Document Detail

Preventing infant deaths: a descriptive study of one high-risk neighborhood.
MedLine Citation:
PMID:  3452359     Owner:  NLM     Status:  MEDLINE    
This study examines whether 72 infant deaths in one urban neighborhood in one year could have been prevented and if so, how. The neighborhood was targeted for a Maternal and Child Health Block Grant demonstration project because of its combination of low income and high rates of unemployment, teenage births, and infant mortality. Using a replicable set of decision rules, a committee consisting of a practicing obstetrician, a psychologist, and a social worker-epidemiologist used linked birth and death certificates to determine whether each death might have been prevented using available resources. Our criteria were designed to be somewhat conservative, in that no death was ruled preventable unless the evidence available from the birth or death certificate suggested that an available resource had clearly been called for and had not been used. Our results indicated that 25 percent of these infant deaths might have been prevented through the provision of maternal or infant transport, adequate prenatal care, immediate medical care, or alteration of the family environment. Each intervention is discussed in light of the particular circumstances of the neighborhood and current financial and political limitations.
T D Combs-Orme; J S Reis; L Holt
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of preventive medicine     Volume:  3     ISSN:  0749-3797     ISO Abbreviation:  Am J Prev Med     Publication Date:    1987 Jul-Aug
Date Detail:
Created Date:  1988-08-02     Completed Date:  1988-08-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8704773     Medline TA:  Am J Prev Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  211-22     Citation Subset:  IM    
Center for Health Services and Policy Research, Northwestern University, Baton Rouge, LA.
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MeSH Terms
Child Health Services / supply & distribution
Decision Trees
Infant Mortality*
Infant, Newborn
Maternal Health Services / supply & distribution
Preventive Health Services / supply & distribution*
Risk Factors
Socioeconomic Factors
Urban Population

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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