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dc.contributor.authorGrytten, Jostein Ivar
dc.contributor.authorSkau, Irene
dc.contributor.authorSørensen, Rune Jørgen
dc.contributor.authorEskild, Anne
dc.date.accessioned2019-02-26T12:58:45Z
dc.date.available2019-02-26T12:58:45Z
dc.date.created2018-02-16T08:47:49Z
dc.date.issued2018
dc.identifier.citationHealth Services Research. 2018, 53 (6), 4437-4459.nb_NO
dc.identifier.issn0017-9124
dc.identifier.urihttp://hdl.handle.net/11250/2587501
dc.description.abstractObjective: To examine the effect that the introduction of new diagnostic technology in obstetric care has had on fetal death. Data Source The Medical Birth Registry of Norway provided detailed medical information for approximately 1.2 million deliveries from 1967 to 1995. Information about diagnostic technology was collected directly from the maternity units, using a questionnaire. Study Design: The data were analyzed using a hospital fixed‐effects regression with fetal mortality as the outcome measure. The key independent variables were the introduction of ultrasound and electronic fetal monitoring at each maternity ward. Hospital‐specific trends and risk factors of the mother were included as control variables. The richness of the data allowed us to perform several robustness tests. Principal Finding: The introduction of ultrasound caused a significant drop in fetal mortality rate, while the introduction of electronic fetal monitoring had no effect on the rate. In the population as a whole, ultrasound contributed to a reduction in fetal deaths of nearly 20 percent. For post‐term deliveries, the reduction was well over 50 percent. Conclusion: The introduction of ultrasound made a major contribution to the decline in fetal mortality at the end of the last century.nb_NO
dc.description.abstractDoes the Use of Diagnostic Technology Reduce Fetal Mortality?nb_NO
dc.language.isoengnb_NO
dc.publisherWileynb_NO
dc.titleDoes the Use of Diagnostic Technology Reduce Fetal Mortality?nb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionacceptedVersionnb_NO
dc.source.pagenumber4437-4459nb_NO
dc.source.volume53nb_NO
dc.source.journalHealth Services Researchnb_NO
dc.source.issue6nb_NO
dc.identifier.doi10.1111/1475-6773.12721
dc.identifier.cristin1565800
cristin.unitcode158,3,0,0
cristin.unitnameInstitutt for samfunnsøkonomi
cristin.ispublishedtrue
cristin.fulltextpostprint
cristin.qualitycode2


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