Bleeding during pregnancy as a reason for interventions by emergency medical services teams in Poland

Rzońca, Ewa; Bień, Agnieszka; Gotlib, Joanna; Gałązkowski, Robert

doi:10.26444/aaem/138158

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…Our study is the first retrospective analysis of all calls registered by the National Monitoring Center of Emergency Medical Services in Poland, which has allowed for gathering reliable data on EMS team interventions in cases of women with suspected miscarriage. Moreover, it complements our previous study on vaginal bleeding in pregnant women as a reason for EMS team intervention [28].…”

Section: Discussionsupporting

confidence: 72%

Suspected Miscarriage in the Experience of Emergency Medical Services Teams—Preliminary Study

Rzońca

Bień

Bączek

et al. 2021

IJERPH

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Vaginal bleeding and abdominal pain are symptoms indicative of a threat to pregnancy that prompt women to seek assistance from health care professionals. The purpose of the study was to present the characteristics of Emergency Medical Services (EMS) team interventions in cases of suspected miscarriage. The study involved a retrospective analysis of EMS team interventions in cases of suspected miscarriage carried out between January 2018 and December 2019 in Poland. Data obtained from Poland’s National Monitoring Center of Emergency Medical Services included emergency medical procedure records and EMS team dispatch records in electronic format. The mean patient age was 30.53 years. Most were primiparous (48.90%) and up to the 13th gestational week (76.65%). The most commonly reported symptom was vaginal bleeding (80.71%). EMS teams were most commonly dispatched in the winter (27.03%), between 7 A.M. and 6:59 P.M. (51.87%), in urban areas (69.23%), with urgency code 2 (55.60%), and in most cases, they transferred the patient to a hospital (97.53%). The present study addresses very important issues concerning the characteristics of Polish suspected miscarriage cases handled by different EMS team types, in different locations (urban vs. rural areas), and concerning patients in a different obstetric situation (gestational week, gravidity, parity). Our findings suggest a need for further studies in this field and for gestational health promotion activities to be implemented, specifically including actions to reduce the risk of vaginal bleeding during pregnancy.

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Section: Discussionsupporting

confidence: 72%

Suspected Miscarriage in the Experience of Emergency Medical Services Teams—Preliminary Study

Rzońca

Bień

Bączek

et al. 2021

IJERPH

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“…12 However, it is important to note that childbirth is unpredictable and may sometimes occur in an unplanned setting, in which case medical assistance from EMS personnel may be required. 13,14 Our study highlights deficiencies in the medical documentation maintained by emergency medical teams. It is crucial to underscore that deliveries are exceptional situations that do not occur daily, making them the most stressful emergency for EMS providers.…”

Section: Discussionmentioning

confidence: 89%

Emergency medical team interventions in Poland during out-of-hospital deliveries: A retrospective analysis

Strózik,

Wiciak,

Raczyński

et al. 2024

Adv Clin Exp Med

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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.Materials 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 2 nd pregnancy (28.26%) and delivering for the 2 nd 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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Lived experiences of Iranian prehospital emergency technicians in facing women’s emergencies: a phenomenological study

Marzaleh,

Peyravi,

Ahmadi

et al. 2024

BMC Emerg Med

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Introduction : This study aimed to investigate the work problems and challenges of male prehospital emergency technicians when faced with female medical emergencies. Given that qualitative research has not been done in this field, planning to find the weak points and improve the quality of prehospital emergency as the first line of treatment for female emergency patients, which is considered an important part of the health care system, is considered important and valuable. Therefore, this phenomenological study was conducted in 2023. Methods This study was conducted using a qualitative method of phenomenology in 2023. The environment of the research was urban and road prehospital emergency centers in Iran and the data were collected through interviews with EMS technicians. The collected data were analyzed using Smith’s approach to explain the lived experiences of EMS technicians facing female emergencies or women’s emergencies in Iran. Results All the 15 participants were men. Their mean age was 35 years, with a range of 25 to 45 years, and with a mean work experience of 10.54 years with a range of 4 to 20 years. The lived experiences of 115 emergency technicians in facing women’s emergencies in Iran were placed in four main themes cultural-social factors, organizational factors, human resources-related factors, and administrative-legal factors. Conclusion EMS personnel face various obstacles in carrying out missions related to women’s emergencies, Considering the critical nature of women’s emergencies, it is recommended that policymakers and clinical educators improve the level of community culture, communication skills, theoretical and practical training, respecting privacy, hiring female personnel, adding specialized equipment, amending and changing laws, removing road-traffic obstacles and to support personnel, patients and their families psychologically to optimize performance in women’s emergencies.

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Bleeding during pregnancy as a reason for interventions by emergency medical services teams in Poland

Abstract: Bleeding during pregnancy as a reason for interventions by emergency medical services teams in Poland. Ann Agric Environ Med.

Cited by 3 publications

References 24 publications

Suspected Miscarriage in the Experience of Emergency Medical Services Teams—Preliminary Study

Suspected Miscarriage in the Experience of Emergency Medical Services Teams—Preliminary Study

Emergency medical team interventions in Poland during out-of-hospital deliveries: A retrospective analysis

Lived experiences of Iranian prehospital emergency technicians in facing women’s emergencies: a phenomenological study

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