{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T16:50:01Z","timestamp":1791910201049,"version":"4.3.4"},"reference-count":12,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2014,10,7]],"date-time":"2014-10-07T00:00:00Z","timestamp":1412640000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Welsh Goverment"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2014,12]]},"abstract":"Abstract<\/jats:title>Aim<\/jats:title>To study the association between travel time from home to hospital and birth outcomes.<\/jats:p><\/jats:sec>Methods<\/jats:title>For all registrable births to women resident in Wales (1995\u20132009), we calculated the travel time between the mother's residence and the postcode\u2010based location for both the birth hospital and all hospitals with maternity services that were open. Using logistic regression, we obtained odds ratios for the association between travel time and each birth outcome, adjusted for confounders.<\/jats:p><\/jats:sec>Results<\/jats:title>In our analysis of 412\u00a0827 singleton births, for every 15\u2010min increase in travel time to the birth hospital, there was an increased risk of early (n\u00a0=\u00a0609; OR<\/jats:styled-content>: 1.13; 95%CI<\/jats:styled-content>: 1.07, 1.20) and late neonatal death (n\u00a0=\u00a0251; OR<\/jats:styled-content>: 1.15; 95%CI<\/jats:styled-content>: 1.05, 1.26). Results for intrapartum stillbirth were inconclusive (n\u00a0=\u00a0135; OR<\/jats:styled-content>: 1.13; 95%CI<\/jats:styled-content>: 0.98, 1.30). For the above\u2010combined (n\u00a0=\u00a0995) results, we get OR<\/jats:styled-content>: 1.15, 95%CI<\/jats:styled-content>: 1.09, 1.20. No association was found with travel time to the nearest hospital (OR<\/jats:styled-content>: 1.01; 95%CI<\/jats:styled-content>: 0.90, 1.13 per 15\u2010min increase in travel time) for the composite outcome of intrapartum stillbirth and neonatal deaths.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Longer travel time to the birth hospital was associated with increased risk of neonatal deaths, but there was no strong evidence of association with the geographical location of maternity services.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.12800","type":"journal-article","created":{"date-parts":[[2014,9,4]],"date-time":"2014-09-04T23:42:37Z","timestamp":1409874157000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Perinatal outcomes and travel time from home to hospital: W<\/scp>elsh data from 1995 to 2009"],"prefix":"10.1111","volume":"103","author":[{"given":"Shantini","family":"Paranjothy","sequence":"first","affiliation":[{"name":"Institute of Primary Care and Public Health School of Medicine Cardiff University Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W John","family":"Watkins","sequence":"additional","affiliation":[{"name":"Department of Child Health School of Medicine Cardiff University Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Rolfe","sequence":"additional","affiliation":[{"name":"Department of Child Health School of Medicine Cardiff University Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roshan","family":"Adappa","sequence":"additional","affiliation":[{"name":"Cardiff and Vale University Health Board Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Gong","sequence":"additional","affiliation":[{"name":"Institute of Primary Care and Public Health School of Medicine Cardiff University Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Dunstan","sequence":"additional","affiliation":[{"name":"Institute of Primary Care and Public Health School of Medicine Cardiff University Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sailesh","family":"Kotecha","sequence":"additional","affiliation":[{"name":"Department of Child Health School of Medicine Cardiff University Cardiff UK"},{"name":"Cardiff and Vale University Health Board Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,10,7]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"The Kings Fund.Reconfiguring hospital services. Available at:http:\/\/www.kingsfund.org.uk\/publications\/articles\/briefing-reconfiguring-hospital-services(accessed on December 17 2012)."},{"key":"e_1_2_12_3_1","unstructured":"RedshawM RoweR SchroederL PuddicombeD MacfarlaneA NewburnM et\u00a0al.Mapping maternity care: the configuration of maternity care in England Birthplace in England research programme. Final report part 3: NIHR service delivery and organisation programme 2011. Available at:http:\/\/www.netscc.ac.uk\/hsdr\/files\/project\/SDO_FR3_08-1604-140_V04.pdf(accessed on December 17 2012)."},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d7400"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/fn.82.2.F167"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2003.030924"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2010.02816.x"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2011.02945.x"},{"key":"e_1_2_12_9_1","unstructured":"All Wales Perinatal Survey. Available at:http:\/\/www.cf.ac.uk\/medic\/awps\/(accessed on December 04 2012)."},{"key":"e_1_2_12_10_1","unstructured":"Welsh Assembly Government.Births in Wales 2007: Data from the National Community Child Health Database.2008[www.wales.gov.uk\/docs\/statistics\/2008\/080626sdr92en.pdf] (accessed June 12 2009)."},{"key":"e_1_2_12_11_1","unstructured":"Available at:http:\/\/code.google.com\/apis\/maps\/documentation\/javascript\/basics.html(accessed on December 14 2012)."},{"key":"e_1_2_12_12_1","volume-title":"Health and Deprivation: Inequality in the North","author":"Townsend P","year":"1988"},{"key":"e_1_2_12_13_1","volume-title":"PASW Statistics for Windows","author":"SPSS Inc.","year":"2009"}],"container-title":["Acta Paediatrica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fapa.12800","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.12800","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T15:42:39Z","timestamp":1695570159000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/apa.12800"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,10,7]]},"references-count":12,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2014,12]]}},"alternative-id":["10.1111\/apa.12800"],"URL":"https:\/\/doi.org\/10.1111\/apa.12800","archive":["Portico"],"relation":{},"ISSN":["0803-5253","1651-2227"],"issn-type":[{"value":"0803-5253","type":"print"},{"value":"1651-2227","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,10,7]]},"assertion":[{"value":"2014-05-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-09-01","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-10-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}