Background:Postnatal transfer (PT) is interhospital transport
of care-needing newborns. In 2016, a perinatal network was implemented to facilitate PT in the
town of Douala, Cameroon. The network was supposed to improve PT-related care
standards. This study aimed at determining characteristics of PT five years
following the implementation of this network. Methods: A cross-sectional
study was carried out from February to May 2021 at neonatology wards of six
hospitals in Douala. Medical records of newborns transferred to the hospitals
were scrutinized to document their characteristics. Parents were contacted to
obtain information on PT route and itinerary. Data were analyzed using Epi Info
software and summarized as percentages, mean and odds ratio. Results: In
total, 234 of the 1159 newborns admitted were transferred, giving a PT
prevalence of 20.2% (95%CI 17.9% - 22.6%). Male-to-female ratio of the transferred newborns was 1.3.
Neonatal infection (26.5%), prematurity (23.5%) and respiratory distress
(15.4%) were the main reasons for transfer. Only 3% of the PT w
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