{'fraction_non_alphanumeric': 0.009395973154362415, 'fraction_numerical': 0.012080536912751677, 'mean_word_length': 5.454545454545454, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Factors contributing to outcome in newborns delivered out of hospital and referred to a teaching institution.

Non-institutional births represent a large proportion of births with adverse outcomes. A study was conducted at the Emergency Unit of Kalawati Saran Childrens Hospital New Delhi India from August-November 1999 to assess the factors contributing to outcomes in newborns delivered out of hospital and referred to tertiary care institutions. 100 neonates were assessed in terms of place of birth persons conducting delivery problems at birth reasons for referral condition of the babies at arrival time taken during transport and need for any immediate resuscitation. Overall findings demonstrated that out of a total of 100 newborns 95 were admitted while 5 were cases of neural tube defects and were referred to other centers for neurosurgical interventions. The study found that deliveries taking place outside health institutions those conducted by untrained birth attendants and inadequately qualified physicians constitute a significant proportion of mortality (21/47) as compared to those delivered in hospitals. The significant contributory factors were lower birth weight prematurity hypothermia hypoglycemia poor perfusion and longer transport time. Cyanosis and prolonged capillary filling time had the highest odds for mortality. As far as mode of transport was concerned babies were brought in by various motor vehicles and only 5 babies were transported in ambulances.