COMPLICACIONES NEONATALES

Perinatal regionalization refers to a structure of health care delivery that allows for the referral and transport of women and newborns to tertiary care centers when specialized antenatal and neonatal care is needed62. The implementation of perinatal regionalization in North Carolina in 1974 was associated with decreased neonatal mortality for low birth weight neonates (see map below for illustration of NC’s 6 perinatal regions). Bode et al confirmed this finding after analysis of North Carolina vital statistics data for live births through 199440. Given the regional organization of perinatal care in North Carolina, I chose to apply these geographic areas in this analysis. As mentioned in the Systematic Review section of this paper, other studies of geographic variation have applied areas defined as Neonatal Intensive Care Regions in their analysis. These areas are still relatively large and are likely to closely resemble North Carolina’s perinatal regions.

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