Perinatal outcomes and travel time from home to hospital: Welsh data 1995 to 2009

Shantini Paranjothy, William John Watkins, Kim Rolfe, Roshan Adappa, Yi Gong, Frank David John Dunstan, Sailesh Kotecha

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10 Citations (Scopus)

Abstract

Aim To study the association between travel time from home to hospital and birth outcomes.

Methods For all registrable births to women resident in Wales (1995?2009), we calculated the travel time between the mother's residence and the postcode-based location for both the birth hospital and all hospitals with maternity services that were open. Using logistic regression, we obtained odds ratios for the association between travel time and each birth outcome, adjusted for confounders.

Results In our analysis of 412 827 singleton births, for every 15-min increase in travel time to the birth hospital, there was an increased risk of early (n = 609; OR: 1.13; 95%CI: 1.07, 1.20) and late neonatal death (n = 251; OR: 1.15; 95%CI: 1.05, 1.26). Results for intrapartum stillbirth were inconclusive (n = 135; OR: 1.13; 95%CI: 0.98, 1.30). For the above-combined (n = 995) results, we get OR: 1.15, 95%CI: 1.09, 1.20. No association was found with travel time to the nearest hospital (OR: 1.01; 95%CI: 0.90, 1.13 per 15-min increase in travel time) for the composite outcome of intrapartum stillbirth and neonatal deaths.

Conclusion Longer travel time to the birth hospital was associated with increased risk of neonatal deaths, but there was no strong evidence of association with the geographical location of maternity services.
Original languageEnglish
Pages (from-to)e522-e527
JournalActa Paediatrica
Volume103
Issue number12
DOIs
Publication statusPublished - 7 Oct 2014

Keywords

  • neonatal mortality; perinatal mortality; prematurity; stillbirths; travel time

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