title: [Transferring mothers from a free-standing birth center to a reference hospital].
abstract: The objective of this descriptive study was to characterize the transfers of mothers from the Sapopemba Birth Center to reference hospitals in São Paulo, from September 1998 to July 2008. The studied population was 229 cases of mother transfers. Data were obtained from medical records and record books of the transferred women. Descriptive analysis was performed. The transfer rate was 5.8% (5.5% in the intrapartum period and 0.3% in the postpartum period). Most women who were transferred to the hospital were nulliparous (78.6%). The most common reason for intrapartum transfers was fetal or pelvis abnormalities (22.6%), and abnormal placental detachment (50%) for women in the postpartum period. Some conditions such as nulliparity, cervical dilation at admission, rupture of the membranes and gestational age over 40 weeks were highlighted as important variables for studying the risk factors for mothers being transferred.
authors.affiliation: Departamento de Enfermagem Materno Infantil e Psiquiátrica, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brasil. ibonadio@usp.br
authors.forename: Isabel Cristina
authors.initials: IC
authors.lastname: Bonadio
authors.forename: Camilla Alexsandra
authors.initials: CA
authors.lastname: Schneck
authors.forename: Luciana Gomes
authors.initials: LG
authors.lastname: Pires
authors.forename: Ruth Hitomi
authors.initials: RH
authors.lastname: Osava
authors.forename: Flora Maria Barbosa
authors.initials: FM
authors.lastname: da Silva
authors.forename: Sonia Maria Junqueira Vasconcellos
authors.initials: SM
authors.lastname: de Oliveira
authors.forename: Maria Luiza Gonzalez
authors.initials: ML
authors.lastname: Riesco
mesh_terms: D000293:Adolescent; D000328:Adult; D016550:Birthing Centers; D005260:Female; D006761:Hospitals; D006801:Humans; D007744:Obstetric Labor Complications / Q000628:therapy; D010360:Patient Transfer / Q000706:statistics & numerical data*; D011247:Pregnancy; D011644:Puerperal Disorders / Q000628:therapy; D012189:Retrospective Studies; D012307:Risk Factors; D055815:Young Adult