Thibon P, Cornu M, Lamendour N, Guillois B, Dreyfus M
Réseau de périnatalité de Basse-Normandie, FEH, CHU de Caen, avenue Côte-de-Nacre, 14033 Caen cedex 9, France.
J Gynecol Obstet Biol Reprod (Paris). 2011 Apr;40(2):156-61. doi: 10.1016/j.jgyn.2010.11.005. Epub 2010 Dec 16.
To compare evolution and characteristics of in utero transfers (IUT) in Basse-Normandie area, France, between 2004 and 2008, and to describe characteristics of IUT in 2008.
Analysis of data from the IUT registry, collected prospectively since 2004.
An average of five IUT per week was observed. The rate of IUT regularly increased (P=0.003) and reached 16.2 per 1000 pregnancies in 2008. Extra network IUT decreased steadily (P=0.04). For level 3 units, the proportion of IUT from level 2 units increased (P<10(-3)). Before 32 weeks of gestational age, all IUT were done towards a level 3 unit. Median time between IUT and delivery and caesarean section rates were variable according to IUT indication (for threats of premature delivery, respectively 5 days and 23.3%). The rate of retransfer towards initial unit of towards a birth site of relevant level was 5.3%.
The IUT registry gives useful information on evolution and characteristics of IUT in our area. An increased regionalisation and more frequent adequate IUT were observed. The registry must now serve as a basis for practices assessment.
比较2004年至2008年法国下诺曼底地区宫内转运（IUT）的发展情况及特征，并描述2008年IUT的特征。
分析自2004年起前瞻性收集的IUT登记处数据。
观察到平均每周有5例IUT。IUT发生率持续上升（P = 0.003），2008年达到每1000例妊娠16.2例。网络外IUT稳步下降（P = 0.04）。对于三级医疗机构，来自二级医疗机构的IUT比例增加（P < 10⁻³）。在孕32周之前，所有IUT均转运至三级医疗机构。IUT与分娩之间的中位时间以及剖宫产率因IUT指征而异（对于早产威胁，分别为5天和23.3%）。转回初始医疗机构或转至相应级别的分娩地点的再转运率为5.3%。
IUT登记处提供了有关我们地区IUT发展情况及特征的有用信息。观察到区域化增加且适当的IUT更为频繁。该登记处现在必须作为实践评估的基础。
