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Neonatal mortality after interhospital transfer of pregnant women for imminent very preterm birth in Illinois

JAMA Feb 25, 2020

Kshama P. Shah KP, et al. - This study was performed to evaluate whether antenatal transfer to a level III hospital is associated with neonatal mortality in infants who are very preterm (VPT). Researchers conducted a population-based cross-sectional study recruiting infants who were born VPT to Illinois residents in Illinois perinatal-network hospitals between January 1, 2015, and December 31, 2016, and followed up for 28 days after birth. Between, June 2017 to September 2018, data analysis was performed. A sum of 4,817 infants who were VPT (gestational age, 22-31 completed weeks) and were born to Illinois residents were included between 2015 and 2016. They found a similar risk of neonatal mortality for infants who were VPT, whether women initially presented at a level III hospital or were transferred to a level III hospital before delivery. The evidence indicated that the raised risk of mortality correlated with delivery at a non–level III hospital may be mitigated by optimizing opportunities for early maternal transfer to a level III hospital.
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