PHYSICIAN PREVENTABLE NEONATAL PULMONARY DISEASE IN NEW HAMPSHIRE - 1976

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    • Abstract:
      Physician preventable neonatal pulmonary disease was reviewed in all 250 infants admitted to the Dartmouth-Hitchcock Medical Center in calendar year 1976. Data were obtained from the delivering hospital's perinatal records, the neonatal course, and a monthly transport conference case review.All cases of Respiratory Distress Syndrome or Meconium Aspiration Syndrome were screened for inadequate fetal maturity or gestational age evaluation prior to delivery. Clinical, x-ray, and laboratory findings were used for diagnosis. All cases this year were transported, not inborn.Cost analysis comparing neonatal intensive care expense versus projected fetal maturity study expense for all New Hampshire pregnancies at risk supports performing the studies. The conclusion that approximately 10% of tertiary neonatal intensive care admissions in New Hampshire can be eliminated through adequate fetal gestational age evaluation is being presented to the New Hampshire Medical Society upon request.