The main goal of this study analysis was to evaluate neonatal care admission to hospital type

The main goal of this study analysis was to evaluate neonatal care admission to hospital type (tertiary neonatal intensive care unit and pediatric hospitals – facility and referral) in Romania. Determination of neonatal outcome with administration of antenatal corticosteroid to mothers in prior to delivery and type of delivery (vaginal or cesarean section) in association with morbidity and mortality up to 28 days of life, by using neonates charts to collect the data. The study also included the differences between inborn and outborn that were administrated surfactant with CPAP or intubation and outcomes of neonates.
Retrospective cohort study comparing outcomes of neonates in delivered in facilities with neonates in referring hospital. We studied live births of 246 of neonates delivered between January 2016 to December 2017 in hospital with neonatal intensive care and 55 delivered in referral hospitals. Evaluate the severity of developing intraventricular hemorrhage grade 1 to 4 in relationship to corticosteroid administration and mortality in neonates between 24 and 34 weeks of gestation and 35 week with low birth weight/very low birth rate (LBW/VLBW) with no congenital anomalies. Mothers that exhibited obstetrical complications as premature rupture of membrane, preterm labor, transverse position, preeclampsia, placenta abruption and previa were included in study. The association between obstetrical complications and antenatal steroids administration were compared in the study.
The study showed that neonates in different facilities had different outcomes, which may be due to different management according to locations of delivery. Neonates transported to tertiary facility had higher mortality rate compared to neonates born in tertiary intensive care unit.
Mothers to inborn neonates were more likely to receive antenatal corticosteroids compared to outborn mothers. Outborn neonates transferred to NICU had higher risk of developing intraventriuclar hemorrhage grades 1 to 4 than inborn neonates. The significant difference may be due to less administration of corticosteroids to mothers of outborn neonates compared to inborn mothers that received more often steroids in prior to delivery.
There was a significance between inborn and outborn treated with surfactant and CPAP or intubation. Inborn received more surfactant and CPAP compared to outborn that were more likely to be administrated surfactant and endotracheal intubation.