title: [To the concentration of delivery and paediatric wards in Rheinland-Pfalz. Contribution to the reduction of mother and infant mortality rate (author's transl)].
abstract: Delivery wards and paediatric wards or hospitals must be large enough to be able to afford the necessary technical equipment and personal. They must also be large enough to provide the doctors with the chance to experience deliveries which are complicated as well as rare in their nature or, in paediatric wards, serious as well as rare diseases. In rural areas delivery wards should have a minimum of 600 deliveries per year, and better still 1000 to 2000. Paediatric wards should have at least 80 beds, better still 100 to 120. There are still to many small delivery and paediatric wards in the Federal Republic of Germany as well as in the Bundesland Rheinland-Pfalz. Especially hospital births are scattered over too many tiny wards with less than mininmal equipment. 89% of the wards in Rheinland-Pfalz have less than 600 deliveries, 52%even less than 300 per year. In all probability the mother and infant mortality rate will decline markedly, through the concentration of delivery and paediatric wards.
mesh_terms: D005860:Germany, West; D006771:Hospitals, Maternity; D006776:Hospitals, Pediatric; D007226:Infant Mortality; D007400:Interprofessional Relations; D008428:Maternal Mortality
vernacular_title: Zur Konzentration der klinischen Geburtshilfe und Pädiatrie in Rheinland-Pfalz. Ein Beitrag zur Senkung der Mütter-und Süglingssterblichkeit