Why birthplace still matters for infants born before 32 weeks: Infant mortality associated with birth at 22-31 weeks' gestation in non-tertiary hospitals in Victoria over two decades
Rosemarie Anne Boland, Jennifer Anne Dawson, Peter Graham Davis, Lex William Doyle
AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY | WILEY | Published : 2015
BACKGROUND: Very preterm infants born in non-tertiary hospitals ('outborn') are known to have higher mortality rates compared with infants 'inborn' in tertiary centres. AIM: The aim of this study was to report changes over time in the incidence of outborn livebirths, 22-31 weeks and infant mortality rates for outborn compared with inborn births. METHODS: We conducted a population-based cohort study of consecutive livebirths, 22-31 weeks' gestation in Victoria from 1990 to 2009. The relationship between birthplace, gestational age, birthweight, sex and infant mortality were analysed by logistic regression. RESULTS: There were 13,760 livebirths, 22-31 weeks: 14% were outborn. The proportion of..View full abstract
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Awarded by National Health and Medical Research Council (NHMRC) Centre for Research Excellence in Newborn Medicine at the Murdoch Childrens Research Institute
Awarded by NHMRC
RAB was the recipient of the Felix Meyer Faculty Research Scholarship from the Faculty of Medicine, Dentistry and Health Sciences at the University of Melbourne. Her PhD research was also supported with funding from a National Health and Medical Research Council (NHMRC) Centre for Research Excellence in Newborn Medicine at the Murdoch Childrens Research Institute (ID 1060733). JAD and PGD are funded by the NHMRC: JAD holds an Early Career Fellowship (ID 1059111); PGD holds a Practitioner Fellowship (ID 1012686).