136 6 CHAPTER 6 Compared with obstetric departments, neonatal departments had low threshold for referral in their protocols (aOR 0.56 [95% CI 0.34–0.93]) significantly less often, and significantly more often a high threshold for referral in their protocols (aOR 2.31 [95% CI 1.16–4.60]). The eastern region had significantly more often a high threshold for referral in their protocols compared with the other regions (aOR 2.52 [95% CI 1.05–6.09]) (Table 7). 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, %) Neonatal admission 7 (8) 3 (7) 4 (8) 5 (7) 3 (8) 2 (5) 5 (7) 3 (10) 2 (5) 17 (19) 10 (93) 7 (16) Neonatal referral not indicated 8 (9) 3 (7) 5 (10) 3 (4) 2 (6) 1 (3) 2 (3) 1 (3) 1 (3) 0 (0) 0 (0) 0 (0) Unclear whether pediatric consultations or neonatal admissions is indicated 20 (22) 11 (26) 9 (18) 10 (13) 4 (11) 6 (15) 10 (15) 3 (10) 7 (18) 27 (31) 9 (21) 18 (40) Unclear if neonatal referral is indicated 15 (16) 6 (14) 9 (18) 17 (22) 8 (22) 9 (23) 14 (21) 6 (21) 8 (21) 7 (8) 4 (9) 3 (7) Noncorrespondent within protocol 7 (8) 4 (10) 3 (6) 5 (7) 3 (8) 2 (5) 4 (6) 2 (7) 2 (5) 8 (9) 4 (9) 4 (9) Pediatrician's attendance at birth Total 70 (100) 33 (100) 37 (100) 57 (100) 26 (100) 31 (100) 51 (100) 22 (100) 29 (100) 81 (100) 39 (100) 42 (100) Indicated 14 (20) 5 (15) 9 (24) 8 (14) 2 (8) 6 (19) 9 (18) 3 (14) 6 (21) 55 (68) 27 (69) 28 (67) Not indicated 21 (30) 14 (42) 7 (19) 14 (25) 7 (19) 7 (23) 12 (24) 6 (27) 6 (21) 5 (6) 3 (8) 2 (5) Noncorrespondent 1 (1) 1 (3) 0 (0) 1 (2) 1 (4) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) Unclear 7 (10) 4 (12) 3 (8) 4 (7) 3 (12) 1 (3) 2 (4) 1 (5) 1 (3) 2 (2) 2 (5) 0 (0) Not mentioned 27 (39) 9 (27) 18 (49) 30 (53) 13 (50) 17 (55) 28 (55) 12 (55) 16 (55) 19 (23) 7 (18) 12 (29) Location of admission Total 70 (100) 33 (100) 37 (100) 57 (100) 26 (100) 31 (100) 51 (100) 22 (100) 29 (100) 81(100) 39 (100) 42 (100) Maternity ward 31 (44) 15 (45) 16 (43) 29 (51) 12 (46) 17 (54) 1 (2) 0 (0) 1 (3) 35 (43) 18 (46) 17 (40) Neonatal ward 0 (0) 0 (0) 0 (0) 1 (2) 0 (0) 1 (3) 23 (45) 8 (36) 15 (52) 1 (1) 0 (0) 1 (2) Depending on clinical assessment 1 (1) 0 (0) 1 (3) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) Decided together by obstetrician and pediatrician 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 1 (2) 1 (5) 0 (0) 0 (0) 0 (0) 0 (0) Unclear 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) Not mentioned 38 (54) 18 (55) 20 (54) 27 (47) 14 (54) 13 (42) 26 (51) 13 (59) 13 (45) 45 (56) 21 (54) 24 (57) Referral after discharge Total 70 (100) 33 (100) 37 (100) 57 (100) 26 (100) 31 (100) 51 (100) 22 (100) 29 (100) 81 (100) 39 (100) 42 (100) Routine 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) If indicated 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) Not indicated 6 (9) 2 (6) 4 (11) 4 (7) 0 (0) 4 (13) 3 (6) 0 (0) 3 (10) 8 (10) 2 (5) 6 (14) Unclear 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) Not mentioned 64 (91) 31 (94) 33 (89) 53 (93) 26 (100) 27 (87) 48 (94) 22 (100) 26 (90) 73 (90) 37 (95) 36 (86) Abbreviations: CB, cesarean birth; FE, forceps extraction; LGA, large for gestational age/macrosomia; MSAF, meconium stained amniotic fluid; N, neonatal department; O, obstetric department; SGA, small for gestational age/fetal growth restriction; VE, vacuum extraction. TABLE 4 (Continued)
RkJQdWJsaXNoZXIy MjY0ODMw