135 6 (UN)WARRANTED VARIATION IN HOSPITAL PROTOCOLS FOR NEONATAL REFERRAL TO THE PEDIATRICIAN TABLE 4 Recommendations by protocol about type of neonatal referral, pediatrician's attendance at birth, location of admission, and referral after discharge (n, %) Protocol Total LGA SGA Type of department Total O N Total O N Total O N (n, %) (n, %) (n, %) (n, %) (n, %) (n, %) (n, %) (n, %) (n, %) Type of neonatal referral Total 514 (100) 226 (100) 288 (100) 67 (100) 26 (100) 41 (100) 122 (100) 50 (100) 72 (100) Pediatric consultation 222 (43) 99 (37) 123 (43) 37 (55) 16 (62) 21 (51) 52 (43) 22 (44) 30 (42) Neonatal admission 90 (18) 43 (16) 47 (16) 12 (18) 5 (19) 7 (17) 44 (36) 19 (38) 25 (35) Neonatal referral not indicated 13 (3) 6 (3) 7 (2) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) Unclear whether pediatric consultations or neonatal admissions is indicated 92 (18) 31 (14) 61 (21) 12 (18) 2 (8) 10 (24) 14 (11) 3 (6) 11 (15) Unclear if neonatal referral is indicated 64 (12) 28 (12) 36 (13) 4 (6) 1 (4) 3 (7) 7 (6) 3 (6) 4 (6) Noncorrespondent within protocol 31 (6) 18 (8) 13 (5) 2 (3) 2 (8) 0 (0) 5 (4) 3 (6) 2 (3) Pediatrician's attendance at birth Total 437 (100) 192 (100) 245 (100) 63 (100) 25 (100) 38 (100) 115 (100) 47 (100) 68 (100) Indicated 93 (21) 39 (20) 54 (22) 9 (14) 1 (4) 8 (21) 8 (7) 2 (4) 6 (9) Not indicated 92 (21) 56 (29) 36 (15) 39 (62) 10 (40) 29 (94) 20 (17) 15 (9) 5 (7) Noncorrespondent 2 (0) 2 (1) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) Unclear 26 (6) 14 (7) 12 (5) 1 (2) 0 (0) 1 (3) 9 (8) 3 (6) 6 (9) Not mentioned 224 (51) 81 (42) 143 (58) 14 (22) 14 (56) 0 (0) 78 (68) 27 (57) 51 (75) Location of admission Total 437 (100) 192 (100) 245 (100) 63 (100) 25 (100) 38 (100) 115 (100) 47 (100) 68 (100) Maternity ward 174 (40) 75 (39) 99 (40) 27 (43) 10 (40) 17 (45) 29 (25) 12 (26) 17 (25) Neonatal ward 38 (9) 11 (6) 27 (11) 2 (3) 0 (0) 2 (5) 33 (29) 11 (23) 22 (32) Depending on clinical assessment 1 (0) 0 (0) 1 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) Decided together by obstetrician and pediatrician 2 (0) 1 (1) 1 (0) 0 (0) 0 (0) 0 (0) 1 (1) 0 (0) 1 (1) Unclear 3 (1) 0 (0) 3 (1) 2 (3) 0 (0) 2 (5) 1 (1) 0 (0) 1 (1) Not mentioned 219 (50) 105 (55) 114 (47) 32 (51) 15 (60) 17 (45) 51 (44) 24 (51) 27 (40) Referral after discharge Total 437 (100) 192 (100) 245 (100) 63 (100) 25 (100) 38 (100) 115 (100) 47 (100) 68 (100) Routine 19 (4) 7 (4) 12 (5) 0 0 (0) 0 (0) 19 (17) 7 (15) 12 (18) If indicated 1 (0) 0 (0) 1 (0) 0 0 (0) 0 (0) 1 (1) 0 (0) 1 (1) Not indicated 32 (7) 8 (4) 24 (10) 6 (10) 2 (8) 4 (11) 5 (4) 2 (4) 3 (4) Unclear 8 (2) 1 (1) 7 (3) 0 0 (0) 0 (0) 8 (7) 1 (2) 7 (10) Not mentioned 377 (86) 176 (92) 201 (82) 57 (90) 23 (92) 34 (89) 82 (71) 37 (79) 45 (66) Protocol MSAF VE FE CB Type of department Total O N Total O N Total O N Total O N (n, %) (n, %) (n, %) (n, %) (n, %) (n, %) (n, %) (n, %) (n, %) (n, %) (n, %) (n, %) Type of neonatal referral Total 93 (100) 42 (100) 51 (100) 76(100) 36 (100) 40 (100) 67 (100) 29 (100) 38 (100) 88 (100) 43 (100) 45 (100) Pediatric consultation 36 (39) 15 (36) 21 (41) 36 (47) 16 (44) 20 (50) 32 (48) 14 (48) 18 (47) 29 (33) 16 (37) 13 (29) (Continues)
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