{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T11:55:56Z","timestamp":1786449356383,"version":"build-2736575974"},"reference-count":14,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,2,5]],"date-time":"2022-02-05T00:00:00Z","timestamp":1644019200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Obstetrics and Gynecology International"],"published-print":{"date-parts":[[2022,2,5]]},"abstract":"<jats:p>Objective. To evaluate the maternal demographics, incidence, perinatal outcomes, and characteristics of babies born before arrival (BBAs) to hospitals. Methods. A prospective, observational study was conducted at a large maternity unit in Durban, KwaZulu-Natal. A total of 200 mothers who attended the hospital within 24 hours of an out-of-hospital birth were recruited and interviewed, and 142 participants were eligible. A total of 128 mothers who delivered their babies in hospital (inborns) were used as the control group. Specific maternal and neonatal characteristics were analysed. Results. The incidence of BBAs was 2.2%. The percentage of premature neonates in the BBA group was 54% vs 17.9% for inborns (<jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>p<\/a:mi>\n                        <a:mo>\u2264<\/a:mo>\n                        <a:mn>0.001<\/a:mn>\n                     <\/a:math>\n                  <\/jats:inline-formula>). A total of 33.8% of BBA mothers were unbooked vs 2.4% of inborns (<jats:inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mi>p<\/c:mi>\n                        <c:mo>\u2264<\/c:mo>\n                        <c:mn>0.001<\/c:mn>\n                     <\/c:math>\n                  <\/jats:inline-formula>). The majority (59%) of inborns were primigravidas whereas the majority (73.9%) in the BBA group were multigravidas (<jats:inline-formula>\n                     <e:math xmlns:e=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                        <e:mi>p<\/e:mi>\n                        <e:mo>\u2264<\/e:mo>\n                        <e:mn>0.001<\/e:mn>\n                     <\/e:math>\n                  <\/jats:inline-formula>). Women in the BBA group were more prone to genital tears (<jats:inline-formula>\n                     <g:math xmlns:g=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\">\n                        <g:mi>p<\/g:mi>\n                        <g:mo>\u2264<\/g:mo>\n                        <g:mn>0.001<\/g:mn>\n                     <\/g:math>\n                  <\/jats:inline-formula>). There were no significant differences in respect of NICU admission and all-cause mortality; however, an increased risk for hypothermia and hypoglycaemia was found. Conclusion. BBAs are at a significant risk of prematurity, low birth weight, hypothermia, and hypoglycaemia and are prone to longer hospital stays.<\/jats:p>","DOI":"10.1155\/2022\/2316490","type":"journal-article","created":{"date-parts":[[2022,2,5]],"date-time":"2022-02-05T19:50:05Z","timestamp":1644090605000},"page":"1-5","source":"Crossref","is-referenced-by-count":4,"title":["Perinatal Outcomes in Babies Born before Arrival at Prince Mshiyeni Memorial Hospital in Durban, South Africa"],"prefix":"10.1155","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3368-777X","authenticated-orcid":true,"given":"M.","family":"Jenneker","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, School of Clinical Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N. R.","family":"Maharaj","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, School of Clinical Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa"},{"name":"Department of Obstetrics and Gynaecology, Prince Mshiyeni Memorial Hospital, Umlazi, Durban, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.7196\/sajch.681"},{"key":"2","first-page":"108","article-title":"An obstetric and neonatal study on unplanned deliveries before arrival at hospital","volume":"23","author":"M. R. Di Benedetto","year":"1996","journal-title":"Clinical & Experimental Obstetrics & Gynecology"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1994.02170020033005"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-10-30"},{"key":"5","volume-title":"Saving Babies Report 2012-2013: Ninth Report on Perinatal Care in South Africa","author":"R. Pattinson","year":"2014"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.7196\/sajch.493"},{"key":"7","volume-title":"United Nations Sustainable Developmental Goals","year":"2015"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1991.tb10312.x"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1177\/000992289503400604"},{"key":"10","first-page":"377","article-title":"Born before arrival. A study at the new somerset hospital, cape town","volume":"66","author":"P. C. Potter","year":"1984","journal-title":"South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-017-1580-5"},{"key":"12","doi-asserted-by":"crossref","first-page":"139","DOI":"10.7196\/sajch.671","article-title":"Outcomes of babies born before arrival at a tertiary hospital in Johannesburg, South Africa","volume":"7","author":"M. K. Bassingwaighte","year":"2013","journal-title":"S Afr J Child Health"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-015-0684-z"},{"issue":"3","key":"14","first-page":"125","article-title":"Maternal anaemia during pregnancy and infant low birth weight: a systematic review and meta-analysis","volume":"15","author":"S. Rahmati","year":"2017","journal-title":"International Journal of Reproductive Biomedicine"}],"container-title":["Obstetrics and Gynecology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/ogi\/2022\/2316490.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ogi\/2022\/2316490.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ogi\/2022\/2316490.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,5]],"date-time":"2022-02-05T19:50:11Z","timestamp":1644090611000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/ogi\/2022\/2316490\/"}},"subtitle":[],"editor":[{"given":"Yoshitsugu","family":"Chigusa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2022,2,5]]},"references-count":14,"alternative-id":["2316490","2316490"],"URL":"https:\/\/doi.org\/10.1155\/2022\/2316490","relation":{},"ISSN":["1687-9597","1687-9589"],"issn-type":[{"value":"1687-9597","type":"electronic"},{"value":"1687-9589","type":"print"}],"subject":[],"published":{"date-parts":[[2022,2,5]]}}}