Lamont R F, Dunlop P D, Crowley P, Levene M I, Elder M G
J Perinat Med. 1983;11(4):200-3. doi: 10.1515/jpme.1983.11.4.200.
The outcome of two hundred and twelve infants transferred in utero and delivered in the regional neonatal intensive care center is compared with one hundred and sixty-six infants born elsewhere and transferred neonatally to the same unit, during the same period of time. The mean birthweight (+/- 1 S.D.) was 1391 g (+/- 415 g) for the infants transferred in utero, and 1398 g (+/- 415 g) for the infants transferred neonatally. The mean gestational age of the two groups was 29.9 completed weeks for both groups. Survival was defined as discharge from the neonatal unit and intraventricular hemorrhage was diagnosed ultrasonically. The survival rate was 83% for the group transferred in utero and 70% for the group transferred postnatally (p = less than 0.01). The incidence of intraventricular hemorrhage was 30% and 45% respectively (p = less than 0.01). Using birthweight specific perinatal mortality rates and intraventricular hemorrhage rates of the neonatally transferred group for standardisation, it can be calculated that 27 infants survived and 31 were protected from intraventricular hemorrhage because of in utero transfer. It is concluded that infants likely to require neonatal intensive care have decreased mortality and morbidity if transferred in utero to a center with these facilities rather than being transferred neonatally.
将212例在子宫内转运并在地区新生儿重症监护中心分娩的婴儿的结局，与同期在其他地方出生并在新生儿期转运至同一单位的166例婴儿的结局进行比较。子宫内转运婴儿的平均出生体重（±1个标准差）为1391克（±415克），新生儿期转运婴儿的平均出生体重为1398克（±415克）。两组的平均胎龄均为29.9个完整孕周。存活定义为从新生儿病房出院，脑室内出血通过超声诊断。子宫内转运组的存活率为83%，出生后转运组的存活率为70%（p＜0.01）。脑室内出血的发生率分别为30%和45%（p＜0.01）。以新生儿期转运组的出生体重特异性围产期死亡率和脑室内出血率为标准进行计算，结果显示，由于子宫内转运，有27例婴儿存活，31例婴儿避免了脑室内出血。结论是，如果可能需要新生儿重症监护的婴儿在子宫内转运至具备这些设施的中心，而不是在新生儿期转运，其死亡率和发病率会降低。
