Regionalizing Perinatal Health Services in Massachusetts

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Abstract
In Massachusetts, as in other states, pressures for regionalization of perinatal health services have been intensified by a number of changes in demography, patterns of care, and public and physician education. The nation's birthrate fell from 25 live births per 1000 population in 1955 to 15 in 19741; in Massachusetts the number of births dropped 40 per cent between 1957 and 1975, from 115,0652 to about 69,000.3 The result has been underutilization of many maternity services, with increasing per diem costs. In 1970 the average occupancy rate for obstetric services nationally was estimated at 60 per cent, and over . . .

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