Neonatal Transport

O'Mahony, Lila N.; Woodward, George A.

doi:10.1016/b978-0-323-40139-5.00028-0

Cited by 4 publications

(3 citation statements)

References 177 publications

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“…The study found that neonatal transfers occur in a relatively disorganised way. These findings were supported by several researchers who brought to light that there are few standardised protocols for the transfer and transport of a sick neonate in low-income countries (Negi et al 2019 ; O’Mahony & Woodward 2018 ; Tette et al 2020 ). Where transportation is available, the lack of proper emergency care on the way to more specialised facilities puts many neonates’ lives at risk.…”

Section: Discussionmentioning

confidence: 61%

“…As one participant reported, communication amongst all those involved in the transfer process was seen as the most important factor related to a successful transfer. O’Mahony and Woodward ( 2018 ) emphasised that it is vital to ensure that relevant skills and therapy are present and administered throughout the transfer process, all the way from referral call through definitive placement, whilst also focusing on seamless transition at each point of care. Clear and pertinent communication must be provided by the team, with the consultation of the patient’s physicians and documentation of their advice, interventions and activities that enable appropriate patient care.…”

Section: Resultsmentioning

confidence: 99%

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The neonatal transfer process through the lens of neonatologists at public hospitals in South Africa

Ashokcoomar¹,

Bhagwan

2022

Health SA Gesondheid

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Background: Neonatal care is provided by various levels of healthcare facilities in South Africa. Intensive care for neonates is only provided at the higher levels, hence the need for transfers from lower-level to higher-level facilities (e.g. primary hospitals to tertiary hospitals) or across levels of facilities, particularly when life-threatening situations arise (e.g. cardiac deterioration, respiratory deterioration and desaturation).Aim: The aim of the study was to explore neonatologists’ views regarding the neonatal transfer process and to describe the preparedness of advanced life support (ALS) paramedics to undertake such transfers.Setting: The setting consisted of neonatologists from three provinces i.e. KwaZulu-Natal, Gauteng and Western cape.Method: A qualitative descriptive design was utilised in this study. Semistructured interviews were conducted on the public health hospitals in three provinces (N = 9; n = 3) with neonatologists (N = 7; n = 7) who were involved in the transfers of critically ill neonates. The process of thematic analysis was used.Results: The themes that emerged in this study were: an awareness of local contextual realities related to neonatal transfers, challenges evident within the context of neonatal transfers, decision-making around the transfer of ill neonates, ALS paramedic preparedness for transfers and good clinical governanceConclusion: The study found that there was a need to be aware of local contextual realities confronting neonatal transfers, a need for greater preparedness for paramedics to undertake these transfers, a need for a sound referral processes and a need for coordinated transfer effort between paramedics, hospital staff and transport team members for the successful transfer of critically ill neonates.Contribution: The findings highlight the challenges confronting the neonatal transfer process in South Africa through the lens of neonatologist at public hospitals. Hence, the study reinforces the preparedness and coordination of the transfer process, along with more efficient communication between paramedics, hospital staff and the transfer team.

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Section: Discussionmentioning

confidence: 61%

Section: Resultsmentioning

confidence: 99%

The neonatal transfer process through the lens of neonatologists at public hospitals in South Africa

Ashokcoomar¹,

Bhagwan

2022

Health SA Gesondheid

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“…The proposed neonatal and paediatric transport national benchmark and quality metrics includes ‘Unintended neonatal hypothermia on arrival at destination’. [ 33 ]…”

Section: Discussionmentioning

confidence: 99%

Newborn care in Northern India: A study of regional and seasonal peculiarities for desired professionalism and definitive practices

Jain

Samrina

Samanta

2023

Journal of Family Medicine and Primary Care

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A BSTRACT Introduction: Improvements in newborn health with study of present status, progressive perfection of practices, and data diligence for future is desirable. Methods: Study of mortality and morbidity patterns. Analyze findings for focus areas and for favourable advancements in practices. Corroborate with existing evidence and practice protocols. Setting: Tertiary care referral hospital. Protocols: Preterm babies given special attention. This includes, in addition to the WHO 10 main recommendations, meticulous monitoring and health education for care. Neonatal jaundice evaluation on the basis of risk factors and clinical monitoring. Results: A total of 1749 live, born babies (2018–2020) were studied. The neonatal mortality rate in the study was 6.29. Preterm births were 102 (5.83%), with mortality of 7.84%, that is, 8 out of 102 preterm babies, and overall 4.57 premature deaths per 1000 live births. Prematurity was the commonest cause of mortality, responsible for 8 out of 11 deaths (72.73%). Birth asphyxia incidence was 5.26% (92 babies) with a case fatality ratio of 4.35%. Newborns with severe birth asphyxia were 7, and of these 4 (all premature) had fatal outcome. The low birthweight (LBW) incidence was 13.32% with the majority (79.83%) in the 2000–2499 g range. Preventive practices for hypothermia were 100% successful. An unusual rise in incidence and severity of hyperbilirubinemia during December 2018 to February 2019 when winter was severe was noted. Conclusion: Mortality reduction requires focusing on prematurity. Meticulous monitoring and health education for them improves results. The unusual rise in incidence and severity of hyperbilirubinemia in severe winter points towards the need for vigilance. We need to be forewarned and forearmed for frequent extreme weather events.

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The number needed to transfer to a higher level of care

Gautham

Fernandes

2020

J Perinatol

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Neonatal Transport

Cited by 4 publications

References 177 publications

The neonatal transfer process through the lens of neonatologists at public hospitals in South Africa

The neonatal transfer process through the lens of neonatologists at public hospitals in South Africa

Newborn care in Northern India: A study of regional and seasonal peculiarities for desired professionalism and definitive practices

The number needed to transfer to a higher level of care

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