Article (Scientific journals)
The influence of level of care on admission to neonatal care for babies of low-risk nullipara
Le Ray, C.; Zeitlin, J.; Jarreau, P. H. et al.
2009In European Journal of Obstetrics and Gynecology and Reproductive Biology, 144, p. 21-26
Peer Reviewed verified by ORBi
 

Files


Full Text
LE RAY C eur j obstet gynecol 2009.pdf
Publisher postprint (120.27 kB)
Request a copy

All documents in ORBi are protected by a user license.

Send to



Details



Keywords :
level of care; Neonatal morbidity; low-risk nulliparas
Abstract :
[en] Objective To analyze the risk of admission to neonatal care for newborns of low-risk nullipara and its variation with level of care of the maternity unit. Study design The sample included infants born to low-risk nulliparas from the PREMODA study of 138 French maternity units (n = 3652). Medical records of children admitted to neonatal care were reviewed to determine the reasons for admission and the severity of morbidity. The risk factors associated with admission to neonatal care, including maternal, infant and delivery unit characteristics, were studied by univariable analysis, followed by a multivariable analysis using a multilevel logistic model. Results The newborns of 3.5% (n = 129) of the nulliparous mothers at low risk were admitted to neonatal care at birth. The two principal reasons were infections (57%) and respiratory diseases (19%). Babies born in level 2 maternity units were twice as likely to be admitted to neonatal care as those born in level 1 units (ORa = 2.0 [1.1–3.7]) and those born in level 3 units, 1.5 times more often, although this was not statistically significant (ORa = 1.5 [0.8–2.8]). Babies admitted to neonatal care after delivery in level 1 had more severe morbidity (n = 4, 26.7%) than those admitted from level 2 (n = 4, 5.7%) or level 3 (n = 3, 6.8%) facilities (p = 0.046). Conclusion In low-risk populations, the level of care could have an influence on the decision to admit babies to neonatal care at birth. These findings add to the on-going debate about the optimal organization of care for women at low obstetrical risk.
Disciplines :
Reproductive medicine (gynecology, andrology, obstetrics)
Author, co-author :
Le Ray, C.
Zeitlin, J.
Jarreau, P. H.
Bréart, G.
Goffinet, F.
Premoda Study Group
Foidart, Jean-Michel ;  Université de Liège - ULiège > Département des sciences cliniques > Gynécologie - Obstétrique - Labo de biologie des tumeurs et du développement
Language :
English
Title :
The influence of level of care on admission to neonatal care for babies of low-risk nullipara
Publication date :
2009
Journal title :
European Journal of Obstetrics and Gynecology and Reproductive Biology
ISSN :
0301-2115
eISSN :
1872-7654
Publisher :
Elsevier Scientific, Limerick, Ireland
Volume :
144
Pages :
21-26
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 28 January 2010

Statistics


Number of views
63 (6 by ULiège)
Number of downloads
1 (1 by ULiège)

Scopus citations®
 
4
Scopus citations®
without self-citations
2
OpenCitations
 
4

Bibliography


Similar publications



Contact ORBi