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 email address is being protected from spambots. You need JavaScript enabled to view it.

 

Abstract

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. 

Key words: neonatal respiratory morbidity; neonatal respiratory distress; hyaline membrane disease; elective cesarean