| Title | Opportunities for maternal transport for delivery of very low birth weight infants. |
| Publication Type | Journal Article |
| Year of Publication | 2017 |
| Authors | Robles D, Blumenfeld YJ, Lee HC, Gould JB, Main E, Profit J, Melsop K, Druzin M |
| Journal | J Perinatol |
| Volume | 37 |
| Issue | 1 |
| Pagination | 32-35 |
| Date Published | 2017 01 |
| ISSN | 1476-5543 |
| Keywords | Birth 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 |
| Abstract | 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. |
| DOI | 10.1038/jp.2016.174 |
| Alternate Journal | J Perinatol |
| PubMed ID | 27684426 |
| PubMed Central ID | PMC5214878 |
| Grant List | K23 HD068400 / HD / NICHD NIH HHS / United States |
