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EDITOR
Parmanum et al documented the number of maternal and neonatal
transfers occurring from referral centres in the United Kingdom during
a specified three month period.1 They attempt to give some
epidemiological perspective to the observed numbers, but the
denominator that they used to calculate the rate per 1000 deliveries,
at least in Wessex, is the total number of deliveries in the whole
region rather than the number occurring in Southampton, which was the
centre involved in the study.
The university hospital in Southampton provides several tertiary services relating to neonates, but the neonatal medical unit is not funded as a regional referral centre. Most of the neonatal intensive care within Wessex takes place in the nine district general hospitals in the region, all of which offer level 1 neonatal intensive care.
A more representative denominator, therefore, would be the number of
deliveries taking place within Southampton
4837 during the