Perinatal outcomes for extremely preterm babies in relation to place of birth in England: the EPICure 2 study.

ABSTRACT:

Background

Expertise and resources may be important determinants of outcome for extremely preterm babies. We evaluated the effect of place of birth and perinatal transfer on survival and neonatal morbidity within a prospective cohort of births between 22 and 26 weeks of gestation in England during 2006.

Methods

We studied the whole population of 2460 births where the fetus was alive at the admission of the mother to hospital for delivery. Outcomes to discharge were compared between level 3 (most intensive) and level 2 maternity services, with and without transfers, and by activity level of level 3 neonatal unit; ORs were adjusted for gestation at birth and birthweight for gestation (adjusted ORs (aOR)).

Findings

Of this national birth cohort, 56% were born in maternit

SUBMITTER: Marlow N 

PROVIDER: S-EPMC3995269 | biostudies-literature | 2014 May

REPOSITORIES: biostudies-literature