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Neonatal presentations to a Mixed Emergency Department
Setthy Ung1, Sue Woolfenden, Anna Holdgate
1Liverpool Hospital, Sydney, NSW, Australia.
Journal of Paediatrics and Child Health
|January 9, 2007
Summary
Younger, first-time mothers are more likely to present neonates to the metropolitan Mixed Emergency Department (MED). This highlights a need to assess after-hours services for new mothers.
Area of Science:
- Emergency Medicine
- Neonatal Care
- Public Health
Background:
- Neonatal presentations to emergency departments require characterization.
- Understanding risk factors for neonatal emergency department (ED) visits is crucial for resource allocation.
Purpose of the Study:
- To investigate the characteristics of neonates presenting to a metropolitan Mixed Emergency Department (MED).
- To identify maternal and neonatal factors associated with increased risk of ED presentation during the neonatal period.
Main Methods:
- Retrospective chart review of neonatal presentations to Liverpool Hospital ED (July 2002-June 2003).
- Comparison of maternal and neonatal characteristics with population data and other pediatric presentations.
Main Results:
- 179 neonates accounted for 194 presentations; higher triage, admission, and transfer rates compared to other pediatric cases.
- Mothers of presenting neonates were younger and more often first-time mothers than the general population.
- No over-representation of neonates discharged within 48 hours of birth was observed.
Conclusions:
- Findings suggest a need to evaluate the accessibility and suitability of after-hours services for new mothers.
- Further research into parental motivations for neonatal ED visits is recommended.
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