title: Time-to-delivery after maternal transfer to a tertiary perinatal centre.
abstract: OBJECTIVE
  To determine, in women transferred antenatally for acute admission with high risk pregnancies, the numbers who deliver, the average time from transfer to delivery, and whether the reason for transfer influences the time-to-delivery.
  
  
  METHODS
  A retrospective analysis of time-to-delivery was performed in a population of women transferred to the Royal Brisbane and Women's Hospital, QLD. Data were obtained from the hospital obstetric, neonatal, and admission databases.
  
  
  RESULTS
  A total of 941 women were transferred antenatally with high risk pregnancies where delivery was deemed potentially imminent. Of these 821 (87%) delivered at RBWH. The remaining 120 women (13%) were discharged prior to delivery and then delivered elsewhere. Of the 821 maternal transfers that delivered, the median time to delivery was 24.4 hrs. There were 43% who delivered within 24 hours of admission and 29% who either delivered after 7 days or delivered elsewhere. Most transfers for fetal abnormality delivered in the first 24 hours while most transfers for antepartum haemorrhage and preterm prelabour membrane rupture delivered beyond 24 hours.
  
  
  CONCLUSIONS
  There are significant differences in time-to-delivery following transfer depending on the reason for transfer and many infants transferred in utero will not deliver imminently.
authors.affiliation: Grantley Stable Neonatal Unit, Royal Brisbane and Women's Hospital, Brisbane, QLD 4029, Australia ; Department of Neonatology, Mater Mothers' Hospital, Brisbane, QLD 4101, Australia.
authors.forename: Fiona H
authors.initials: FH
authors.lastname: Hutchinson
authors.affiliation: Grantley Stable Neonatal Unit, Royal Brisbane and Women's Hospital, Brisbane, QLD 4029, Australia ; Department of Paediatrics & Child Health, The University of Queensland, Brisbane, QLD 4006, Australia.
authors.forename: Mark W
authors.initials: MW
authors.lastname: Davies
mesh_terms: D000293:Adolescent; D000328:Adult; D036861:Delivery, Obstetric / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data*; D008875:Middle Aged; D010351:Patient Discharge / Q000706:statistics & numerical data; D010360:Patient Transfer / Q000706:statistics & numerical data*; D018743:Perinatal Care / Q000706:statistics & numerical data*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology* / Q000451:nursing*; D011256:Pregnancy Outcome / Q000453:epidemiology*; D011793:Queensland / Q000453:epidemiology; D013997:Time Factors
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