title: Timing of transfer for pregnant women from Queensland Cape York communities to Cairns for birthing.
abstract: OBJECTIVE
  To determine whether the current planned transfer of pregnant women from Cape York communities to Cairns at 36 weeks' gestation for birthing is medically appropriate.
  
  
  METHODS
  Retrospective audit of travel details and demographic and obstetric outcome data on all women from Cape York communities who travelled to Cairns for late pregnancy care and birth at Cairns Base Hospital in 2006.
  
  
  METHODS
  Length of stay in Cairns; gestational age at birth.
  
  
  RESULTS
  In 2006, 172 women from 14 Cape communities travelled to Cairns to give birth. Of these, 76% identified as Aboriginal or Torres Strait Islander, 20% as Caucasian and 4% were from other ethnic groups. The mean time of stay in Cairns before birth (range) was 24 (0-86) days. Eleven women (6%) gave birth between 36 and 37 weeks of pregnancy; this point marked the beginning of a significant rise in births for increasing gestational ages.
  
  
  CONCLUSIONS
  Aiming for 36 weeks' gestation for transfer is medically appropriate, but results in long periods of separation of women from Cape communities from family and friends, with detrimental social, cultural and financial consequences. Reopening maternity units in towns serving the Cape communities could reduce the number of women from the region having to travel to Cairns for pregnancy care and birth.
authors.affiliation: Cairns Base Hospital, Cairns, QLD, Australia.
authors.forename: Joanna L
authors.initials: JL
authors.lastname: Arnold
authors.forename: Caroline M
authors.initials: CM
authors.lastname: de Costa
authors.forename: Paul W
authors.initials: PW
authors.lastname: Howat
mesh_terms: D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D036861:Delivery, Obstetric; D005260:Female; D005865:Gestational Age; D006297:Health Services Accessibility; D006801:Humans; D008427:Maternal Health Services; D008485:Medical Audit; D008875:Middle Aged; D011247:Pregnancy; D011793:Queensland; D012424:Rural Population; D014195:Travel; D044465:White People; D055815:Young Adult