{"doi":"10.1016/j.earlhumdev.2011.07.016","title":"In-utero transfer is too difficult: Results from a prospective study","abstract":null,"journal":"Early Human Development","year":2012,"id":618705,"datarank":0.5050943744979712,"base_score":3.367295829986474,"endowment":3.367295829986474,"self_citation_contribution":0.5050943744979712,"citation_network_contribution":0.0,"self_endowment_contribution":0.5050943744979712,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":28,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1596302,"name":"A. Hay","orcid":null,"position":1,"is_corresponding":false},{"id":1596303,"name":"C. Philipp","orcid":null,"position":2,"is_corresponding":false},{"id":1596304,"name":"R. Khan","orcid":null,"position":3,"is_corresponding":false},{"id":1596306,"name":"S. Santhakumaran","orcid":null,"position":4,"is_corresponding":false},{"id":1596308,"name":"N. Ratnavel","orcid":null,"position":5,"is_corresponding":false},{"id":1596300,"name":"C. Gale","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"In-utero transfer is too difficult: Results from a prospective study","abstract":"<h4>Background</h4>Perinatal transfer is an unavoidable part of neonatal care. In-utero as opposed to postnatal transfer is recommended whenever possible.<h4>Aims</h4>To quantify prevalence of in-utero transfers, determine the duration of time spent arranging in-utero transfers and whether failures in the organisation of potential in-utero transfers were occurring.<h4>Study design</h4>Prospective study of in-utero transfers referred and completed, and questionnaire study of failed potential in-utero transfers.<h4>Subjects</h4>Women referred to the Emergency Bed Service (EBS), women undergoing in-utero transfer by London Ambulance Service (LAS), and preterm infants undergoing postnatal transfer where in-utero transfer had been potentially achievable, in the London area, over a six month period in 2009.<h4>Outcome measures</h4>Number of in-utero transfers being undertaken, duration of time spent arranging in-utero transfer, and number of failed in-utero transfers.<h4>Results</h4>Over the study period LAS undertook 438 in-utero transfers and there were 338 referrals for in-utero transfer to EBS, of which 180 (53%) were successful. Of 69 emergency postnatal transfers of preterm infants (<29 weeks gestational age), 11 were classified as failed in-utero transfers. Median (IQR) duration of EBS involvement in in-utero referrals was 340 (200-696)min. A median (IQR) of 240 (150-308)min was spent contacting a median (IQR) of 7 (6-8)units when attempting to arrange in-utero transfer in the failed in-utero transfer group.<h4>Conclusions</h4>Arranging in-utero transfer consumes considerable clinical time; an important number of in-utero transfer attempts fail for non-clinical reasons; establishment of a centralised in-utero transfer planning service will save clinical time and may improve outcomes.","is_dataset_classified":null,"base_score":3.367295829986474,"endowment":3.367295829986474,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"21835563","pmcid":null,"openalex_id":"https://openalex.org/W2092189243","authors":[],"funders":[],"total_grants":0,"fwci":1.1583,"citation_percentile":0.78633455,"influential_citations":0,"citation_trend":[{"year":2012,"count":1},{"year":2014,"count":3},{"year":2015,"count":2},{"year":2016,"count":1},{"year":2017,"count":2},{"year":2019,"count":8},{"year":2020,"count":5},{"year":2021,"count":3},{"year":2022,"count":1},{"year":2025,"count":2}],"oa_status":"closed","license":"https://www.elsevier.com/tdm/userlicense/1.0/","oa_locations":[{"url":"https://api.elsevier.com/content/article/PII:S0378378211002398?httpAccept=text/xml","host_type":"publisher"},{"url":"https://api.elsevier.com/content/article/PII:S0378378211002398?httpAccept=text/plain","host_type":"publisher"},{"url":"https://doi.org/10.1016/j.earlhumdev.2011.07.016","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/21835563","host_type":"repository"}],"fields_of_study":["Maternal and Perinatal Health Interventions","Organ and Tissue Transplantation Research","Pregnancy and preeclampsia studies","Emergency Medical Services","Female","Humans","London","Pregnancy","Prospective Studies","Transportation of Patients"],"mesh_terms":["Emergency Medical Services","Female","Humans","London","Pregnancy","Prospective Studies","Transportation of Patients"],"keywords":["In utero","Obstetrics","Transfer (computing)","Medicine","Psychology","Pregnancy","Computer science","Fetus","Biology"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-03T05:03:23.287774Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}