Prenatal Care
Conditions
Brief summary
The aim of this study is to assess the level of the perinatal healthcare institution (PHI) where the newborns were delivered. We included newborns of both genders that were born in the maternity wards in 10 cantons of the Federation of Bosnia and Herzegovina (FBiH). From the PHI of the first and second level, 159 newborns were referred to the third level. Out of a total of 159 LBWI referred from other PHI, only 19.5% LBWI were transported in less than 4 hours. In second level PHI, most LBWI died in the first 12 hours after birth.
Interventions
OTHERReferral to Centre of Higher Organizational Level
Referral to Centre of Higher Organizational Level. This means referral from a primary neonatal care center to a secondary one, or from the secondary to the tertiary center.
Sponsors
Evangelisches Krankenhaus Bethesda zu Duisburg
Study design
Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
22 Weeks to 42 Weeks
Healthy volunteers
Yes
Inclusion criteria
* Newborns of both genders that were born in the maternity wards in 10 cantons of the FBiH * A gestational age between 22 and 42 weeks, and a birth weight less than 2500g.
Exclusion criteria
* Infants younger than 22 weeks or older than 42 weeks. * Infants whose mothers refused to give consent for participation in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Referral to a centre of higher organizational level. | Before birth and up to 4 hours or more after delivery. | Referring the neonate with low birth weight to a more specialized centre. |
Countries
Bosnia and Herzegovina
Outcome results
None listed