Profile Of In-Utero Transfers in Yorkshire & Humber - Embrace Transport Service
PEDIATRIC RESEARCH(2011)
Abstract
Background and Aims: Embrace, combined paediatric and neonatal transport service for Yorkshire and Humber, facilitates in-utero transfers for a region with 75,000births/year. Our aim was to evaluate in utero transfer requests - indications for transfer, time spent locating cot/ bed, fibronectin use and outcomes. Methods: Prospective audit of in-utero requests during 1/10/2010 - 7/01/2011. Data obtained via audit proforma and phone calls to maternity units. Results: 86 transfers were facilitated out of 120 in-utero requests. The main reasons for requests were lack of neonatal cots 54% (65/120), maternal conditions requiring specialist care 2.5% (3/120), preterm gestation 24% (29/120) and impending preterm labour 7.5% (9/120). 13/120 of total requests - out of region cot located. 34 did not result in transfer despite cot/bed being located. The reasons were: Mother deteriorated/ went into labour 41% Unit unwilling to accept out of region cot 12% Local NNU arranged cot 15% Referring hospital arranged transfer 6% Changed decision re transfer need 20.7% Tertiary perinatal centres accepted 41% transfers. Mean time facilitating transfers - 82 minutes. Mean number of phone calls - 6.3. On average to organise 1 successful IUT, 2.1 maternity units and 3.4 neonatal units contacted. 50% of mothers delivered within 24 hrs of transfer. 13.3 % referrals used fibronectin. Conclusion: IUT are a significant part of Embrace's workload. Increased use of fibronectin in impending deliveries would enhance appropriateness of transfers.
MoreTranslated text
Key words
pediatric, allergy, immunology, cardiology, endocrinology, epidemiology, public health, fetus, pregnancy, gasteroenterology, genetics, hematology, oncology, infectious disease, neonatology, nephrology, neurology, nutrition, pulmonology, rheumatology , Pediatric Research, PR, Pediatr Res, nature journals, nature publishing group
AI Read Science
Must-Reading Tree
Example
![](https://originalfileserver.aminer.cn/sys/aminer/pubs/mrt_preview.jpeg)
Generate MRT to find the research sequence of this paper
Chat Paper
Summary is being generated by the instructions you defined