{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T16:44:18Z","timestamp":1791564258227,"version":"4.3.4"},"reference-count":11,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2017,4,5]]},"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To identify the primary reasons for term admissions to neonatal units in England, to determine risk factors for admissions for jaundice and to estimate the proportion who can be cared for in a transitional setting without separation of mother and baby.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective observational study using neonatal unit admission data from the National Neonatal Research Database and data of live births in England from the Office for National Statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>All 163 neonatal units in England 2011\u20132013.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>133\u2009691 term babies born \u226537 weeks gestational age and admitted to neonatal units in England.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary and secondary outcomes<\/jats:title>\n                    <jats:p>Primary reasons for admission, term babies admitted for the primary reason of jaundice, patient characteristics, postnatal age at admission, total length of stay, phototherapy, intravenous fluids, exchange transfusion and kernicterus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Respiratory disease was the most common reason for admission overall, although jaundice was the most common reason for admission from home (22% home vs 5% hospital). Risk factors for admission for jaundice include male, born at 37 weeks gestation, Asian ethnicity and multiple birth. The majority of babies received only a brief period of phototherapy, and only a third received intravenous fluids, suggesting that some may be appropriately managed without separation of mother and baby. Admission from home was significantly later (3.9 days) compared with those admitted from elsewhere in the hospital (1.7 days) (p&lt;0.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Around two-thirds of term admissions for jaundice may be appropriately managed in a transitional care setting, avoiding separation of mother and baby. Babies with risk factors may benefit from a community midwife postnatal visit around the third day of life to enable early referral if necessary. We recommend further work at the national level to examine provision and barriers to transitional care, referral pathways between primary and secondary care, and community postnatal care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2017-016050","type":"journal-article","created":{"date-parts":[[2017,5,29]],"date-time":"2017-05-29T20:10:16Z","timestamp":1496088616000},"page":"e016050","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":58,"title":["Term admissions to neonatal units in England: a role for transitional care? A retrospective cohort study"],"prefix":"10.1136","volume":"7","author":[{"given":"Cheryl","family":"Battersby","sequence":"first","affiliation":[{"name":"Neonatal Data Analysis Unit, Imperial College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Michaelides","sequence":"additional","affiliation":[{"name":"School of Health and Education, Department of Midwifery, Middlesex University, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Upton","sequence":"additional","affiliation":[{"name":"Maternity and Newborn, NHS Improvement, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet M","family":"Rennie","sequence":"additional","affiliation":[{"name":"Neonatal Unit, University College London Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,5,29]]},"reference":[{"key":"2025121514390398000_7.5.e016050.1","doi-asserted-by":"publisher","DOI":"10.1891\/1058-1243.23.4.211"},{"key":"2025121514390398000_7.5.e016050.2","unstructured":"BAPM. Categories of care secondary categories of care, 2011. http:\/\/www.bapm.org\/publications\/documents\/guidelines\/CatsofcarereportAug11.pdf"},{"key":"2025121514390398000_7.5.e016050.3","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2008.211"},{"key":"2025121514390398000_7.5.e016050.4","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-2915"},{"key":"2025121514390398000_7.5.e016050.5","unstructured":"National Institute for Health and Care Excellence. Jaundice in newborn babies under 28 days secondary jaundice in newborn babies under 28 days, 2010. https:\/\/www.nice.org.uk\/guidance\/cg98"},{"key":"2025121514390398000_7.5.e016050.6","unstructured":"Neonatal Data Analysis Unit. Neonatal Data Analysis Unit. https:\/\/www1.imperial.ac.uk\/neonataldataanalysis\/"},{"key":"2025121514390398000_7.5.e016050.7","unstructured":"Neonatal Data Analysis Unit. The UK National Neonatal\u00a0Collaborative Agreement. 2012 https:\/\/www1.imperial.ac.uk\/resources\/30818E69-5AD7-4752-B13C-5EDAC2034D82\/ukneonatalcollaborativecaldicottguardianagreementversion100712.pdf"},{"key":"2025121514390398000_7.5.e016050.8","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7211157"},{"key":"2025121514390398000_7.5.e016050.9","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.c2409","article-title":"Neonatal jaundice: summary of NICE guidance","volume":"340","author":"Rennie","year":"2010","journal-title":"BMJ"},{"key":"2025121514390398000_7.5.e016050.10","unstructured":"BLISS. Families kept apart: barriers to parents\u2019 involvement in their baby\u2019s hospital care. 2016 http:\/\/www.bliss.org.uk\/families-kept-apart (accessed 1 Dec 2016)."},{"key":"2025121514390398000_7.5.e016050.11","unstructured":"Department of Health. Safer maternity care: next steps towards the national maternity ambition. 2016 https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/560491\/Safer_Maternity_Care_action_plan.pdf"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2017-016050","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T22:39:12Z","timestamp":1765838352000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2017-016050"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5]]},"references-count":11,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2017,5,29]]},"published-print":{"date-parts":[[2017,5]]}},"alternative-id":["10.1136\/bmjopen-2017-016050"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2017-016050","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,5]]}}}