woman is the health of the newborn. The NIC-audit 2000-2007eee states that: “in a high-quality perinatal care system it is anticipated that, whenever possible, most of this vulnerable group of Very Low Birth Weight-infants (VLBW) should be born in a maternity hospital with prenatal and neonatal intensive care facilities”. This assertion is emphasized in Tency’s thesis (2007) (see4.2.10). 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. Consequently, we analysed the place of birth of the premature neonates (
KCE Reports 94 Maternal Intensive Care in Belgium 87 Table 42: Comparison of the proportion of premature neonates (
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Dépôt légal : D/2008/10.273/78
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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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