Abstract
During the past 5 years the perinatal mortality rate at Denver General Hospital has been reduced from 4.1 to 2.7 per cent. This decrease has been attributed to a number of factors: (1) Federal grant support has made possible the establishment of multiple obstetric clinics throughout the city where comprehensive health care can be obtained along with family planning services; (2) a new, modern hospital has been acquired; (3) there is an increased number of highly competent full-time staff; (4) new concepts of evaluation and management of the high-risk gravida and her infant have been implemented; and (5) a modified therapeutic abortion law is now in effect. These factors along with the effect of a changing obstetric population and the decreased incidence of low-birth-weight infants are discussed. Efforts to improve obstetric care further at this hospital are continuing and are enumerated.
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