Document Detail


Maternal morbidity associated with in utero transfer.
MedLine Citation:
PMID:  2513972     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the extent of maternal morbidity associated with in utero transfer. DESIGN: Retrospective study of 190 consecutive cases over two years. SETTING: Liverpool Maternity Hospital. PATIENTS: 190 Pregnant women were transferred to the hospital under the in utero transfer arrangements from district general hospitals both within and outside the Mersey region. The women admitted were divided into two categories: those in threatened or established uncomplicated preterm labour and those who may or may not have been in threatened or established preterm labour but who had coexisting complicating factors affecting the mother or fetus, or both. INTERVENTIONS: Planned delivery of the fetus if indicated and arrangements for appropriate postpartum care of the mother. MAIN OUTCOME MEASURE: Assessment of the progress of labour and, if appropriate, resuscitation of the mother. RESULTS: Women who were transferred with no coexisting disease (124) had relatively uncomplicated deliveries whereas those transferred with coexisting diseases (66) exhibited considerable morbidity and 17 of these required prolonged intensive monitoring after delivery. CONCLUSIONS: In utero transfer in healthy mothers may have benefits for babies born very prematurely. If mothers have coexisting disease, however, the desirability of transfer should be reviewed urgently in the light of the considerable maternal morbidity associated with these problems. In these cases transfer may introduce an additional hazard.
Authors:
T D Ryan; G M Kidd
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  BMJ (Clinical research ed.)     Volume:  299     ISSN:  0959-8138     ISO Abbreviation:  BMJ     Publication Date:  1989 Dec 
Date Detail:
Created Date:  1990-02-22     Completed Date:  1990-02-22     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  8900488     Medline TA:  BMJ     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1383-5     Citation Subset:  AIM; IM    
Affiliation:
Liverpool Maternity Hospital.
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MeSH Terms
Descriptor/Qualifier:
Adult
Critical Care
England
Female
Hospitals, Maternity / utilization*
Hospitals, Special / utilization*
Humans
Labor, Obstetric
Obstetric Labor Complications / therapy
Obstetric Labor, Premature
Patient Transfer / statistics & numerical data*
Pregnancy
Pregnancy Complications* / therapy
Pregnancy Outcome*
Puerperal Disorders / therapy
Risk
Time Factors
Comments/Corrections

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


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