Neonatal transferal from a rural obstetric unit to a tertiary pediatric intensive care unit in Greece

Κatsimanis E, Moros M, Bousoulopoulou E, Chronopoulos K

Department of Obstetrics and Gynecology, Argos Hospital, Argos, Greece

Correspondence: Katsimanis E, Department of Obstetrics and Gynecology, Argos hospital, 191 Korinthou Avenue, GR-21201 Argos, Greece. E-mail:


This retrospective study examined the transferals of neonates from the maternity ward of Argos hospital to a tertiary pediatric intensive care unit . Neonates transferred due to neonatal jaundice or congenital malformations and all neonates born at gestational age of 34 completed weeks or less and/or weighing at delivery 2,000 gr or less were excluded from the study. Over a 4-year period, 21 neonates, born after completion of 34 weeks and weighing >2,000 gr at delivery, were transferred to a major pediatric hospital due to various levels of respiratory distress (n=19) or poor feeding (n=2). These cases were compared with 1,117 non-transferred neonates born in the same period at the same hospital. Among the 21 transferal cases there was overrepresentation of premature neonates (born <37 weeks of gestation, OR=12.3), low birthweight neonates (weight <2,500 gr at birth, OR=4.6) and neonates born by cesarian section (OR=2.9). Notably, the majority of LBW neonates did very well, only 8% of those weighing 2,000-2,500 gr needed special care. On the other hand, our 3 most severe cases (2 cases of secondary apnea/hyaline membrane disease and one case of pulmonary hypertension /persistent fetal circulation) were delivered at 35-37 weeks with birth-weight of 3,200-3,300 gr.

Keywords: neonatal respiratory morbidity, neonatal respiratory distress, hyaline membrane disease, elective cesarean

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