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Database - Alliance francophone pour l'accouchement respecté (AFAR)

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Created on : 09 Oct 2008
Modified on : 14 Jan 2018

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Bibliographical entry (without author) :

A retrospective study of unplanned out-of-hospital deliveries. Archives of Gynecology and Obstetrics Volume 269, Number 2 / January, 2004 10.1007/s00404-002-0426-0 85-88

Author(s) :

Eyal Sheiner , Reli Hershkovitz, Ilana Shoham-Vardi, Offer Erez, Amnon Hadar and Moshe Mazor

Year of publication :


URL(s) :…

Résumé (français)  :

Abstract (English)  :

Abstract. Our objective was to determine maternal characteristics and perinatal outcome of unplanned unattended deliveries en route to the hospital in comparison to unplanned deliveries attended by medical personnel within the parking facility of the hospital. All singleton deliveries occurring between 1988 and 1999 were analyzed from the computerized perinatal database. Maternal characteristics and pregnancy outcome of unattended, unplanned out-of-hospital births were compared with unplanned deliveries in the hospital parking lot, with the assistance of medical personnel. Out of 2328 out-of-hospital deliveries, 5.7% (n=133) were managed by medical personnel in the parking lot and 94.3% (n=2195) occurred en route to the hospital. The birth weight of newborns from the attended out-of-hospital delivery group was significantly higher than the comparison group (3126.2±516 g vs. 3019±522 g; P=0.023). A significant linear association was found between birth weight and attended out-of-hospital births (Mantel-Haenszel test for linear association; P=0.002). Moreover, these newborns were significantly more likely to be large for gestational age (OR=2.2, 95% CI 1.2–3.9; P=0.004). Parturients who delivered in the parking lot with the assistance of medical personnel, had significantly higher rates of grade 2 perineal tears (OR=8.4, 95% CI 1.1–5.4; P=0.041). Perinatal mortality was non-significantly higher among attended out-of-hospital deliveries (OR=2.8, 95% CI 0.8–8.3; P=0.279) as compared to unattended out-of-hospital deliveries. The attendance of medical personnel in unplanned out-of-hospital deliveries did not influence the birth outcome.

Sumário (português)  :

Comments :

Argument (français) :

dans une étude comparative sur les accouchements impromptus survenus hors hôpital et sur le parking de l’hôpital avec une aide des équipes médicales, les patientes ayant accouché sur le parking ont des taux significativement plus élevés de lésions périnéales du 2e degré. La présence de personnel médical lors des accouchements hors hôpital n’en a pas changé l’issue.

Argument (English):

Argumento (português):

Keywords :

➡ midwifery training ; place of birth ; perineal/vaginal tears ; midwife

Author of this record :

Emmanuelle Phan — 09 Oct 2008
➡ latest update : Bernard Bel — 14 Jan 2018

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