Beverley D, Foote K, Howel D, Congdon P
Br Med J (Clin Res Ed). 1986 Oct 18;293(6553):981-3. doi: 10.1136/bmj.293.6553.981.
From December 1983 to June 1985, 162 infants of less than 32 weeks' gestation or weighing less than 1,500 g, or both, were cared for at the regional neonatal intensive care unit in Leeds. Of the 162, 64 (40%) were born in the unit because their mothers had received antenatal care there, 58 (36%) were born in another hospital and subsequently transferred, and 40 (25%) were transferred in utero because of potential complications. The overall mortalities for each group were 14%, 38%, and 18% respectively. These differences were significant, but when they were corrected for gestation, birth weight, and mode of delivery there was no difference in either the mortality or the incidence of intraventricular haemorrhage in the three study populations. Although there seem to be no distinct advantages of in utero transfer in terms of mortality and morbidity, there are other psychological and emotional advantages.
1983年12月至1985年6月期间，162名孕周不足32周或体重不足1500克或两者兼有的婴儿在利兹地区新生儿重症监护病房接受护理。在这162名婴儿中，64名（40%）在该病房出生，因为他们的母亲在那里接受了产前护理；58名（36%）在另一家医院出生，随后被转诊；40名（25%）因潜在并发症在子宫内被转诊。每组的总体死亡率分别为14%、38%和18%。这些差异具有显著性，但在对孕周、出生体重和分娩方式进行校正后，三个研究人群的死亡率和脑室内出血发生率均无差异。尽管就死亡率和发病率而言，子宫内转诊似乎没有明显优势，但还有其他心理和情感方面的优势。
