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Long distance perinatal transport.

B A Yoder1

  • 1Department of Pediatrics, 13th Air Force Medical Center, Clark Air Base, Philippines.

American Journal of Perinatology
|March 1, 1992
PubMed
Summary
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Long-distance perinatal transport is feasible for neonates, but in utero transfer is preferred for high-risk pregnancies to minimize complications and improve outcomes.

Area of Science:

  • Perinatal Medicine
  • Neonatal Intensive Care
  • Transport Medicine

Background:

  • Evaluating outcomes of a long-distance perinatal transport system (1500-3700 km) over 3 years.
  • Assessing mortality, intraventricular hemorrhage (IVH), and complications in 179 transports.
  • Focusing on neonatal transports (60%) and preterm infants (58% ≤32 weeks gestation).

Purpose of the Study:

  • To evaluate mortality, incidence of intraventricular hemorrhage (IVH), and complications in a long-distance perinatal transport system.
  • To compare outcomes between different transport methods (inborn, maternal, neonatal).
  • To identify factors influencing complication rates during transport.

Main Methods:

  • Retrospective analysis of 179 perinatal transports over 3 years.

Related Experiment Videos

  • Data collection on mortality, IVH incidence and severity, and transport complications.
  • Comparison of outcomes based on transport type and gestational age.

    • Main Results:

    • Mortality rates were similar across transport types, with a trend towards better survival in low birth weight inborn infants (<1000 gm).
    • IVH occurred in 32% of infants ≤32 weeks gestation; higher grades (III/IV) were noted in transported infants (1001-2000 gm) compared to maternal transports and inborn infants.
    • Complications occurred in 20% of transports, with significantly fewer when utilizing a Level III transport team.

    Conclusions:

    • Long-distance perinatal transport is effective for critically ill neonates.
    • In utero transport is preferred for high-risk pregnancies to potentially reduce complications.
    • Level III transport teams are associated with lower complication rates.