Epidemiology of Oxytocin Administration in Out-of-Hospital Births Attended by Paramedics

Schultz, Brendan V; Hall, Shonel; Parker, Lachlan; Rashford, Stephen; Bosley, Emma

doi:10.1080/10903127.2020.1786613

Cited by 2 publications

(1 citation statement)

References 15 publications

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“…In their 2021 study, Schultz et al underscored the pivotal role of active management in the 3 rd stage of labor, particularly the immediate administration of oxytocin postpartum. 23 Given the potential life-threatening implica tions of primary postpartum hemorrhage (PPH) for the mother, this practice is a standard preventive measure against it in many Polish hospitals. Analyzing Queensland Ambulance Service data, Schultz et al reported a robust 63.4% administration rate of oxytocin postpartum.…”

Section: Discussionmentioning

confidence: 99%

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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Section: Discussionmentioning

confidence: 99%