Document Detail


Comparative mortality and morbidity of infants transferred in utero or postnatally.
MedLine Citation:
PMID:  6620102     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The outcome of two hundred and twelve infants transferred in utero and delivered in the regional neonatal intensive care center is compared with one hundred and sixty-six infants born elsewhere and transferred neonatally to the same unit, during the same period of time. The mean birthweight (+/- 1 S.D.) was 1391 g (+/- 415 g) for the infants transferred in utero, and 1398 g (+/- 415 g) for the infants transferred neonatally. The mean gestational age of the two groups was 29.9 completed weeks for both groups. Survival was defined as discharge from the neonatal unit and intraventricular hemorrhage was diagnosed ultrasonically. The survival rate was 83% for the group transferred in utero and 70% for the group transferred postnatally (p = less than 0.01). The incidence of intraventricular hemorrhage was 30% and 45% respectively (p = less than 0.01). Using birthweight specific perinatal mortality rates and intraventricular hemorrhage rates of the neonatally transferred group for standardisation, it can be calculated that 27 infants survived and 31 were protected from intraventricular hemorrhage because of in utero transfer. It is concluded that infants likely to require neonatal intensive care have decreased mortality and morbidity if transferred in utero to a center with these facilities rather than being transferred neonatally.
Authors:
R F Lamont; P D Dunlop; P Crowley; M I Levene; M G Elder
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of perinatal medicine     Volume:  11     ISSN:  0300-5577     ISO Abbreviation:  J Perinat Med     Publication Date:  1983  
Date Detail:
Created Date:  1983-11-23     Completed Date:  1983-11-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0361031     Medline TA:  J Perinat Med     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  200-3     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Cerebral Hemorrhage / epidemiology*
Female
Humans
Infant Mortality*
Infant, Newborn
Infant, Premature, Diseases / epidemiology*
Intensive Care Units, Neonatal*
Obstetric Labor, Premature*
Pregnancy
Prenatal Care
Risk
Transportation of Patients*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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