Decline in Neonatal Mortality, 1968 to 1977: Better Babies or Better Care?

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  • Additional Information
    • Abstract:
      Abstract. A state's declining neonatal mortality rate was studied over the decade 1968 to 1977 to determine how much of the decrease resulted from improved risk characteristics in the newborn population. A shift was found over time, mostly among white births, toward higher birth weights and longer gestations. Overall, there was a 19% reduction in the low-birth-weight rate. Considerable improvement in birth weight-specific mortality was also found, especially in babies weighing 1,000 to 2,500 g during the last 5 years of the study. A neonatal risk matrix model was applied to the changes over time to separate the improvement due to shifts in population risk characteristics from that due to better care of the newborn. Thirty-four percent of the decade's decrease in NMR was attributable to changes in the birth weight and gestational age makeup of the newborn population. This "better babies" component was more prominent early in the decade and among the white population. Pediatrics 1983;71:531-540; newborn, neonatal mortality, birth weight, intensive care, prematurity. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • ISSN:
      0031-4005
    • Accession Number:
      4748468
  • Citations
    • ABNT:
      DAVID, R. J.; SIEGEL, E. Decline in Neonatal Mortality, 1968 to 1977: Better Babies or Better Care? Pediatrics, [s. l.], v. 71, n. 4, p. 531, 1983. Disponível em: http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=4748468&authtype=sso&custid=s5834912. Acesso em: 28 jan. 2020.
    • AMA:
      David RJ, Siegel E. Decline in Neonatal Mortality, 1968 to 1977: Better Babies or Better Care? Pediatrics. 1983;71(4):531. http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=4748468&authtype=sso&custid=s5834912. Accessed January 28, 2020.
    • APA:
      David, R. J., & Siegel, E. (1983). Decline in Neonatal Mortality, 1968 to 1977: Better Babies or Better Care? Pediatrics, 71(4), 531. Retrieved from http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=4748468&authtype=sso&custid=s5834912
    • Chicago/Turabian: Author-Date:
      David, Richard J., and Earl Siegel. 1983. “Decline in Neonatal Mortality, 1968 to 1977: Better Babies or Better Care?” Pediatrics 71 (4): 531. http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=4748468&authtype=sso&custid=s5834912.
    • Harvard:
      David, R. J. and Siegel, E. (1983) ‘Decline in Neonatal Mortality, 1968 to 1977: Better Babies or Better Care?’, Pediatrics, 71(4), p. 531. Available at: http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=4748468&authtype=sso&custid=s5834912 (Accessed: 28 January 2020).
    • Harvard: Australian:
      David, RJ & Siegel, E 1983, ‘Decline in Neonatal Mortality, 1968 to 1977: Better Babies or Better Care?’, Pediatrics, vol. 71, no. 4, p. 531, viewed 28 January 2020, .
    • MLA:
      David, Richard J., and Earl Siegel. “Decline in Neonatal Mortality, 1968 to 1977: Better Babies or Better Care?” Pediatrics, vol. 71, no. 4, Apr. 1983, p. 531. EBSCOhost, widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=4748468&authtype=sso&custid=s5834912.
    • Chicago/Turabian: Humanities:
      David, Richard J., and Earl Siegel. “Decline in Neonatal Mortality, 1968 to 1977: Better Babies or Better Care?” Pediatrics 71, no. 4 (April 1983): 531. http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=4748468&authtype=sso&custid=s5834912.
    • Vancouver/ICMJE:
      David RJ, Siegel E. Decline in Neonatal Mortality, 1968 to 1977: Better Babies or Better Care? Pediatrics [Internet]. 1983 Apr [cited 2020 Jan 28];71(4):531. Available from: http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=4748468&authtype=sso&custid=s5834912