The effect of planned maternal transport on postnatal outcomes in very low birth weight infants

Ming Jen Chen, Chyong Hsin Shu, Hsin An Kao, Han Yang Hung, Jui Hsing Chang, Wai Tim Jim, Fu Yuan Huang, Kuo Inn Tsou, Shu Jen Chen, Hung Chih Lin, Chao Ching Huang, Chuang Bin Huang

Research output: Contribution to journalArticle

Abstract

Objectives: The purpose of this study was to evaluate the effect of planned maternal transport on the outcomes of very-low-birth-weight (VLBW) infants in Taiwan. Patients and Methods: From January 1995 to October 2002, a retrospective data review was performed of all VLBW infants vith antenatal maternal transport in twenty medical centers which joined the national multi-center collaborative follow-up program of the Taiwan Premature Infant Developmental Collaborative Study Group. A total of 1390 VLBW infants from 20 hospitals met the enrollment criteria and were divided into 2 groups: the planned maternal transport group (n=655) and the unplanned maternal transport group (n=735). Data were collected including maternal information, delivery modes and condition at birth, and neonatal morbidity and mortality. Results: Infants born after planned and unplanned maternal transport had similar gestational ages, 1 and 5 minute Apgar scores, need for resuscitation at birth, and the other characteristics. There was no significant difference in neonatal mortality between the two groups. The mean birth weight, incidence of hypotension within 24 hours of NICU admission, apnea, respiratory distress syndrome and the overall incidence of intraventricular hemorrhage were statistically lower in planned maternal transport group. The numbers of babies whose mothers received antenatal steroid treatment and Cesarean delivery were significantly higher in the planned maternal transport group. The use of antenatal steroids was an important factor in reducing intraventricular hemorrhage in VLBW infants. Conclusions: Our study indicates that planned maternal transport decreases the incidence of intraventricular hemorrhage and improves the short-term outcomes in very low birth weight infants. These results might be due to the adequate prenatal care such as the antenatal steroid treatment and evaluation of the indications for Cesarean section.

Original languageEnglish
Pages (from-to)6-11
Number of pages6
JournalClinical Neonatology
Volume13
Issue number1
Publication statusPublished - Jun 2006
Externally publishedYes

Fingerprint

Very Low Birth Weight Infant
Mothers
Steroids
Infant Mortality
Hemorrhage
Taiwan
Incidence
Parturition
Prenatal Care
Apgar Score
Apnea
Birth Weight
Premature Infants
Resuscitation
Cesarean Section
Hypotension
Gestational Age
Morbidity

Keywords

  • Intraventricular hemorrhage
  • Maternal transport
  • Very-low-birth-weight infants

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Chen, M. J., Shu, C. H., Kao, H. A., Hung, H. Y., Chang, J. H., Jim, W. T., ... Huang, C. B. (2006). The effect of planned maternal transport on postnatal outcomes in very low birth weight infants. Clinical Neonatology, 13(1), 6-11.

The effect of planned maternal transport on postnatal outcomes in very low birth weight infants. / Chen, Ming Jen; Shu, Chyong Hsin; Kao, Hsin An; Hung, Han Yang; Chang, Jui Hsing; Jim, Wai Tim; Huang, Fu Yuan; Tsou, Kuo Inn; Chen, Shu Jen; Lin, Hung Chih; Huang, Chao Ching; Huang, Chuang Bin.

In: Clinical Neonatology, Vol. 13, No. 1, 06.2006, p. 6-11.

Research output: Contribution to journalArticle

Chen, MJ, Shu, CH, Kao, HA, Hung, HY, Chang, JH, Jim, WT, Huang, FY, Tsou, KI, Chen, SJ, Lin, HC, Huang, CC & Huang, CB 2006, 'The effect of planned maternal transport on postnatal outcomes in very low birth weight infants', Clinical Neonatology, vol. 13, no. 1, pp. 6-11.
Chen MJ, Shu CH, Kao HA, Hung HY, Chang JH, Jim WT et al. The effect of planned maternal transport on postnatal outcomes in very low birth weight infants. Clinical Neonatology. 2006 Jun;13(1):6-11.
Chen, Ming Jen ; Shu, Chyong Hsin ; Kao, Hsin An ; Hung, Han Yang ; Chang, Jui Hsing ; Jim, Wai Tim ; Huang, Fu Yuan ; Tsou, Kuo Inn ; Chen, Shu Jen ; Lin, Hung Chih ; Huang, Chao Ching ; Huang, Chuang Bin. / The effect of planned maternal transport on postnatal outcomes in very low birth weight infants. In: Clinical Neonatology. 2006 ; Vol. 13, No. 1. pp. 6-11.
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AU - Jim, Wai Tim

AU - Huang, Fu Yuan

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