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Gastroschisis transfers conducted by the West Midlands Neonatal Transfer Service

Presented at the Neonatal Society 2011 Spring Meeting (programme).

Shenvi A1, Harrison J1, Philpott A1, Skinner A1, Dhillon A1,2, Rasiah SV2

1 West Midlands Neonatal Transfer Service (WMNTS)
2 Neonatal Unit, Birmingham Women’s Hospital

Background: Gastroschisis has an incidence of approx. 3 per 10,0001 with an increasing trend in the UK.2 This congenital anomaly requires immediate postnatal surgical care. Within the West Midlands, newborns with gastroschisis are resuscitated as necessary and transferred by WMNTS to a surgical centre for silo placement followed by surgery. Network guidelines suggest that these babies should reach a surgical centre within 2 hours of birth.

Methods: Retrospective review of all gastroschisis transfers conducted by the WMNTS from Jan 2008 to Dec 2010 using the WMNTS transfer database.


Conclusion: 66 transfers for gastroschisis were conducted over the period. 83% of these babies were born in the 4 Neonatal Intensive Care Units in the region. 85% babies were kept within region. 10 babies were transferred out of region due to lack of regional surgical beds. All transfers within region were completed within an average time of 98 min. There have been no patient related clinical incidents.

Corresponding author:

1. Surgical Clinics of North America - Volume 86, Issue 2 (April 2006)
2. Kilby MD BMJ 2006; 332 : 250 doi: 10.1136/bmj.332.7536.250

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