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Lower Hudson Valley Perinatal Network Serving Dutchess, Putnam, Rockland & Westchester Counties

Lower Hudson Valley Perinatal Network Serving Dutchess, Putnam, Rockland & Westchester Counties. Lower Hudson Valley Perinatal Data Book: Delivery Rates Over Time – 2000-2005. Presented at the Quarterly Education & Networking Conference January 22, 2008.

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Lower Hudson Valley Perinatal Network Serving Dutchess, Putnam, Rockland & Westchester Counties

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  1. Lower Hudson Valley Perinatal NetworkServing Dutchess, Putnam, Rockland & Westchester Counties Lower Hudson Valley Perinatal Data Book: Delivery Rates Over Time – 2000-2005 Presented at the Quarterly Education & Networking Conference January 22, 2008 Optimizing Birth: A Tale of Two Delivery Modes

  2. NYS Hospitals and Perinatal Designation Level Research strongly supports regionalization as a means of improving maternal and infant outcomes. Perinatal regionalization represents the continuum of care that ensures that all pregnant women, fetuses and newborns have timely access to care. New York State's system of regionalized perinatal services includes a hierarchy of four levels of perinatal care provided by the hospitals within a region and led by a Regional Perinatal Center (RPC). The regional system is led by an RPC that is capable of providing all the services and expertise required by the most acutely sick or at-risk pregnant women and newborns. The concentration of high-risk patients makes it possible to enhance and maintain the level of expertise in the care of high-risk obstetric and neonatal patients, as well as justify the substantial expense required to establish and maintain neonatal intensive care units and attending-level subspecialty consultation. RPCs provide or coordinate maternal-fetal and newborn transfers of high-risk patients from their affiliate hospitals to the RPC, and are responsible for support, education, consultation and improvements in the quality of care in the affiliate hospitals within their region. The four levels of perinatal care within the regionalization system vary by the types of patients that are treated, availability of sub-specialty consultation, qualifications of staff, types of equipment available and volume of high-risk perinatal patients treated. Besides the RPC, there are three other levels of care: • Level 1 hospitals provide care to normal and low-risk pregnant women and newborns, and they do not operate neonatal intensive care units (NICU); Must transfer infants who: • Gestation ≤ 36 weeks • Birth weight ≤ 2500 grams • Major problems requiring “advanced laboratory, radiologic, or consultation services” • Require ventilation above immediate resuscitation • Level 2 hospitals provide care to women and newborns at moderate risk and do operate NICUs; Must transfer infants who: • Gestation ≤ 30 weeks • Birth weight ≤ 1250 grams • Require ventilation more than 7 days • Level 3 hospitals care for patients requiring increasingly complex care and operate NICUs Must transfer infants who: • Require specialized services such as high frequency ventilator or ECMO Adapted from http://www.health.state.ny.us/community/pregnancy/health_care/perinatal/hospital_designations.htm

  3. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2005.

  4. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2005 & Vital Statistics Data, 2000-2005, and CDC National Statistics Reports, Births: Final Data, 2000-2005.

  5. Data not available for 2004 and 2005. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003.

  6. County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003 & Vital Statistics Data, 2000-2003, and CDC National Statistics Reports, Births: Final Data, 2000-2003.

  7. Data not available for 2004 and 2005. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003.

  8. County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003 & Vital Statistics Data, 2000-2003, and CDC National Statistics Reports, Births: Final Data, 2000-2003.

  9. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2005.

  10. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2005 & Vital Statistics Data, 2000-2005, and CDC National Statistics Reports, Births: Final Data, 2000-2005.

  11. Data not available for 2004 and 2005. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003.

  12. County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003 & Vital Statistics Data, 2000-2003, and CDC National Statistics Reports, Births: Final Data, 2000-2003.

  13. Data not available for 2004 and 2005. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003.

  14. County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003 & Vital Statistics Data, 2000-2003, and CDC National Statistics Reports, Births: Final Data, 2000-2003.

  15. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2005.

  16. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2005 & Vital Statistics Data, 2000-2005, and CDC National Statistics Reports, Births: Final Data 2000-2005.

  17. Data not available for 2004 and 2005. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003.

  18. County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003 & Vital Statistics Data, 2000-2003, and CDC National Statistics Reports, Births: Final Data 2000-2003.

  19. Data not available for 2004 and 2005. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003.

  20. County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003 & Vital Statistics Data, 2000-2003, and CDC National Statistics Reports, Births: Final Data, 2000-2003.

  21. * Northern Westchester County constitutes the area above Interstate 287. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2005.

  22. * Southern Westchester County constitutes the area below Interstate 287. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2005.

  23. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2005 & Vital Statistics Data, 2000-2005, and CDC National Statistics Reports, Births: Final Data 2000-2005.

  24. Data not available for 2004 and 2005. * Northern Westchester County constitutes the area above Interstate 287. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003.

  25. Data not available for 2004 and 2005. * Southern Westchester County constitutes the area below Interstate 287. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003.

  26. County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003 & Vital Statistics Data, 2000-2003, and CDC National Statistics Reports, Births: Final Data 2000-2003.

  27. Data not available for 2004 and 2005. * Northern Westchester County constitutes the area above Interstate 287. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003.

  28. Data not available for 2004 and 2005. * Southern Westchester County constitutes the area below Interstate 287. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003.

  29. County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years. Source: NYS Department of Health, Maternity Information Pamphlet Data, 2000-2003 & Vital Statistics Data, 2000-2003, and CDC National Statistics Reports, Births: Final Data, 2000-2003.

  30. For more information on the data presented in this Data Book please contact the Lower Hudson Valley Perinatal Network at info@lhvpn.net or (914) 493-6435.

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