Suspected Labour as a Reason for Emergency Medical Services Team Interventions in Poland—A Retrospective Analysis

Rzońca, Ewa; Bień, Agnieszka; Wejnarski, Arkadiusz; Gotlib, Joanna; Bączek, Grażyna; Gałązkowski, Robert; Rzońca, Patryk

doi:10.3390/healthcare10010049

Cited by 4 publications

(3 citation statements)

References 45 publications

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“…To the authors' knowledge, no prior studies in Poland, except for one describing the actual rate of deliveries attended by EMS, explored this aspect. 9 The choice of birthplace is a subject of ongoing discussion among various organizations and associations in many countries, as is defining the necessary conditions and criteria for qualifying pregnant individuals for a planned home or hospital birth. The Polish Society of Gynecologists and Obstetricians (Polskie Towarzystwo Ginekologów i Położników (PTGiP)) has not formulated a clear position on home births.…”

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%

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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“…The most common procedures that emergency medical teams perform during intervention cases of pregnant women are pulse oximetry, medical history, and blood pressure measurement [25]. These are the typical actions taken to assess vital functions in any patient in an EMS operation.…”

Section: Discussionmentioning

confidence: 99%

EMS Interventions during Planned Out-of-Hospital Births with a Midwife: A Retrospective Analysis over Four Years in the Polish Population

Strózik,

Wiciak,

Szarpak

et al. 2023

JCM

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Planned out-of-hospital births, facilitated by highly skilled and experienced midwives, offer expectant parents a distinct opportunity to partake in a personalized, intimate, and empowering birth experience. Many parents opt for the care provided by midwives who specialize in supporting home births. This retrospective study is based on 41,335 EMS emergency calls to women in advanced pregnancy, of which 209 concerned home birth situations documenting obstetrical emergencies over four years (January 2018 to December 2022), of which 60 involved the assistance of a midwife. Data were obtained from the Polish Central System for Emergency Medical Services Missions Monitoring, encompassing all EMS interventions in pregnant women. The most frequent reason for emergency calls for obstetrical emergencies with the assistance of a midwife was a failure to separate the placenta or incomplete afterbirth (18 cases; 30%), followed by perinatal haemorrhage (12 cases; 20%) and deterioration of the newborn’s condition (8 cases; 13%). Paramedic-staffed EMS teams conducted most interventions (43 cases; 72%), with only 17 (28%) involving the presence of a physician. Paramedics with extensive medical training and the ability to provide emergency care are in a unique position that allows them to play a pivotal role in supporting planned out-of-hospital births. The analysed data from 2018–2022 show that EMS deliveries in Poland are infrequent and typically uncomplicated. Continuing education, training, and adequate funding are required to ensure the EMS is ready to provide the best care. EMS medical records forms should be adapted to the specific aspects of care for pregnant patients and newborns.

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“…-medical rescue teams (ZRM) -land (ambulances), air (Polish Medical Air Rescue) and water, -hospital emergency departments [5,6,7,8,9]. There is also a second division of the PRM system, which includes government administration bodies, i.e., the Ministry of Health and voivodes.…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Intervention of Emergency Medical Teams in Lodz in 2020

Skorzycka,

Kunert,

Krakowiak

et al. 2023

Journal of Health Study and Medicine

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Background The main task of the State Medical Rescue System is to provide assistance to every person who faces a sudden health emergency or threat to life. This is provided through Medical Rescue Teams, the analysis of which will allow us to take a closer look at their characteristics and indicate possible areas for improvement. Objectives The purpose of this study is to research the functioning of Medical Rescue Teams in Łódź in 2020, including determining the number, type, reasons and legitimacy of interventions, and detailing the characteristics of patients, place of events, time of departure, time of arrival at the scene and the number and type of trips. Material and methods The material consists of 72,749 trips carried out by Medical Rescue Teams in Łódź in 2020. The obtained results were statistically analyzed using the Statistica v. 13.3 program, where the χ2 test was used to determine the relationship between the variables. A significance level of p<0.05 was assumed. The statistical analysis shows that 72,749 trips were carried out by Medical Rescue Teams in Łódź in 2020, 89% of which were “P” type, and 11% “S” type. Results Most of the interventions (emergency callouts) were visits to women and to the elderly (those in the 60+ age category). Teams were usually dispatched in the departure urgency code “1”. The most common places to which emergency teams were sent were patients’ homes and public places. Ambulances were more often called for patients who were not in a state of emergency than for those who were. The most common reasons for requesting help were symptoms, disease features, cardiovascular diseases, injuries and poisonings. Conclusions Noting the high percentage of calls to patients who did not have a sudden threat to life or health – educational activities should be carried out to promote and increase awareness of the reasons for calling emergency medical teams.

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Suspected Labour as a Reason for Emergency Medical Services Team Interventions in Poland—A Retrospective Analysis

Cited by 4 publications

References 45 publications

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

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

EMS Interventions during Planned Out-of-Hospital Births with a Midwife: A Retrospective Analysis over Four Years in the Polish Population

Analysis of the Intervention of Emergency Medical Teams in Lodz in 2020

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