Abstract
To address increases in severe maternal morbidity (SMM) and mortality, systematic improvements in the care of high-risk parturients at facility and population levels have been advocated. Part of this effort involves levels of maternal care which account for perinatal regionalization and risk-appropriate maternal care for high-risk patients. In 7/2019, the Ohio Department of Health’s Maternity Licensure requirements established transfer of patients ≥37 weeks from Level 1 and ≥34 weeks from Level 2 to Level 3 or 4 perinatal centers for hypertensive disorders of peripartum with severe features (HDP-SF).
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