Hauspy J, Jacquemyn Y, Van Reempts P, Buytaert P, Van Vliet J
Department of Obstetrics, Antwerp University Hospital, Wilrijkstraat 10, 2650, Edegem, Belgium.
Early Hum Dev. 2001 Jun;63(1):1-7. doi: 10.1016/s0378-3782(00)00128-6.
The purpose of this study was to compare neonatal outcome (mortality, respiratory distress syndrome, intraventricular hemorrhage, necrotising enterocolitis, persisting ductus arteriosus, and septicaemia) after intrauterine transport versus neonatal transport in an area where short-distance transport is the rule.
The study was retrospective in nature. The files of all neonates delivered between 24 and 34 weeks from 1994 to 1998 and transported intrauterine or postnatally to the Antwerp University Hospital were reviewed. Cases of intrauterine fetal death and mothers discharged before delivery were excluded, as were infants with lethal congenital anomalies.
A total of 328 deliveries after intrauterine transport, resulting in 416 neonates and 187 neonates transported postnatally were included. The maximum distance patients had to be transported was 40 km. Placental abruption was more frequent in the mothers of the neonatal transport group (13 vs. 5%, P=0.001). Corticosteroids were administered significantly less in the neonatal transport group (67 vs. 13%, P<0.0001). Preterm rupture of the membranes (36 vs. 20%, P<0.0001), preterm labour (73 vs. 36%, P<0.0001), and pre-eclampsia (10 vs. 7%, P<0.0001) were more frequent in the intrauterine transport group and this group had a lower mean birthweight and gestational age. There was no significant difference for overall neonatal mortality, respiratory distress syndrome, intraventricular hemorrhage, necrotising enterocolitis, persisting ductus arteriosus or septicaemia.
本研究旨在比较在短途转运为常规的地区，宫内转运与新生儿转运后的新生儿结局（死亡率、呼吸窘迫综合征、脑室内出血、坏死性小肠结肠炎、动脉导管未闭和败血症）。
本研究为回顾性研究。回顾了1994年至1998年期间在24至34周出生并经宫内或出生后转运至安特卫普大学医院的所有新生儿的病历。排除宫内胎儿死亡病例以及分娩前出院的母亲，以及患有致命先天性异常的婴儿。
共纳入328例宫内转运后的分娩，产生416例新生儿，以及187例出生后转运的新生儿。患者必须转运的最大距离为40公里。新生儿转运组母亲的胎盘早剥更为常见（13%对5%，P=0.001）。新生儿转运组使用皮质类固醇的比例显著更低（67%对13%，P<0.0001）。胎膜早破（36%对20%，P<0.0001）、早产（73%对36%，P<0.0001）和先兆子痫（10%对7%，P<0.0001）在宫内转运组更为常见，且该组的平均出生体重和胎龄更低。总体新生儿死亡率、呼吸窘迫综合征、脑室内出血、坏死性小肠结肠炎、动脉导管未闭或败血症方面无显著差异。
