[Newborn XXXX at term during delivery].

@entity1 @entity410 @entity2806 @entity63 @entity75 @entity149 @entity1763 @entity881
Recruitment, work load and morbidity linked to newborn @entity1763 during delivery at term: a study from Pediatric Mobile Intensive Care Units. OBJECTIVE: In a population of term neonates transported by the mobile intensive care units (MICU), we aimed to determine the incidence of neonates with @entity2806 related to @entity1763 , to analyze in this population the difficulties of management, and to try to identify which of these newborns require new therapeutic strategies. METHODS: This retrospective study was performed over a 2-year period (2000 and 2001) in 3 paediatric MICU from the Ile de France area. During this period, 7,648 @entity1 were transported including 3,301 newborns of more than 36 weeks of gestational age and less than 72 hours of life. These neonates came from 73 different hospitals. Among these 3,301 @entity1 , 237 neonates (124 @entity1 and 113 @entity1 ) with @entity2806 related to @entity1763 were selected in the present study. Inclusion criteria were association of one obligatory criterion of fetal distress during delivery and at least one criterion of @entity1763 or one criterion of @entity2806 . Data were compiled and analyzed with Epidata package and Epi info package, respectively. RESULTS: These 237 neonates with @entity63 represented 12% of MICU activity at the same gestational and postnatal ages. The mean gestational age was 39.5 + 1.5 weeks. The mean birth weight was 3,188 + 559 g. More than 50% of these neonates were born in level I maternities. Fifty-three percent of the @entity1 were born by caesarean section. Eighty-three percent of the neonates had an Apgar score at 1 minute <3. Eighty-eight percent of the neonates received resuscitation care at 5 minutes of life and 34% of these had an Apgar score at 10 minutes <5. In 50% of the cases, the MICUs arrived at the maternity of delivery within 1 h 45 min of life and transportation of the neonates was completed after 3 hours of life. The neonates were transported to an intensive care unit in 88% of the cases (half to a polyvalent intensive care unit and half to a neonatal intensive care unit). Forty-four percent of transported neonates had no @entity75 , 30% had a severe @entity75 or @entity410 , 27% had @entity881 . Mortality reached 28% and @entity75 accounted for two thirds of these deaths. Neonates who arrived in pediatric care units after 3 hours of life had more severe morbidity than neonates who arrived before 3 hours of life. CONCLUSION: Pediatric MICUs transport the most severely affected neonates. The initial clinical state is critical, and @entity149 are frequent and severe. Calls to the MICU should be made earlier in order to enable a better impact of new neuroprotective strategies.
