{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T20:16:51Z","timestamp":1774124211803,"version":"3.50.1"},"reference-count":81,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2002,6,1]]},"abstract":"<jats:p>Background. Despite high per capita health care expenditure, the United States has crude infant survival rates that are lower than similarly developed nations. Although differences in vital recording and socioeconomic risk have been studied, a systematic, cross-national comparison of perinatal health care systems is lacking.<\/jats:p><jats:p>Objective. To characterize systems of reproductive care for the United States, Australia, Canada, and the United Kingdom, including a detailed analysis of neonatal intensive care and mortality.<\/jats:p><jats:p>Design\/Methods. Comparison of selected indicators of reproductive care and mortality from 1993\u20132000 through a systematic review of journal and government publications and structured interviews of leaders in perinatal and neonatal care.<\/jats:p><jats:p>Results. Compared with the other 3 countries, the United States has more neonatal intensive care resources yet provides proportionately less support for preconception and prenatal care. Unlike the United States, the other countries provided free family planning services and prenatal and perinatal physician care, and the United Kingdom and Australia paid for all contraception. The United States has high neonatal intensive care capacity, with 6.1 neonatologists per 10 000 live births; Australia, 3.7; Canada, 3.3; and the United Kingdom, 2.7. For intensive care beds, the United States has 3.3 per 10 000 live births; Australia and Canada, 2.6; and the United Kingdom, 0.67. Greater neonatal intensive care resources were not consistently associated with lower birth weight-specific mortality. The relative risk (United States as reference) of neonatal mortality for infants &amp;lt;1000 g was 0.84 for Australia, 1.12 for Canada, and 0.99 for the United Kingdom; for 1000 to 2499 g infants, the relative risk was 0.97 for Australia, 1.26 for Canada, and 0.95 for the United Kingdom. As reported elsewhere, low birth weight rates were notably higher in the United States, partially explaining the high crude mortality rates.<\/jats:p><jats:p>Conclusions. The United States has significantly greater neonatal intensive care resources per capita, compared with 3 other developed countries, without having consistently better birth weight-specific mortality. Despite low birth weight rates that exceed other countries, the United States has proportionately more providers per low birth weight infant, but offers less extensive preconception and prenatal services. This study questions the effectiveness of the current distribution of US reproductive care resources and its emphasis on neonatal intensive care.<\/jats:p>","DOI":"10.1542\/peds.109.6.1036","type":"journal-article","created":{"date-parts":[[2004,8,14]],"date-time":"2004-08-14T00:17:55Z","timestamp":1092442675000},"page":"1036-1043","source":"Crossref","is-referenced-by-count":54,"title":["Is More Neonatal Intensive Care Always Better? 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Washington, DC: US Census Bureau; 2001"},{"key":"2021121006234186600_R14","unstructured":"Private Health Insurance Administration Council. Australian Supplemental Health Insurance. Deakin ACT, Australia; 2000. Available at: http:\/\/www.phiac.org Accessed April 10, 2002"},{"key":"2021121006234186600_R15","unstructured":"Department of Health, National Health Service. United Kingdom; 2000. UK Supplemental Health Insurance. Available at: http:\/\/www.doh.gov.uk Accessed April 10, 2002"},{"key":"2021121006234186600_R16","unstructured":"Randolph SB, Pasko T. Physician Characteristics and Distribution in the US. Chicago, IL: American Medical Association; 1997"},{"key":"2021121006234186600_R17","unstructured":"Statistics Canada. Therapeutic Abortions. Ottawa, Canada: Canadian Institute for Health Information; 1995"},{"key":"2021121006234186600_R18","unstructured":"The Alan Guttmacher Institute. Uneven and Unequal: Insurance Coverage and Reproductive Health Services. New York, NY: The Alan Guttmacher Institute; 1994"},{"key":"2021121006234186600_R19","doi-asserted-by":"crossref","unstructured":"Rahman A, Katzive L, Henshaw SK. A global review of laws on induced abortion, 1985\u20131997. Int Fam Plann Perspect.1999;24:56\u201364","DOI":"10.2307\/2991926"},{"key":"2021121006234186600_R20","unstructured":"The Alan Guttmacher Institute. Facts in Brief: Induced Abortion. New York, NY: The Alan Guttmacher Institute; 2000"},{"key":"2021121006234186600_R21","doi-asserted-by":"crossref","unstructured":"Henshaw S, Singh S, Haas T. The incidence of abortion worldwide. Int Fam Plann Perspect.1999;25(suppl):S30\u2013S38","DOI":"10.2307\/2991869"},{"key":"2021121006234186600_R22","doi-asserted-by":"crossref","unstructured":"Singh S, Darroch J. Adolescent pregnancy and childbearing: levels and trends in developed countries. 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