Document Detail


Maternal morbidity and pregnancy outcome in a cohort of mothers transferred out of perinatal centres during a national census.
MedLine Citation:
PMID:  12118645     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To record the maternal morbidity and pregnancy outcome in this cohort. DESIGN: Retrospective data collection from a prospectively defined cohort. SETTING: The 37 largest perinatal centres in the UK. POPULATION: 258 in utero transfers recorded during a three-month census (1/4/99-30/6/99). METHODS: A questionnaire regarding the outcome of each mother was sent to the perinatal centre and receiving hospital. RESULTS: Data were returned on 242/258 (94%) mothers. Fifty-eight percent were transferred out of their perinatal centre in preterm labour and 38% had coexisting disease necessitating early delivery. The median gestational age at transfer was 32 weeks (range 23-41). Sixty-one percent delivered at the receiving hospital; 12% were transferred on to a third hospital and 29% ultimately returned to deliver at the original perinatal centre. Fifty-two percent of mothers received postnatal care in hospitals other than those defined as a major perinatal centre. One mother delivered during transfer and a further nine within one hour of arrival. One mother received intensive care after delivery and later died, a further 7% required high dependency care postnatally. Data were available on 273/333 (82%) babies. The median gestational age at delivery was 34 weeks (range 24-41). Six infants were stillborn and 187/264 (71%) infants were admitted to a neonatal unit. CONCLUSIONS: This study has documented the maternal morbidity, potential risks and pregnancy outcome of a cohort of mothers transferred out of the largest perinatal centres in the UK because of a shortage of neonatal cots. A national standard for the delivery of high risk perinatal services is needed to uphold good clinical practice guidelines in the care of high risk mothers and their infants.
Authors:
Charlotte C Bennett; Mithilesh K Lal; David J Field; Andrew R Wilkinson
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  BJOG : an international journal of obstetrics and gynaecology     Volume:  109     ISSN:  1470-0328     ISO Abbreviation:  BJOG     Publication Date:  2002 Jun 
Date Detail:
Created Date:  2002-07-16     Completed Date:  2002-08-02     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  100935741     Medline TA:  BJOG     Country:  England    
Other Details:
Languages:  eng     Pagination:  663-6     Citation Subset:  AIM; IM    
Affiliation:
John Radcliffe Hospital, Oxford, UK.
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MeSH Terms
Descriptor/Qualifier:
Bed Occupancy / statistics & numerical data
Cohort Studies
Delivery, Obstetric
Female
Gestational Age
Great Britain / epidemiology
Humans
Intensive Care, Neonatal / utilization
Obstetric Labor, Premature / mortality*
Patient Transfer / statistics & numerical data
Pregnancy
Pregnancy Outcome
Pregnancy, High-Risk
Prospective Studies
Residence Characteristics
Retrospective Studies
Risk Factors

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


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