Abstract:
BACKGROUND:Infants born at 34(+0) to 36(+6) weeks gestation are defined as 'late preterm' infants. It is not clear whether these babies can be managed on the postnatal ward (PNW) or routinely need to be admitted to the neonatal unit after birth. AIM:To conduct a national survey of admission practice for late preterm and low birth weight infants directly to the PNW after birth in England. METHODS:All neonatal units were identified from the Standardised Electronic Neonatal Database (SEND). Individual units were contacted and data collected on their admission practice. RESULTS:All 180 neonatal units in England responded. 49, 84 and 47 Units were Special Care Units (SCUs), Local Neonatal Units (LNUs) and Neonatal Intensive Care Units (NICUs) respectively. 161 units (89%) had written guidelines in relation to direct PNW admission for late preterm infants.The mean gestational age of infants admitted directly to the PNW was significantly lower in LNUs compared to SCUs and NICUs compared to LNUs. Mean birth weight limit for direct PNW admission was significantly lower in NICUs compared to SCUs.72 units had PNW nursery nurses. There was no significant difference in gestational age or birth weight limit for direct PNW admission in the presence of PNW nursery nurses. CONCLUSIONS:Admission practices of late preterm infants directly to the PNW varies according to designation of neonatal unit in England. Further studies are needed to establish the factors influencing these differences.
journal_name
BMC Pediatrjournal_title
BMC pediatricsauthors
Fleming PF,Arora P,Mitting R,Aladangady Ndoi
10.1186/1471-2431-14-150subject
Has Abstractpub_date
2014-06-17 00:00:00pages
150issn
1471-2431pii
1471-2431-14-150journal_volume
14pub_type
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