Open AccessShort- and Long-Term Outcomes of Extremely Preterm Infants in Japan According to Outborn/Inborn Birth Status*
Author(s) -
Yohei Sasaki,
Kaoru Ishikawa,
Akira Yokoi,
Tomoaki Ikeda,
Kazuo Sengoku,
Satoshi Kusuda,
Masanori Fujimura
Publication year - 2019
Publication title -
pediatric critical care medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.299
H-Index - 87
eISSN - 1947-3893
pISSN - 1529-7535
DOI - 10.1097/pcc.0000000000002037
Subject(s) - medicine , necrotizing enterocolitis , odds ratio , intraventricular hemorrhage , pediatrics , gestational age , retinopathy of prematurity , odds , retrospective cohort study , obstetrics , enterocolitis , perforation , pregnancy , surgery , logistic regression , materials science , biology , metallurgy , punching , genetics
Outborn (born outside tertiary centers) infants, especially extremely preterm infants, are at an increased risk of mortality and morbidity in comparison to inborn (born in tertiary centers) infants. Extremely preterm infants require not only skilled neonatal healthcare providers but also highly specialized equipment and environment surroundings. Maternal transport at an appropriate timing must be done to avoid the delivery of extremely preterm infants in a facility without the necessary capabilities. Cases of unexpected deliveries at birth centers or level I maternity hospitals need to be attended emergently. We compared the differences in short- and long-term outcomes between outborn and inborn infants to improve our regional perinatal system.