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Emergency medical team interventions in Poland during out-of-hospital deliveries: A retrospective analysis.
Strózik, Mateusz; Wiciak, Hanna; Raczynski, Andrzej; Smereka, Jacek.
Afiliación
  • Strózik M; 2nd Department and Clinic of Gynecology and Obstetrics, Wroclaw Medical University, Poland.
  • Wiciak H; Department of Emergency Medical Service, Wroclaw Medical University, Poland.
  • Raczynski A; 1st Department and Clinic of Gynecology and Obstetrics, Wroclaw Medical University, Poland.
  • Smereka J; Department of Emergency Medical Service, Wroclaw Medical University, Poland.
Adv Clin Exp Med ; 2024 Mar 20.
Article en En | MEDLINE | ID: mdl-38506418
ABSTRACT

BACKGROUND:

Emergency medical teams are a crucial component of healthcare systems, routinely providing essential care to pregnant patients in various situations.

OBJECTIVES:

To evaluate the rate and outcomes of out-of-hospital deliveries attended by Emergency Medical Services (EMS) in Poland and identify areas for improvement in the care provided by emergency medical teams. MATERIAL AND

METHODS:

This retrospective study was based on 41,335 EMS emergency calls to women in advanced pregnancy, of which 879 births were delivered directly by medical teams between January 2018 and December 2022. Data were obtained from the Polish National Monitoring Center for Emergency Medical Services, encompassing all EMS interventions in Poland.

RESULTS:

The study involved 879 EMS team interventions for pregnant women, with an average patient age of 29.87 years. Most patients were in their 2nd pregnancy (28.26%) and delivering for the 2nd time (25.77%). The postnatal condition of newborns, assessed using the Apgar score, was missing in 408 cases (46.52%) due to incorrect completion of documentation. Emergency Medical Services teams, predominantly P-type (basic) teams, handled 69.78% of deliveries, while S-type (specialist) teams were involved in 30.22% of cases. Medical procedures often performed during childbirth included manual assistance in spontaneous delivery, pulse oximetry, physical examination, examination of systemic blood pressure, obtaining peripheral intravenous access, and gynecological examination.

CONCLUSIONS:

Given the rate of encountered cases and the gaps identified in medical documentation, there is merit in potentially implementing a dedicated form to be completed by medical teams when caring for a pregnant patient. Ongoing training and enhancements in the range of assistance provided to the mother and newborn are imperative for ensuring appropriate care.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Adv Clin Exp Med Año: 2024 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Polonia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Adv Clin Exp Med Año: 2024 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Polonia