Opportunities for maternal transport for delivery of very low birth weight infants

作者：Robles D; Blumenfeld Y J; Lee H C^*; Gould J B; Main E; Profit J; Melsop K; Druzin M

来源：Journal of Perinatology, 2017, 37(1): 32-35.

DOI：10.1038/jp.2016.174

OBJECTIVE: To assess frequency of very low birth weight (VLBW) births at non-level III hospitals.
STUDY DESIGN: Retrospective cohort study using linked California birth certificate and discharge data of 2008 to 2010 for deliveries of singleton or first-born infant of multiple gestations with birth weight 400 to 1500 g. Delivery rates by neonatal level of care were obtained. Risk of delivery at non-level III centers was estimated in univariable and multivariable models.
RESULTS: Of the 1 508 143 births, 13 919 (9.2%) were VLBW; birth rate at non-level III centers was 14.9% (8.4% in level I and 6.5% in level II). Median rate of VLBW births was 0.3% (range 0 to 4.7%) annually at level I and 0.5% (range 0 to 1.6%) at level II hospitals. Antepartum stay for >24 h occurred in 14.0% and 26.9% of VLBW births in level I and level II hospitals, respectively.
CONCLUSION: Further improvement is possible in reducing VLBW infant delivery at suboptimal sites, given the window of opportunity for many patients.

• 出版日期2017-1