Characteristics and in-hospital outcomes of patients requiring aeromedical retrieval for pregnancy, compared to non-retrieved metropolitan cohorts
| Autor: | Cynthia Wong, Sahani Jayawardane, Fergus W. Gardiner, Leonie K. Callaway, Marianne Gillam, Karin Lust, Katie Foxcroft, Ruth McCuaig, Carly Roxburgh, Adam Morton, Michael J. Peek, Mathew Coleman, Chris Arthur, Kiri Oates, Sean Carter, Lucy Zhang, Leonid Churilov, Sarah J Davidson, Alice Richardson |
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| Přispěvatelé: | Gardiner, Fergus W, Richardson, Alice, Roxburgh, Carly, Gillam, Marianne, Churilov, Leonid, McCuaig, Ruth, Carter, Sean, Arthur, Christopher, Wong, Cynthia, Morton, Adam, Callaway, Leonie, Lust, Karin, Davidson, Sarah J, Foxcroft, Katie, Oates, Kiri, Zhang, Lucy, Jayawardane, Sahani, Coleman, Mathew, Peek, Michael |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Resuscitation education Overweight premature Cohort Studies 03 medical and health sciences 0302 clinical medicine Obstetrics and gynaecology newborn Pregnancy medicine Humans Caesarean section 030212 general & internal medicine 030219 obstetrics & reproductive medicine obstetric labour air ambulance Obstetrics business.industry Cesarean Section Australia Infant Newborn Parturition Obstetrics and Gynecology Gestational age General Medicine Air Ambulances medicine.disease Obesity infant Hospitals Low birth weight Female pregnancy medicine.symptom business Neonatal resuscitation |
| Zdroj: | The AustralianNew Zealand journal of obstetricsgynaecologyReferences. 61(4) |
| ISSN: | 1479-828X |
| Popis: | Background: Limited access to obstetrics and gynaecology (O&G) services in rural and remote Australia is believed to contribute to suboptimal birth outcomes. Aims: To describe the characteristics of pregnancy aeromedical transfers, in-hospital outcomes, and patient access to O&G services, as compared to whole of Australia data. Materials and methods: We conducted a cohort study of women who required aeromedical retrieval for pregnancy-related issues between the 1 January 2015 and 31 December 2017. Results: Hospital outcome data were collected on 2171 (65.2%) mothers and 2438 (100.0%) babies. The leading retrieval reason was threatened preterm labour and delivery (n = 883; 40.7%). Most patients were retrieved from rural and remote areas (n = 2224; 93.0%). Retrieved patients were significantly younger (28.0 vs 30.0 years, 95% CI 27.7–28.3), more likely to be overweight or obese (52.2% vs 45.1%, 95% CI 47.5–56.9) and to have smoked during their pregnancy (14.0% vs 9.9%, 95% CI 12.5–15.5) compared to Australian pregnant women overall. Over one-third of transferred women gave birth by Caesarean section (n = 812; 37.4%); the median gestational age at birth was 33.0 (95% CI 32.7–33.3) weeks. Early gestation is associated with low birth weights (median = 2579.5 g; 95% CI 2536.1–2622.9), neonatal resuscitation (35.4%, 95% CI 33.5–37.3), and special care nursery admission (41.2%, 95% CI 39.3–43.2). There were 42 (1.7%, 95% CI 1.2–2.2) stillbirths, which was significantly higher than seen Australia-wide (n = 6441; 0.7%). Conclusion: This study found that pregnant women retrieved by the Royal Flying Doctor Service were younger, with higher rates of obesity and smoking Refereed/Peer-reviewed |
| Databáze: | OpenAIRE |
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