Evaluation of Neonatal Transport in Western Switzerland: A Model of Perinatal Regionalization

McEvoy, Caitriona Gilleece; Descloux, Emilienne; Barazzoni, Mirjam Schuler; Diaw, Corinne Stadelmann; Tolsa, Jean-François; Roth‐Kleiner, Matthias

doi:10.1177/1179556517709021

Cited by 17 publications

(20 citation statements)

References 20 publications

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“…Indication for referral were mainly prematurity (85%), respiratory distress (62%) and in 11% neonatal infection. The high rate of respiratory distress corresponds to data presented by McEvoy et al in Western Switzerland (34). However, whereas in Switzerland respiratory support is guaranteed during transportation in a fully equipped and medicalized ambulance, professional neonatal transport does not exist in Conakry.…”

Section: Neonatal Transportsupporting

confidence: 82%

Perinatal morbidity and mortality and the impact of neonatal resuscitation day-by-day calamity evidenced by a prospective descriptive study in Guinea-Conakry

Diallo

Bah

et al. 2020

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Background Perinatal mortality represents a major health care problem in particular in low and middle-income countries, which account for 97% of all late fetal and 98% of all neonatal deaths. Our objectif was to analyse perinatal morbidity and mortality at the largest maternity clinic of Guinea, in sub-Saharan Africa. Patients & Methods: Prospective observational evaluation of the perinatal morbidity and mortality between May 1st and June 30th 2019 at the Clinic of Obstetrics of the University Hospital Ignace Deen in Conakry, Guinea. Results Of the 1189 deliveries, 98 (82‰) fetus were born dead, 58.1% of them with signs of maceration. 14.1% of all infants had low birth weight (< 2500 g) and 10.6% were macrosome (> 4000 g). The rate of preterm infants was 9.3% and 99 infants (8.3%) showed signs of post-maturity. At birth, 6.8% of all live born infants had asphyxia, 10.9% respiratory distress, 1.9% infection, 0.3% malformation, and nine infants died within the first postnatal minutes. Need for any resuscitation manoeuvres showed 304 infants (27.9%), 68.8% of them needed bag and mask ventilation and 27.0% chest compressions. Infants with bad Apgar score at 1 and 5 minutes did improve by 10 minutes thanks to respiratory support, but not due to chest compression. As there is no neonatal unit in the same hospital, 192 infants (17.6%) had to be transferred across Conakry to the only tertiary neonatal unit. Due to lack of any (para-)medical transport system for newborn infants, mortality of these neonates is very high and adds to the total perinatal mortality of 143.8 deaths/1000 deliveries. Conclusions Late pregnancy control is very poor in Conakry, leading to delayed referral of high-risk pregnancies to the university hospital. This goes along with high rates of stillbirths, post-term and macrosome infants with increased risk for delivery complications like postnatal adaptation problems and asphyxia. Resuscitation algorithm needs to be adapted to the local context. A hospital-based neonatal unit for primary stabilization and a medicalised neonatal transport system within Conakry needs to be implemented to decrease the high mortality rate.

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Section: Neonatal Transportsupporting

confidence: 82%

Perinatal morbidity and mortality and the impact of neonatal resuscitation day-by-day calamity evidenced by a prospective descriptive study in Guinea-Conakry

Diallo

Bah

et al. 2020

Preprint

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“…1 The guidelines for the regionalization of perinatal care were established in order to identify high-risk pregnancies early so that both mother and baby could reach a hospital providing the appropriate level of care. 2 Previous research has shown that mortality and morbidity are higher in outborn infants compared with their inborn counterparts. 3,4 The transport environment exposes infants to known physiological stressors, and infants requiring transport are already in a compromised state.…”

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confidence: 99%

Modern Neonatal Transport: Sound and Vibration Levels and Their Impact on Physiological Stability

et al. 2018

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“…Um bom conhecimento geral sobre cuidado neonatal e um elevado nível de especialização em habilidades processuais são pré-requisitos para os que efetuam transferências neonatais (3) .…”

Section: Discussionunclassified

“…O transporte neonatal representa uma parte essencial de pacotes de cuidados requeridos pelos serviços perinatais (3) .…”

Section: Introductionunclassified

Planejamento Do Transporte Neonatal: Percepção Das Equipes Do Serviço De Atendimento Móvel De Urgência

Balbino

Cardoso

Queiroz

2019

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Objetivo: descrever o planejamento do transporte inter-hospitalar de recém-nascido crítico em ambulância sob o olhar dos profissionais do Serviço de Atendimento Móvel de Urgência. Medologia: estudo descritivo, qualitativo, realizado em um Serviço de Atendimento Móvel de Urgência de um município do interior do Ceará, de novembro a dezembro de 2014. Foram entrevistados 17 trabalhadores (médicos, enfermeiros e condutores de veículos) e as informações submetidas à análise temática de conteúdo. Resultados: a categoria Estrutura para execução do transporte neonatal discorre sobre os equipamentos, materiais e veículo e a intitulada Planejamento da segurança na execução do transporte neonatal destaca a comunicação entre as equipes, checagem dos materiais e veículo, o aquecimento da incubadora, o planejamento do deslocamento e a qualificação dos profissionais. Conclusão: para otimizar o planejamento do transporte neonatal em ambulância há necessidade de ampliação de ações e recursos estruturais para se dispensar um transporte seguro e eficaz.Descritores: Recém-nascido; Ambulâncias; Serviços Médicos de Emergência; Transporte de Pacientes; Pesquisa Qualitativa.PLANNING OF NEONATAL TRANSPORT: PERCEPTION OF MOBILE EMERGENCY CARE SERVICE TEAMSObjective: to describe the planning of inter-hospital transportation of critically ill newborns in ambulance in the perspective of the professionals of the Mobile Emergency Care Service. Methodology: it was a descriptive qualitative study conducted in a Mobile Emergency Care Service of a municipality in the interior of Ceará, Brazil, from November to December 2014. Seventeen workers (physicians, nurses, and drivers) were interviewed and data was submitted to thematic content analysis. Results: the category Structure for performing neonatal transportation addresses the equipment, materials, and vehicle and the one entitled Safety planning in performing neonatal transportation highlights the communication among the teams, verification of materials and vehicle, heating the incubator, planning the displacement, and qualification of professionals. Conclusion: to optimize the planning of neonatal transportation by ambulance, it is necessary to expand the actions and structural resources to ensure a safe and effective transportation.Descriptors: Infant; Newborn; Ambulances; Emergency Medical Services; Transportation of Patients; Qualitative Research.PLANIFICACIÓN DEL TRANSPORTE NEONATAL: PERCEPCIÓN DE LOS EQUIPOS DEL SERVICIO DE ATENCIÓN MÓVIL DE URGENCIAObjetivo: describir la planificación del transporte inter-hospitalario de recién nacido crítico en ambulancia bajo la mirada de los profesionales del Servicio de Atención Móvil de Urgencia. Metodología: estudio descriptivo, cualitativo, realizado en un Servicio de Atención Móvil de Urgencia de un municipio del interior del Ceará, de noviembre a diciembre de 2014. Fueron entrevistados 17 trabajadores (médicos, enfermeros y conductores de vehículos), cuyas informaciones fueron sometidas al análisis temático de contenidos. Resultados: la categoría Estructura para ejecución del transporte neonatal discurre sobre los equipos, materiales y vehículos; y Planificación de la seguridad en la ejecución del transporte neonatal destaca la comunicación entre los equipos, el chequeo de los materiales y vehículo, calentamiento de la incubadora, planificación del desplazamiento y la cualificación de los profesionales. Conclusión: para optimizar la planificación del transporte neonatal en ambulancia, hay necesidad de ampliación de acciones y recursos estructurales para dispensarse un transporte seguro y eficaz.Descriptores: Recién Nacido; Ambulancias; Servicios Médicos de Urgencia; Transporte de Pacientes; Investigación Cualitativa.

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Evaluation of Neonatal Transport in Western Switzerland: A Model of Perinatal Regionalization

Cited by 17 publications

References 20 publications

Perinatal morbidity and mortality and the impact of neonatal resuscitation day-by-day calamity evidenced by a prospective descriptive study in Guinea-Conakry

Perinatal morbidity and mortality and the impact of neonatal resuscitation day-by-day calamity evidenced by a prospective descriptive study in Guinea-Conakry

Modern Neonatal Transport: Sound and Vibration Levels and Their Impact on Physiological Stability

Planejamento Do Transporte Neonatal: Percepção Das Equipes Do Serviço De Atendimento Móvel De Urgência

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