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J Perinatol. 2017 Jan;37(1):32-35. doi: 10.1038/jp.2016.174. Epub 2016 Sep 29.

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

Author information

1
Department of Obstetrics and Gynecology, University of California, San Francisco, San Francisco, CA, USA.
2
Department of Obstetrics and Gynecology, Stanford University, Stanford, CA, USA.
3
March of Dimes Prematurity Research Center, Stanford University, Stanford, CA, USA.
4
Department of Pediatrics, Stanford University, Stanford, CA, USA.
5
California Perinatal Quality Care Collaborative, Stanford, CA, USA.
6
California Maternal Quality Care Collaborative, Stanford, CA, USA.
7
Sutter Pacific Medical Foundation, San Francisco, CA, USA.

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.

PMID:
27684426
PMCID:
PMC5214878
DOI:
10.1038/jp.2016.174
[Indexed for MEDLINE]
Free PMC Article

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