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Abstract:
In-utero transport has become an indispensible component of regionalized perinatal care. Successful implementation of a transport program, while requiring a high degree of professional and institutional cooperation, can produce enormous patient care dividends. Optimal survival at minimal cost is clearly possible in regionalized systems characterized by appropriate in-utero and infant transport. Given optimal circumstances, previously held contraindications to in-utero transport appear to decrease or disappear. Thus, in the context of a regionalized network, in-utero transport is the standard of care that should be offered to all infants at risk.