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Perinatal outcomes and travel time from home to hospital: Welsh data 1995 to 2009

Paranjothy, Shantini, Watkins, William John, Rolfe, Kim, Adappa, Roshan, Gong, Yi, Dunstan, Frank David John and Kotecha, Sailesh 2014. Perinatal outcomes and travel time from home to hospital: Welsh data 1995 to 2009. Acta Paediatrica 103 (12) , e522-e527. 10.1111/apa.12800

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Abstract

Aim To study the association between travel time from home to hospital and birth outcomes. Methods For all registrable births to women resident in Wales (1995–2009), we calculated the travel time between the mother's residence and the postcode-based location for both the birth hospital and all hospitals with maternity services that were open. Using logistic regression, we obtained odds ratios for the association between travel time and each birth outcome, adjusted for confounders. Results In our analysis of 412 827 singleton births, for every 15-min increase in travel time to the birth hospital, there was an increased risk of early (n = 609; OR: 1.13; 95%CI: 1.07, 1.20) and late neonatal death (n = 251; OR: 1.15; 95%CI: 1.05, 1.26). Results for intrapartum stillbirth were inconclusive (n = 135; OR: 1.13; 95%CI: 0.98, 1.30). For the above-combined (n = 995) results, we get OR: 1.15, 95%CI: 1.09, 1.20. No association was found with travel time to the nearest hospital (OR: 1.01; 95%CI: 0.90, 1.13 per 15-min increase in travel time) for the composite outcome of intrapartum stillbirth and neonatal deaths. Conclusion Longer travel time to the birth hospital was associated with increased risk of neonatal deaths, but there was no strong evidence of association with the geographical location of maternity services.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Sustainable Places Research Institute (PLACES)
Subjects: R Medicine > RA Public aspects of medicine
R Medicine > RJ Pediatrics
Uncontrolled Keywords: neonatal mortality; perinatal mortality; prematurity; stillbirths; travel time
Publisher: Wiley
ISSN: 0803-5253
Date of Acceptance: 1 September 2014
Last Modified: 31 May 2019 09:52
URI: http://orca.cf.ac.uk/id/eprint/65663

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