[Transfer of a very low birth weight newborn infant to the intensive therapy center at birth. Transfer "in utero" or after delivery?]. / Il trasferimento del neonato di peso molto basso alla nascita al centro di terapia intensiva. Trasferimento "in utero" o dopo il parto?

During the 1975-1984 period, 93 infants weighing 1500 g or less were transferred to the Magenta Perinatal Center Hospital. The survival rate at discharge was 82.9% for infants transferred in utero and 63.5% for infants transferred postnatally (p less than 0.05). The incidence of major neurological sequelae was 3.1% and 23.3% respectively (p less than 0.02). This experience confirms that the high risk pregnancies should be referred to the Perinatal Center for optimal care of the mother, fetus and newborn infant.