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Table 2 Neonatal policies and improvements provided by the NHS in Portugal

From: Impact of macro-socioeconomic determinants on sustainable perinatal health care in Portugal: a qualitative study on the opinion of healthcare professionals and experts

Year Establishment
1980 First neonatal intensive care units (NICUs)
1985 Neonatal Branch of the “Portuguese Society of Paediatrics”
1987 National neonatal transport system and the Nomination of an Experts Committee
1989 National Committee for Women and Child Health
1989 Perinatal Health Care Reform - 9-year programme executed in 3-year steps
The reform mainly included:
a. Reclassification of hospitals into three levels:
 1) Level I Coordinating Unit where neither deliveries nor outpatient clinic services are provided
 2) Level II Hospitals: - Perinatal care hospitals “Hospitais de Apoio Perinatal” (HAP) for low-risk deliveries
 3) Level III Hospitals: Differentiated Perinatal Care Hospitals “Hospitais de Apoio Perinatal Diferenciado” (HAPD) for low and high-risk deliveries in neonatal intensive care units (NICUs) staffed with obstetricians, neonatologists and nurses specialised in neonatology
b. Closure of hospitals with less than 1500 deliveries per year
c. Supplying neonatal intensive and intermediate care units
d. Coordinating units between health centres and hospitals
 1) Transport between level II and level III hospitals depending on level of extensive care needed
e. Specialised training in Neonatology
1990 Post-graduation in Neonatology
1996 National VLBW Network
2000 Mother and Child Hospital Referral Network
2010 Renaming “The Portuguese Society of Paediatrics” to “The Portuguese Neonatal Society”