In utero transfers across yorkshire and the humber by embrace transport service. (7th June 2011)
- Record Type:
- Journal Article
- Title:
- In utero transfers across yorkshire and the humber by embrace transport service. (7th June 2011)
- Main Title:
- In utero transfers across yorkshire and the humber by embrace transport service
- Authors:
- Babarao, S
Harrison, C M - Abstract:
- Abstract : Embrace, combined paediatric and neonatal transport service for Yorkshire and Humber, is also a cot locator to facilitate in-utero transfers for a region with 75 000 births/year. Aims: To evaluate in utero transfer requests – indications for transfer, time spent locating cot/bed, fibronectin use and outcomes. Prospective audit of all in-utero requests 1 October 2010–7 January 2011. Data obtained via audit proforma and phone calls to maternity units. Results: 120 in-utero transfers requested. Reasons for requests: ▶ lack of neonatal cots 54% (65/120). ▶ maternal conditions requiring specialist care 2.5% (3/120). ▶ preterm gestation 24% (29/120). ▶ impending preterm labour 7.5% (9/120). 86 transfers facilitated resulting in mother being transferred for care. 13/120 of total requests – out of region cot located. 34 did not result in transfer despite cot/bed being located by Embrace. Reasons: ▶ Mother deteriorated/went into labour 41% (14/34). ▶ Unit unwilling to accept out of region cot 12% (4/34). ▶ Local NNU arranged cot 15% (5/34). ▶ Referring hospital arranged transfer 6% (2/34). ▶ Changed decision re transfer need 20.7% (7/34). Tertiary perinatal centres accepted 41% transfers, level 2 units 59%. Mean time facilitating transfers – 82 min. 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 h of transfer. No reported fetal /maternal morbidity followingAbstract : Embrace, combined paediatric and neonatal transport service for Yorkshire and Humber, is also a cot locator to facilitate in-utero transfers for a region with 75 000 births/year. Aims: To evaluate in utero transfer requests – indications for transfer, time spent locating cot/bed, fibronectin use and outcomes. Prospective audit of all in-utero requests 1 October 2010–7 January 2011. Data obtained via audit proforma and phone calls to maternity units. Results: 120 in-utero transfers requested. Reasons for requests: ▶ lack of neonatal cots 54% (65/120). ▶ maternal conditions requiring specialist care 2.5% (3/120). ▶ preterm gestation 24% (29/120). ▶ impending preterm labour 7.5% (9/120). 86 transfers facilitated resulting in mother being transferred for care. 13/120 of total requests – out of region cot located. 34 did not result in transfer despite cot/bed being located by Embrace. Reasons: ▶ Mother deteriorated/went into labour 41% (14/34). ▶ Unit unwilling to accept out of region cot 12% (4/34). ▶ Local NNU arranged cot 15% (5/34). ▶ Referring hospital arranged transfer 6% (2/34). ▶ Changed decision re transfer need 20.7% (7/34). Tertiary perinatal centres accepted 41% transfers, level 2 units 59%. Mean time facilitating transfers – 82 min. 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 h of transfer. No reported fetal /maternal morbidity following transfer. 13.3% referrals used fibronectin. Conclusion: IUT are a significant part of Embrace's workload. Enhanced use of fibronectin may enhance appropriateness of transfers. … (more)
- Is Part Of:
- Archives of disease in childhood. Volume 94(2009)Supplement 1
- Journal:
- Archives of disease in childhood
- Issue:
- Volume 94(2009)Supplement 1
- Issue Display:
- Volume 94, Issue 1 (2009)
- Year:
- 2009
- Volume:
- 94
- Issue:
- 1
- Issue Sort Value:
- 2009-0094-0001-0000
- Page Start:
- Fa38
- Page End:
- Fa39
- Publication Date:
- 2011-06-07
- Subjects:
- Infants -- Diseases -- Periodicals
Newborn infants -- Diseases -- Periodicals
Fetus -- Diseases -- Periodicals
618.920105 - Journal URLs:
- http://fn.bmjjournals.com ↗
http://www.bmj.com/archive ↗ - DOI:
- 10.1136/archdischild.2011.300164.72 ↗
- Languages:
- English
- ISSNs:
- 1359-2998
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - BLDSS-3PM
British Library STI - ELD Digital store - Ingest File:
- 18427.xml