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Preterm birth a long distance from home and its significant social and financial stress

Mary Jane Fry1, David W Cartwright, Rae Chi Huang

  • 1Grantley Stable Neonatal Unit, Royal Women's Hospital, Brisbane, Queensland, Australia.

The Australian & New Zealand Journal of Obstetrics & Gynaecology
|January 13, 2004
PubMed

The present paper reports a retrospective cohort of preterm infants admitted to our hospital who delivered outside the normal geographical catchment area of the mother's local level three neonatal nursery. Nineteen mothers had 21 preterm infants (23.1-34.9 weeks, 500-2330 g born) where 14 infants required ventilation (median 57 h, range 3-428). Eighteen survivors had a median length of stay of 41 days (range 3-91). Twelve of 19 mothers were interviewed: all described isolation, loneliness, poor social support and significant financial hardship related to getting their infants back to a local hospital or home. To avoid these problems, we recommend confining travel to within a short distance from home or local maternity unit after 22 weeks.

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