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

CPQCC Publication
TitleOpportunities for maternal transport for delivery of very low birth weight infants.
Publication TypeJournal Article
Year of Publication2017
AuthorsRobles D, Blumenfeld YJ, Lee HC, Gould JB, Main E, Profit J, Melsop K, Druzin M
JournalJ Perinatol
Date Published2017 01
KeywordsBirth Rate, California, Female, Hospitals, Humans, Infant, Infant Mortality, Infant, Newborn, Infant, Very Low Birth Weight, Length of Stay, Male, Perinatal Care, Pregnancy, Pregnancy, Multiple, Retrospective Studies, Transportation of Patients

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.

Alternate JournalJ Perinatol
PubMed ID27684426
PubMed Central IDPMC5214878
Grant ListK23 HD068400 / HD / NICHD NIH HHS / United States