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The overall transfer rate was 77.0%. Patient consultations conducted using telemedicine were significantly less likely to result in a transfer than patient consultations conducted using the telephone (64.0% vs 82.0%, p=0.001). After controlling for 5-minute Apgar score, birthweight, gestational age, site of consultation, and transport risk index of physiologic stability (TRIPS-II) score, the odds of transfer for telemedicine consultations was 0.48 (95% CI 0.26,0.90, p=0.02). CONCLUSION Our findings suggest that telemedicine may have th