{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T10:14:22Z","timestamp":1788430462501,"version":"build-2803163510"},"reference-count":13,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2007,3,30]],"date-time":"2007-03-30T00:00:00Z","timestamp":1175212800000},"content-version":"vor","delay-in-days":149,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2006,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p> <jats:italic>Aim<\/jats:italic>: To share information on the organization of perinatal care in Portugal. <jats:italic>Methods<\/jats:italic>: Data were derived from the Programme of the National Committee for Mother and Child Health 1989, National Institute for Statistics, and Eurostat. <jats:italic>Results<\/jats:italic>: In 1989, perinatal care in Portugal was reformed: the closure was proposed of maternity units with less than 1500 deliveries per year; hospitals were classified as level I (no deliveries), II (low\u2010risk deliveries, intermediate care units) or III (high\u2010risk deliveries, intensive care units), and functional coordinating units responsible for liaison between local health centres and hospitals were established. A nationwide system of neonatal transport began in 1987, and in 1990 postgraduate courses on neonatology were initiated. With this reform, in\u2010hospital deliveries increased from 74% before the reform to 99% after. Maternal death rate decreased from 9.2\/100\u200a000 deliveries in 1989 to 5.3 in 2003 and, in the same period, the perinatal mortality rate decreased from 16.4 to 6.6\/1000 (live births + stillborn with \u226522 wk gestational age), the neonatal mortality rate decreased from 8.1 to 2.7\/1000 live births, and the infant mortality rate from 12.2\/1000 live births to 4\/1000.<\/jats:p><jats:p> <jats:italic>Conclusion<\/jats:italic>: Regionalization of perinatal care and neonatal transport are key factors for a successful perinatal health system.<\/jats:p>","DOI":"10.1080\/08035250600615135","type":"journal-article","created":{"date-parts":[[2006,5,5]],"date-time":"2006-05-05T13:59:16Z","timestamp":1146837556000},"page":"1349-1352","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":64,"title":["Perinatal care in Portugal: Effects of 15 years of a regionalized system"],"prefix":"10.1111","volume":"95","author":[{"given":"Maria Teresa","family":"Neto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,3,30]]},"reference":[{"key":"e_1_2_7_2_2","volume-title":"Bial Award of Clinical Medicine 2002. VLBW Infants National Registry Group","author":"VLBW infants in Portugal. National Multicenter Study 1996\u20132000","year":"2005"},{"key":"e_1_2_7_3_2","volume-title":"Relat\u00f3rio da Comissa\u02dco Nacional de Sa\u00fade Materna e Infantil","author":"Cuidados de Sa\u00fade Materna e Neonatal","year":"1989"},{"key":"e_1_2_7_4_2","first-page":"206","volume-title":"J Matern Fetal Neonatal Med","author":"Peixoto JC","year":"2002"},{"key":"e_1_2_7_5_2","first-page":"77","article-title":"Perinatal care in Portugal\u2010the effect of a regionalized system","volume":"83","author":"Neto MT.","year":"2003","journal-title":"Biol Neonate"},{"key":"e_1_2_7_6_2","unstructured":"Estat\u00edsticas e Indicadores da sa\u00fade\u2010Instituto Nacional de Estat\u00edstica19792005."},{"key":"e_1_2_7_7_2","unstructured":"Mortalidade Infantil Perinatal e Materna\u2010Direcc\u00b8a\u02dco Geral da Sa\u00fade\u2010Direcc\u00b8a\u02dco de Servic\u00b8os de Informac\u00b8a\u02dco e An\u00e1lise\u2010Divisa\u02dco de Epidemiologia 2005."},{"key":"e_1_2_7_8_2","unstructured":"Observat\u00f3rio Portugue\u00eas dos Sistemas de Sa\u00fade\u2010Relat\u00f3rio s\u00edntese. 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