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Division of Research and Planning

Perinatal Regionalization

What is Perinatal Regionalization?
Perinatal Regionalization is a comprehensive, coordinated and geographically structured approach to assuring risk-appropriate care for all mothers and infants with a goal of improving perinatal outcomes and reducing infant mortality. Key elements of the system include early risk-assessment and referral to appropriate care; designation of care as Basic (level I), Specialty (level II & IIE), and Subspecialty (level III); coordination and communication between hospitals and community providers; monitoring of systems through data; and assuring access to services from preconception through first year of life.

How is the Perinatal Regionalization System structured?
The Perinatal Regionalization System has four perinatal regions and five regional perinatal centers in SC:

  • Low Country Region - Medical University of South Carolina
  • Pee Dee Region - McLeod Regional Medical Center
  • Midlands Region - Palmetto Richland Memorial Hospital
  • Piedmont Region - Greenville Hospital System, Spartanburg Regional Medical Center

SC Perinatal Regions

Perinatal Regionalization System activities:

  • REGIONAL SYSTEM DEVELOPERS work with all perinatal providers and hospitals within their regions to develop and support a system of risk-appropriate care for all mothers and babies.
  • OBSTETRIC AND NEONATAL OUTREACH EDUCATION is coordinated and provided to hospitals, health departments and community providers of perinatal services to support professional expertise.
  • DISCHARGE COORDINATION assures a coordinated system of referral and follow-up for pregnant women, infants and children between the regional centers and communities.
  • NEONATAL AND MATERNAL TRANSPORT SYSTEMS for high- risk pregnant women and infants to regional centers and back-transport of neonates when appropriate.
  • CONSULTATION provided by regional centers to hospitals and other providers on risk-appropriate care and transport.
  • DATA COLLECTION AND ANALYSIS through Perinatal Regionalization Surveillance Data Annual Update.
  • VERY LOW BIRTHWEIGHT study to monitor number of high-risk births occurring in Level III hospitals and identify strategies to assure deliveries in appropriate setting.
  • PARTNERSHIP with SC Perinatal Association and March of Dimes for systems’ assessment, development and interventions.