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Perinatal Care in Arizona 1950–2002: A Study of the Positive Impact of Technology, Regionalization and the Arizona Perinatal Trust

Journal of Perinatology volume 25, pages 503–508 (2005)Cite this article

Arizona is a large state that has undergone profound population changes since the end of World War II. It has two major population centers (Phoenix and Tucson) that together account for approximately 75% of the state's population. Much of the remaining population is found in small communities scattered throughout the state. There is a high Native American population, largely rural but with some metropolitan dwellers. There is also a high number of Hispanics, which is increasing rapidly through immigration.

The development of neonatal intensive care centers, neonatal transport, maternal tertiary care centers and maternal transport have had a profound impact on perinatal health in Arizona. The development of a perinatal regional system and the maintenance of that system through the partnership of the Arizona Department of Health Services and the Arizona Perinatal Trust (APT) has been vital to the improvement of perinatal health in Arizona.

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References

  1. Recommendations and Guidelines for Perinatal Care Centers in Arizona. Casa Grande, Arizona: Arizona Perinatal Regional System, Inc; 2002.

  2. Committee on Perinatal Health. Toward Improving the Outcome of Pregnancy. White Plains, NY: National Foundation March of Dimes; 1976.

  3. Chien LY, Whyte R, Thiessen P, et al. and the Canadian Neonatal Network. Improved outcome of preterm infants when delivered in tertiary care centers. Obstet Gynecol 2001;98:247–252.

    CAS  PubMed  Google Scholar 

  4. Clement MS . Perinatal Transport in Arizona Office of Women's and Children's Health, Arizona Department of Health Services, 150 N18th Avenue, Suite 320, Phoenix, Arizona 85007, 2002.

  5. Hohoagschwandter M, Husslein P, Klebermass K, Weninger M, Nardi A, Langer M . Perinatal mortality and morbidity: comparison between maternal transport, neonatal transport and inpatient antenatal treatment. Arch Gynecol Obstet 2001;265(3):113–118.

    Article  Google Scholar 

  6. Harris TR, Isaman J, Giles HR . Improved neonatal survival through maternal transport. Obstet Gynec 1978;52:294–300.

    CAS  PubMed  Google Scholar 

  7. Clement MS . The Relationship Among Prenatal Care, Birth Weight, Race/Ethnicity in Arizona. Office of Women's and Children's Health, Arizona Department of Health Services 150 N. 18th Avenue, Suite 320, Phoenix, Arizona 85007; 1998.

  8. Scribner R, Dwyer JH . Acculturation and low birth weight among Latinos in the Hispanic HANES. Am J Public Health 1989;79:1263–1267.

    Article  CAS  Google Scholar 

  9. Singh GK, Yu, SM . Adverse pregnancy outcomes: differences between US and foreign born women in major US racial and ethnic groups. Am J Public Health 1996;86:837–843.

    Article  CAS  Google Scholar 

  10. Guendelman S, Abrams B . Dietary intake among Mexican-American women: generational differences and a comparison with white non-Hispanic women. Am J Public Health 1995;85:20–25.

    Article  CAS  Google Scholar 

  11. Zambrana RE, Scrimshaw SCM, Collins N, Dunkel-Schetter C . Prenatal health behaviors and psychosocial risk facors in pregnant women of Mexican origin: the role of acculturation. Am J Public Health 1997;87:1022–1026.

    Article  CAS  Google Scholar 

  12. Barfield WD, Wise PH, Rust KJ, Gould JB, Gortmaker SL . Racial disparities in outcomes of military and civilian births in California. Arch Pediatr Adolesc Med 1996;150:1062–1067.

    Article  CAS  Google Scholar 

  13. Collins JW, Herman AA, David RJ . Very low birth weight infants and income incongruity among African-American and white parents in Chicago. Am J Public Health 1997;87:414–417.

    Article  Google Scholar 

  14. David RJ, Collins Jr JW . Differing birth weight among infants of U.S. born blacks, African born blacks and U.S. born whites. N Engl J Med 1997;337:1209–1214.

    Article  CAS  Google Scholar 

  15. Foster Jr HW . The enigma of low birth weight and race. N Engl J Med 1997;337:1232–1233.

    Article  Google Scholar 

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Authors and Affiliations

  1. Arizona Department of Health Services, Pediatrician, Mountain Park Health Center, Phoenix, AZ, USA

    Michael S Clement MD

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  1. Michael S Clement MD
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Clement, M. Perinatal Care in Arizona 1950–2002: A Study of the Positive Impact of Technology, Regionalization and the Arizona Perinatal Trust. J Perinatol 25, 503–508 (2005). https://doi.org/10.1038/sj.jp.7211337

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