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They will test household dust and ambient air for the presence of those same toxins, and look for them in meconium samples and in breast milk, to see if there has been any postnatal transfer of toxic material from mother to child.
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Transfers of women prior to delivery are generally preferable because they are believed to be safer and less expensive than postnatal transfers of vulnerable infants.
On the other hand, prenatal and postnatal transfer to successive children would decrease as the amount of time between successive childbirths decreases because the body burden of the mother would have less time to recover to prepregnancy levels between births.
In contrast, the PMU women often gave several reasons, with closeness to home, ease of access, avoidance of early postnatal transfer, the atmosphere or feel of the unit most frequently mentioned.
None were excluded because of postnatal transfer since the unit is geographically very far from any other level II ou level III units (i.e., no other neonatal unit in the island of Tahiti).
Previous data are difficult to interpret because of the confounding effect of antenatal and postnatal transfer.
Another frequently mentioned reason was 'avoidance of early postnatal transfer' from the TMH (22%).
Having postnatal care experience at a PMU also contributed the decision for some, driven by the desire to avoid the early postnatal transfer and/or to repeat the quality of care and experience in the PMU.
9 For each analysis, we also report the p value for a Wald test of the overall significance of place of birth, activity level, antenatal or postnatal transfer as appropriate.
Specific mention was made of the importance of transferring women at high risk of preterm labour to a specialist centre before delivery, so reducing the number of babies requiring acute postnatal transfer.
The proportions of babies undergoing acute and late postnatal transfer in England increased significantly between epochs, from 7% (235/3248) to 12% (360/2919) and from 18% (579/3248) to 22% (640/2919), respectively (χ P<0.001) (table 3).
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