| Maternal morbidity and pregnancy outcome in a cohort of mothers transferred out of perinatal centres during a national census. | |
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MedLine Citation:
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PMID: 12118645 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Charlotte C Bennett; Mithilesh K Lal; David J Field; Andrew R Wilkinson |
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Publication Detail:
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Type: Journal Article; Multicenter Study |
Journal Detail:
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Title: BJOG : an international journal of obstetrics and gynaecology Volume: 109 ISSN: 1470-0328 ISO Abbreviation: BJOG Publication Date: 2002 Jun |
Date Detail:
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Created Date: 2002-07-16 Completed Date: 2002-08-02 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100935741 Medline TA: BJOG Country: England |
Other Details:
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Languages: eng Pagination: 663-6 Citation Subset: AIM; IM |
Affiliation:
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John Radcliffe Hospital, Oxford, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Bed Occupancy
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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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