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Updated: May 5, 2026
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Determination of the Transport Rate of Xenobiotics and Nanomaterials Across the Placenta using the ex vivo Human Placental Perfusion Model
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Maternal Transport, What Do We Know: A Narrative Review
Sally G Barnes1, Bailey Sutliff1, Michael P Wendel1
1Department of Obstetrics and Gynecology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
International Journal of Women'S Health
|May 23, 2024
Summary
Maternal transport systems have evolved to improve outcomes for mothers and newborns. Regionalized care significantly reduces maternal and neonatal mortality, though preterm births during transport remain a challenge.
Area of Science:
- Perinatal care and transport systems development.
- Evolution of maternal and neonatal transport protocols.
Background:
- Historical development of transport systems for neonates.
- Expansion to include maternal/fetal units and comprehensive maternal care.
Purpose of the Study:
- To review the evolution of transport systems for maternal and neonatal care.
- To assess the impact of these systems on maternal morbidity and mortality.
Main Methods:
- Comprehensive literature search of PubMed, Embase, and CINAHL databases.
- Search terms included "maternal transport," "perinatal care," "labor," "obstetrics," and "delivery."
- Review of 52 abstracts from 1960-2023.
Main Results:
- Regionalized transport systems significantly reduce neonatal, perinatal, and maternal morbidity and mortality.
- Preterm delivery during transport is a concern but occurs infrequently.
- Reimbursement challenges persist in several states.
Conclusions:
- Advanced transport systems now effectively transfer neonates, maternal/fetal dyads, and pregnant women.
- These systems are crucial for ensuring optimal maternal, fetal, and neonatal outcomes.
- Continued focus on improving transport accessibility and addressing financial barriers is needed.
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