One-way maternal transport: An evolving concept: Inpatient services

Boehm, Frank H.; Haire, Mary F.

doi:10.1016/s0002-9378(16)33092-7

Cited by 14 publications

(4 citation statements)

References 4 publications

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“…As threatened preterm birth is the major reason for transfer to a perinatal centre and the nearest centre may be interstate, the preterm birth rates in these areas are likely to be underestimated perhaps even masking an excess of preterm births. 26 The MDC does not collect information on births to NSW residents outside NSW so there is currently no way to monitor cross-border flows using a state-based collection.18 However, even if the rates of preterm birth are underestimated, the reported rates did not increase over the period of the study.…”

Section: Discussionmentioning

confidence: 99%

The urban and rural divide for women giving birth in NSW, 1990-1997

Roberts

Algert

2000

Australian and New Zealand Journal of Public Health

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OBJECTIVE: To examine trends in the pregnancy profile and outcomes of urban and rural women. METHODS: Data were obtained from the NSW Midwives Data Collection on births in NSW, 1990–1997. Associations between place of residence (urban/rural) and maternal factors and pregnancy outcomes were examined, including changes over time. RESULTS: From 1990 to 1997 there were 685,631 confinements in NSW and these mothers resided as follows: 76% metropolitan, 5% large rural centres, 8% small rural centres, 11% other rural areas and 1% remote areas. Rural mothers were more likely to be teenagers, multiparous, without a married or de facto partner, public patients and smokers. Births in rural areas declined, particularly among women aged 20–34 years. Infants born to mothers in remote communities were at increased odds of stillbirth and tow Apgar scores (all women) and small–for–gestational–age (SGA) (Indigenous women only). CONCLUSIONS: The profile of pregnant women in rural NSW is different from their urban counterparts and is consistent with relative socioeconomic disadvantage and possibly suboptimal maternity services in some areas. While increased risk of SGA is associated with environmental factors such as smoking and nutrition, the reasons for increased risk of stillbirth are unclear. Although there does not appear to be an increased risk of preterm birth for rural women this may be masked by transfer of high–risk pregnancies interstate. IMPLICATIONS: Maternity services need to be available and accessible to all rural women with targeting of interventions known to reduce low birthweight and perinatal death.

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Section: Discussionmentioning

confidence: 99%

The urban and rural divide for women giving birth in NSW, 1990-1997

Roberts

Algert

2000

Australian and New Zealand Journal of Public Health

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“…T h e other two days were devoted to tertiary center duties involved in the developing maternal transport system (see appendix). 2 As the regionalization program expanded to include both in-and outpatient transports, the amount of time involved in caring for those patients increased sharply. In June 1977, hospitals in the region were notified by letter that the outreach educational program would be temporarily discontinued.…”

Section: The Approachmentioning

confidence: 99%

Perinatal Nursing Education in Tennessee A Regional Approach

1981

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“…Since real-time and static sonography afford precise localization of the placenta, it was thought that, in selected patients, sonographic scanning of the proposed incisional site immediately prior to per-METHODS AND MATERIALS From July 1, 1979, to June 30, 1980, 19 patients with sonographically and clinically documented placenta previa requiring cesarean section were evaluated at Vanderbilt University Medical Center, a tertiary center with a large maternal transport system. 5 During this period there were 2071 deliveries; the prevalence of placenta previa was 1 in 109 deliveries.…”

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confidence: 97%

Sonographic placental localization in the determination of the site of uterine incision for placenta previa.

Boehm¹,

Fleischer²,

Barrett³

1982

Journal of Ultrasound in Medicine

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The presence of a placenta previa is associated with increased maternal and fetal morbidity. Hemorrhage is considered the primary underlying factor contributing to this increased morbidity. Patients who have a placenta previa are often hypovolemic and are therefore at high risk for hemorrhagic shock if intraoperative blood loss during cesarean section is not minimized. The authors reviewed sonographic localization of the placenta prior to cesarean section for placenta previa, in order to facilitate proper selection of uterine incision based on placental site and so reduce intraoperative blood loss. Nineteen cases of placenta previa were reviewed. Seventeen patients underwent a conventional low cervical or classic incision, whereas two underwent paramedian uterine incision. Data from these cases suggest that in patients who wish to be sterilized and in whom the site of placental implantation is directly beneath the lower uterine segment, as well as extending to an area in which a traditional classic cesarean section would be made, a paramedian incisional technique is of value.

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One-way maternal transport: An evolving concept: Inpatient services

Cited by 14 publications

References 4 publications

The urban and rural divide for women giving birth in NSW, 1990-1997

The urban and rural divide for women giving birth in NSW, 1990-1997

Perinatal Nursing Education in Tennessee A Regional Approach

Sonographic placental localization in the determination of the site of uterine incision for placenta previa.

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