Key Points Question Have neonatal intensive care resources at hospitals where infants born extremely preterm are delivered changed over the past decade? Findings In this cohort study including 357 181 infants… Click to show full abstract
Key Points Question Have neonatal intensive care resources at hospitals where infants born extremely preterm are delivered changed over the past decade? Findings In this cohort study including 357 181 infants born at 22 to 29 weeks’ gestation between 2009 and 2020, births at neonatal intensive care units (NICUs) with lower levels of care or lower birth volumes increased, while births at NICUs with higher levels of care or higher birth volumes decreased. Meaning The findings of this study suggest increasing deregionalization of extremely preterm birth.
               
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