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.
|Number of pages||6|
|Publication status||Published - Jun 2006|
- Intraventricular hemorrhage
- Maternal transport
- Very-low-birth-weight infants
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health