Status and Analysis of the Accidental Out-of-Hospital Deliveries Transferred by Emergency Medical Service Providers.
- Author:
Si Young JUNG
1
;
Joohyun SUH
;
Myeong Il CHA
;
Koo Young JUNG
Author Information
1. Department of Emergency Medicine, Myongji Hospital, Goyang, Korea.
- Publication Type:Original Article
- Keywords:
Emergency medical services;
Delivery;
obstetric;
Neonate;
Obstetric labor complications
- MeSH:
Cardiopulmonary Resuscitation;
Constriction;
Education;
Emergencies*;
Emergency Medical Services*;
Female;
Gangwon-do;
Gyeonggi-do;
Humans;
Infant, Newborn;
Mortality;
Nuchal Cord;
Obstetric Labor Complications;
Pregnancy;
Premature Birth;
Retrospective Studies;
Suction;
Umbilical Cord
- From:Journal of the Korean Society of Emergency Medicine
2017;28(3):240-247
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Accidental out-of-hospital deliveries are generally associated with high rates of perinatal morbidity and mortality. To determine the status of accidental out-of-hospital deliveries transferred by emergency medical services (EMS), we analyzed the records of EMS runsheets in two South Korean provinces, Gyeonggi and Gangwon. METHODS: The EMS runsheets of patients who were more than 20 weeks pregnant and had delivery-related symptoms between January 2012 and December 2013 in Gyeonggi and Gangwon province were reviewed retrospectively. We analyzed the characteristics of accidental out-of-hospital deliveries by comparing these with those non out-of-hospital deliveries. RESULTS: There were 1,426 urgent dispatches during the study period. In 137 (9.6%) out-of-hospital deliveries, which took place prior to arriving at the hospital, and 48 of these were attended by EMS providers. The accidental out-of-hospital deliveries were more frequent during night time and more common among multiparous and younger age women; however, these observation was without any significance with respect to premature birth. The rate of the accidental out-of-hospital deliveries was not significantly different between rural and urban areas. Twenty cases of complication, including 10 arrests of neonates and EMS providers managed them by the following intervention: reduction of nuchal cord, umbilical cord clamping and cut, warming-up of and stimulating the neonates warms, using oropharyngeal suction, O₂ supplication, and neonatal cardiopulmonary resuscitation. CONCLUSION: As the rate of accidental out-of-hospital deliveries in patients who were transferred by EMS is higher than the rate of out-of-hospital deliveries in general, EMS providers should be fully trained. Moreover, there is the need for more completive records and continuous education.
