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November 9, 1957


Author Affiliations


From the Surgical Clinic of the Children's Hospital of Philadelphia and the Harrison Department of Surgical Research, University of Pennsylvania School of Medicine.

JAMA. 1957;165(10):1230-1233. doi:10.1001/jama.1957.02980280004002

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The transfer of a newborn infant from one hospital to another for the correction of a life-threatening congenital anomaly should be supervised by one person, and this person should be one who appreciates the need for dispatch. A competent attendant, preferably a nurse trained in the care of newborn infants, must accompany the patient. Air travel is not dangerous to the infant if traveling incubators and adequate nursing are available. It is desirable for the father to travel with the infant and nurse and to confer with the surgeon. The nurse must be provided with means for aspirating mucus in cases of esophageal atresia and for preventing intestinal distention in cases of omphalocele, diaphragmatic hernia, intestinal obstruction, and imperforate anus. The difficulties of transferring an infant from one hospital to another are outweighed by the advantages if the latter institution has a staff or provides equipment better adapted to the requirements of the case.