生育旅游与新生儿重症监护：一家儿童医院的经历
Birth Tourism and Neonatal Intensive Care: A Children's Hospital Experience.
作者信息
Mikhael Michel, Cleary John P, Dhar Vijay, Chen Yanjun, Nguyen Danh V, Chang Anthony C
机构信息
Neonatal-Perinatal Medicine Division, Children's Hospital of Orange County, Orange, California.
Institute for Clinical and Translational Science, University of California, Irvine, California.
出版信息
Am J Perinatol. 2016 Dec;33(14):1415-1419. doi: 10.1055/s-0036-1584139. Epub 2016 May 16.
The aim of this article is to examine characteristics of birth tourism (BT) neonates admitted to a neonatal intensive care unit (NICU). This was a retrospective review over 3 years; BT cases were identified, and relevant perinatal, medical, social, and financial data were collected and compared with 100 randomly selected non-birth tourism neonates. A total of 46 BT neonates were identified. They were more likely to be born to older women (34 vs. 29 years; < 0.001), via cesarean delivery (72 vs. 48%; = 0.007), and at a referral facility (80 vs. 32%; < 0.001). BT group had longer hospital stay (15 vs. 7 days; = 0.02), more surgical intervention (50 vs. 21%; < 0.001), and higher hospital charges (median $287,501 vs. $103,105; = 0.003). One-third of BT neonates were enrolled in public health insurance program and four BT neonates (10%) were placed for adoption. Families of BT neonates admitted to the NICU face significant challenges. Larger studies are needed to better define impacts on families, health care system, and society.
本文旨在研究入住新生儿重症监护病房（NICU）的“生育旅游”（BT）新生儿的特征。这是一项为期3年的回顾性研究；确定了BT病例，并收集了相关的围产期、医疗、社会和财务数据，并与100名随机选择的非生育旅游新生儿进行了比较。共确定了46名BT新生儿。他们的母亲更有可能是年龄较大的女性（34岁对29岁；<0.001），通过剖宫产分娩（72%对48%；=0.007），且在转诊机构出生（80%对32%；<0.001）。BT组的住院时间更长（15天对7天；=0.02），接受手术干预的比例更高（50%对21%；<0.001），住院费用更高（中位数287,501美元对103,105美元；=0.003）。三分之一的BT新生儿参加了公共医疗保险计划，4名BT新生儿（10%）被安排收养。入住NICU的BT新生儿家庭面临重大挑战。需要进行更大规模的研究，以更好地确定对家庭、医疗保健系统和社会的影响。
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