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Risk factors for very preterm delivery out of a level III maternity unit: The EPIPAGE-2 cohort study
- Source :
- Paediatric and Perinatal Epidemiology, Paediatric and Perinatal Epidemiology, Wiley, 2021, 35 (6), pp.694-705. ⟨10.1111/ppe.12770⟩, Paediatric and Perinatal Epidemiology, 2021, 35 (6), pp.694-705. ⟨10.1111/ppe.12770⟩
- Publication Year :
- 2021
-
Abstract
- BACKGROUND Regionalisation programmes aim to ensure that very preterm infants are born in level III units (inborn) through antenatal referral or transfer. Despite widespread knowledge about better survival without disability for inborn babies, 10%-30% of women deliver outside these units (outborn). OBJECTIVE To investigate risk factors associated with outborn deliveries and to estimate the proportion that were probably or possibly avoidable. METHODS We used a national French population-based cohort including 2205 women who delivered between 24 and 30+6 weeks in 2011. We examined risk factors for outborn delivery related to medical complications, antenatal care, sociodemographic characteristics and living far from a level III unit using multivariable binomial regression. Avoidable outborn deliveries were defined by pregnancy risk (obstetric history, antenatal hospitalisation) and time available for transfer. RESULTS 25.0% of women were initially booked in level III, 9.1% were referred, 49.8% were transferred, and 16.1% had outborn delivery. Risk factors for outborn delivery were gestational age
- Subjects :
- medicine.medical_specialty
Epidemiology
Placenta
Population
Gestational Age
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Pregnancy
Risk Factors
medicine
Very Preterm Birth
Humans
030212 general & internal medicine
education
ComputingMilieux_MISCELLANEOUS
education.field_of_study
030219 obstetrics & reproductive medicine
Placental abruption
business.industry
Obstetrics
Infant, Newborn
Gestational age
Infant
medicine.disease
Relative risk
Pediatrics, Perinatology and Child Health
Cohort
Premature Birth
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
Female
business
Premature rupture of membranes
Infant, Premature
Cohort study
Subjects
Details
- ISSN :
- 13653016 and 02695022
- Volume :
- 35
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Paediatric and perinatal epidemiologyREFERENCES
- Accession number :
- edsair.doi.dedup.....191a7aca577d9837eb7abed3d0953fb9