title: [Very preterm birth less than 33 weeks' gestation: how setting-up of a perinatal network does influence the activity of the neonatal tertiary care unit? The experience of the Poitou-Charentes region, France].
abstract: OBJECTIVE
  To evaluate the impact of regional perinatal network setting on very preterm neonates (gestational age<33 weeks) referral and activity of regional level 3 NCIU, and short-term outcome of infants cared for.
  
  
  METHODS
  Comparison of data from medical records of hospital days and hospital outcome of very preterm neonates born before and after the setting-up of regional perinatal network (2002-2005).
  
  
  RESULTS
  The setting-up of the Poitou-Charentes perinatal network has led to a 45% rise in number of very preterm neonates admitted to the level 3 neonatal care (114 in 2002, 166 in 2005), number of hospitalisation days has also increased by 31% in neonatology unit (2181 days in 2002, 2864 days in 2005) but remained stable in intensive care unit. A transient rise in neonatal mortality was observed, although the incidence of severe ultrasonographic cerebral abnormalities and that of bronchopulmonary dysplasia were lowered.
  
  
  CONCLUSIONS
  Setting-up of perinatal network in Poitou-Charentes (France) has led to improved access to level 3 neonatal care, with rise in very preterm neonates survival and low incidence of short-term sequelae.
authors: Service de pédiatrie, CHU de Poitiers, 86021 Poitiers cedex, France; Réseau périnatal Poitou-Charentes, Futuropole, BP 50044, 86361 Chasseneuil du Poitou cedex, France. burguet@yahoo.com
authors: A
authors: A
authors: Burguet
authors: M
authors: M
authors: Di Maio
authors: S
authors: S
authors: Besnier-Di Maio
authors: S
authors: S
authors: Kayemba-Kay's
authors: A
authors: A
authors: Nassimi
authors: M-F
authors: MF
authors: Bouthet
authors: F
authors: F
authors: Pierre
authors: P
authors: P
authors: Boisselier
mesh_terms: D005260:Female; D005602:France; D005865:Gestational Age; D017052:Hospital Mortality; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D007234:Infant, Premature / Q000254:growth & development; D007235:Infant, Premature, Diseases / Q000453:epidemiology* / Q000517:prevention & control; D007236:Infant, Small for Gestational Age; D019102:Infant, Very Low Birth Weight; D007363:Intensive Care Units, Neonatal / Q000592:standards / Q000706:statistics & numerical data*; D007902:Length of Stay; D008297:Male; D009359:Neonatology / Q000379:methods / Q000592:standards; D017063:Outcome Assessment, Health Care; D018743:Perinatal Care; D047928:Premature Birth