Infants undergoing neurotization for Narakas grade 1 brachial plexus injury had similar long-term function to those who had improved and never required surgery. The preoperative exam findings were significantly different between the intervened and non-intervened groups, while the postoperative exam findings were not.
Aim To determine transfer rates, reasons for transfer and outcomes for mothers and babies at our Freestanding Midwifery Unit (FMU) with 800 births in the first year of opening and compare this with available literature. This is one of the largest birth rates in the country for a FMU. Method Retrospective analysis of maternal and neonatal transfers from FMU to Consultant led maternity unit. Results There were 145 maternal transfers, with a transfer rate of 18.2% Antenatal intrapartum and postnatal transfer rates were 1.9%, 12.01% and 5.3%. Slow progress and retained placenta were the main reasons for transfer. Of the women booked at FMU, 92%had vaginal birth, 3.9% instrumental delivery and 3.25% Caesarean Section. 25 neonates were transferred (3.1%). Main reasons for neonatal transfers were respiratory distress, poor condition at birth, low birth weight and minor abnormalities on newborn examination. Perinatal mortality and intrapartrum related morbidity was 5 per 1000 births. Conclusion With almost 1000 births/year in our Midwifery Unit, we have seen that our transfer rate for maternal and neonatal transfers and perinatal outcome are comparable with available literature and the recently published Birthplace Study. We have identified main reasons for neonatal transfers and have clear guidelines for managing these. Antenatal transfer rate is much lower than published figures, which may be the result of excellent collaboration between the units resulting in appropriate patient selection With careful selection of patients, clear referral pathways and good communication, our FMU provides a very safe and effective service for low risk women.
Aims To determine transfer rates, reasons for transfer and outcomes for babies born at our FMU with nearly 1000 births/year and compare this with available literature. Method Retrospective analysis of neonatal transfers from FMU to neonatal unit and postnatal ward from November 2010 to October 2012. Results There were 1811 deliveries at the FMU during the specified period with 47 neonatal transfers, giving a transfer rate of 2.5% which is comparable to 3% reported nationally. Respiratory distress and Low birth weight were the two main reasons for transfer. Adverse neonatal event was defined for the purpose of comparison to national figures as; early neonatal death, encephalopathy, meconium aspiration, brachial plexus injury, fracture clavicle / humerus. Incidence of this was 2.7/1000 births, which is lesser than what has been reported nationally at 4.3/1000. Neonatal mortality rate was 1.1/1000 live births, which is the same as reported nationally (1.1/1000). Conclusions With almost 1000 births/year in our FMU, we have seen that our transfer rate for neonatal transfers and perinatal outcome are comparable with available literature. Excellent collaborative working between FMU and Consultant led maternity unit and neonatal team has helped to ensure our FMU provides a very safe and effective service for low risk women. References Rogers, C, Pickersgill J, Palmer J, Broadbent M. Informing choices: outcomes for women at a stand-alone birth centre. British Journal of Midwifery. Jan 2010;18(1):8–15 Birthplace in England Collaborative Group. Perinatal and maternal outcomes by planned place of birth for healthy women with low risk pregnancies: the Birthplace in England national prospective cohort study. BMJ. Nov 2011; [Accessed November 2011]
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.