Opportunities for maternal transport for delivery of very low birth weight infants
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 w...
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Published in: | Journal of perinatology Vol. 37; no. 1; pp. 32 - 35 |
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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. |
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AbstractList | To assess frequency of very low birth weight (VLBW) births at non-level III hospitals. 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. 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 [greater than] 24 h occurred in 14.0% and 26.9% of VLBW births in level I and level II hospitals, respectively. Further improvement is possible in reducing VLBW infant delivery at suboptimal sites, given the window of opportunity for many 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 [greater than] 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. Journal of Perinatology (2016) 37, 32-35; doi: 10.1038/jp.2016.174; published online 29 September 2016 To assess frequency of very low birth weight (VLBW) births at non-level III hospitals. 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. 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. Further improvement is possible in reducing VLBW infant delivery at suboptimal sites, given the window of opportunity for many 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. 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. To assess frequency of very low birth weight (VLBW) births at non-level III hospitals. 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. 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. Further improvement is possible in reducing VLBW infant delivery at suboptimal sites, given the window of opportunity for many patients. OBJECTIVETo assess frequency of very low birth weight (VLBW) births at non-level III hospitals.STUDY DESIGNRetrospective 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.RESULTSOf 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.CONCLUSIONFurther improvement is possible in reducing VLBW infant delivery at suboptimal sites, given the window of opportunity for many patients. |
Audience | Academic |
Author | Blumenfeld, Y J Profit, J Gould, J B Druzin, M Lee, H C Main, E Robles, D Melsop, K |
AuthorAffiliation | 1 Department of Obstetrics & Gynecology, University of California, San Francisco, San Francisco, CA 7 Sutter Pacific Medical Foundation, San Francisco, CA 6 California Maternal Quality Care Collaborative, Stanford, CA 4 Department of Pediatrics, Stanford University, Stanford, CA 3 March of Dimes Prematurity Research Center, Stanford University, Stanford, CA 2 Department of Obstetrics & Gynecology, Stanford University, Stanford, CA 5 California Perinatal Quality Care Collaborative, Stanford, CA |
AuthorAffiliation_xml | – name: 4 Department of Pediatrics, Stanford University, Stanford, CA – name: 2 Department of Obstetrics & Gynecology, Stanford University, Stanford, CA – name: 6 California Maternal Quality Care Collaborative, Stanford, CA – name: 7 Sutter Pacific Medical Foundation, San Francisco, CA – name: 5 California Perinatal Quality Care Collaborative, Stanford, CA – name: 1 Department of Obstetrics & Gynecology, University of California, San Francisco, San Francisco, CA – name: 3 March of Dimes Prematurity Research Center, Stanford University, Stanford, CA |
Author_xml | – sequence: 1 givenname: D surname: Robles fullname: Robles, D organization: Department of Obstetrics and Gynecology, University of California, San Francisco – sequence: 2 givenname: Y J surname: Blumenfeld fullname: Blumenfeld, Y J organization: Department of Obstetrics and Gynecology, Stanford University, March of Dimes Prematurity Research Center, Stanford University – sequence: 3 givenname: H C surname: Lee fullname: Lee, H C email: hclee@stanford.edu organization: March of Dimes Prematurity Research Center, Stanford University, Department of Pediatrics, Stanford University, California Perinatal Quality Care Collaborative – sequence: 4 givenname: J B surname: Gould fullname: Gould, J B organization: March of Dimes Prematurity Research Center, Stanford University, Department of Pediatrics, Stanford University, California Perinatal Quality Care Collaborative – sequence: 5 givenname: E surname: Main fullname: Main, E organization: California Maternal Quality Care Collaborative, Sutter Pacific Medical Foundation – sequence: 6 givenname: J surname: Profit fullname: Profit, J organization: March of Dimes Prematurity Research Center, Stanford University, Department of Pediatrics, Stanford University, California Perinatal Quality Care Collaborative – sequence: 7 givenname: K surname: Melsop fullname: Melsop, K organization: California Maternal Quality Care Collaborative – sequence: 8 givenname: M surname: Druzin fullname: Druzin, M organization: Department of Obstetrics and Gynecology, Stanford University, March of Dimes Prematurity Research Center, Stanford University |
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CitedBy_id | crossref_primary_10_1136_archdischild_2021_322195 crossref_primary_10_2147_IJWH_S461341 crossref_primary_10_1038_s41372_020_0612_6 crossref_primary_10_1001_jamapediatrics_2019_6055 crossref_primary_10_1001_jama_2022_13364 crossref_primary_10_1007_s10995_018_2635_6 crossref_primary_10_1055_s_0041_1727222 |
Cites_doi | 10.1016/S0002-9378(98)70367-9 10.1038/sj.jp.7200161 10.1016/j.ajog.2014.12.030 10.1542/peds.2004-1697 10.1001/jamapediatrics.2014.2085 10.1001/jamapediatrics.2014.2468 10.1007/s004040100197 10.1056/NEJMsa065029 10.1542/peds.2011-2820 10.1097/MLR.0b013e3181dbe887 10.1136/bmj.297.6656.1098 10.1016/0028-2243(85)90063-2 10.1542/peds.2012-1999 |
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To assess frequency of very low birth weight (VLBW) births at non-level III hospitals.
Study Design:
Retrospective cohort study using linked... To assess frequency of very low birth weight (VLBW) births at non-level III hospitals. Retrospective cohort study using linked California birth certificate and... Objective: To assess frequency of very low birth weight (VLBW) births at non-level III hospitals. Study Design: Retrospective cohort study using linked... To assess frequency of very low birth weight (VLBW) births at non-level III hospitals. Retrospective cohort study using linked California birth certificate and... Objective:To assess frequency of very low birth weight (VLBW) births at non-level III hospitals.Study Design:Retrospective cohort study using linked California... OBJECTIVETo assess frequency of very low birth weight (VLBW) births at non-level III hospitals.STUDY DESIGNRetrospective cohort study using linked California... Objective: To assess frequency of very low birth weight (VLBW) births at non-level III hospitals.Study Design:Retrospective cohort study using linked... |
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SubjectTerms | 692/499 692/699/2732 692/700/228 Babies Birth Rate Birth weight Birth weight, Low Births California - epidemiology Care and treatment Childbirth Cohort analysis Collaboration Delivery (Childbirth) Female Forecasts and trends Gestational age Gynecology Health aspects Hospitals - classification Hospitals - statistics & numerical data Humans Infant Infant Mortality Infant, Newborn Infant, Very Low Birth Weight Length of stay Length of Stay - statistics & numerical data Low birth weight Male Management Maternal health services Medicine Medicine & Public Health Methods Obstetrics original-article Pediatric Surgery Pediatrics Perinatal Care - economics Pregnancy Pregnancy, Multiple Retrospective Studies Transportation of Patients |
Title | Opportunities for maternal transport for delivery of very low birth weight infants |
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