Characteristics and in?hospital outcomes of patients requiring aeromedical retrieval for pregnancy, compared to non?retrieved metropolitan cohorts

نویسندگان

چکیده

Background Limited access to obstetrics and gynaecology (O&G) services in rural remote Australia is believed contribute suboptimal birth outcomes. Aims To describe the characteristics of pregnancy aeromedical transfers, in-hospital outcomes, patient O&G services, as compared whole data. Materials methods We conducted a cohort study women who required retrieval for pregnancy-related issues between 1 January 2015 31 December 2017. Results Hospital outcome data were collected on 2171 (65.2%) mothers 2438 (100.0%) babies. The leading reason was threatened preterm labour delivery (n = 883; 40.7%). Most patients retrieved from areas 2224; 93.0%). Retrieved significantly younger (28.0 vs 30.0 years, 95% CI 27.7–28.3), more likely be overweight or obese (52.2% 45.1%, 47.5–56.9) have smoked during their (14.0% 9.9%, 12.5–15.5) Australian pregnant overall. Over one-third transferred gave by Caesarean section 812; 37.4%); median gestational age at 33.0 (95% 32.7–33.3) weeks. Early gestation associated with low weights (median 2579.5 g; 2536.1–2622.9), neonatal resuscitation (35.4%, 33.5–37.3), special care nursery admission (41.2%, 39.3–43.2). There 42 (1.7%, 1.2–2.2) stillbirths, which higher than seen Australia-wide 6441; 0.7%). Conclusion This found that Royal Flying Doctor Service younger, rates obesity smoking.

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ژورنال

عنوان ژورنال: Australian & New Zealand Journal of Obstetrics & Gynaecology

سال: 2021

ISSN: ['0004-8666', '1479-828X']

DOI: https://doi.org/10.1111/ajo.13308