Emergency medical technicians' experiences with unplanned births outside institutions: A qualitative interview study

Vagle, Hanne; Haukeland, Gunn Terese; Dahl, Bente; Aasheim, Vigdis; Vik, Eline Skirnisdottir

doi:10.1002/nop2.354

Cited by 17 publications

(27 citation statements)

References 33 publications

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“…The observations made by McLelland et al (2018) in their study are also important in this respect, including the observation that all information is given by the pregnant patient voluntarily and therefore paramedics can only document the information with which the patient provides them [ 20 ]. It should be noted that assistance with the delivery of a baby is a relatively rare event in the daily practice of EMS teams [ 24 , 41 , 42 ], as also confirmed by our findings.…”

Section: Discussionsupporting

confidence: 89%

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

et al. 2021

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The purpose of this study was to present the characteristics of Emergency Medical Services (EMS) team responses to calls regarding suspected labour in out-of-hospital settings in Poland. We performed a retrospective analysis of EMS team interventions in cases of suspected onset of labour outside a hospital setting. The analysis included 12,816 EMS team responses to calls regarding women in suspected labour in the period between January 2018 and December 2019. The mean age of the patients studied was 28.24 years (SD = 6.47). The majority of patients were at term (76.36%) and in their second pregnancy (29.96%). EMS teams were most often dispatched in the summer (25.95%) and in urban areas (63.26%). Most EMS teams were basic (68.99%) and interventions most often took place between 19:00 and 06:59 (63.14%). Significant differences were observed between preterm and term pregnant women attended by EMS teams in terms of variables such as the age of the patient, number of previous labours, history of miscarriage, presence of vaginal bleeding, time of year, location of call, type and composition of EMS team dispatched, urgency code and time of call, duration of intervention, selected emergency medical procedures performed and test results.

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Section: Discussionsupporting

confidence: 89%

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

et al. 2021

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“…Compared to the host population, Somali women have been identified with increased risk of a range of adverse outcomes, such as caesarean section 6 and stillbirth 6 , 7 . A poor pregnancy outcome in migrant women may depend on a range of factors, including language barriers 3 , lack of trust in the healthcare system 8 , incomplete medical records 3 , giving birth unplanned out-of-hospital 9 , or poor health literacy 10 . There is a need for addressing inequity in maternity care in Europe, especially in relation to migrant women 3 , 7 .…”

Section: Introductionmentioning

confidence: 99%

Migrant Somali women’s experiences with their first contact with the labor ward prior to admission: A qualitative study

Vik¹,

Hashi²,

Hamud³

et al. 2022

Eur J Midwifery

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INTRODUCTIONThe first contact with the labor ward is a crucial moment in any birth and can be especially challenging when the woman has a migrant background. The aim of the study was to explore migrant Somali women's experiences with their first contact with the labor ward prior to admission, in Norway. METHODS In this qualitative study, data were collected through semi-structured individual interviews and Systematic Text Condensation was the method used to analyze the data. Ten Somali-born women who had given birth in Norway were included. RESULTS The migrant Somali women's first contact with the labor ward prior to admission was challenging, due to one-way communication, poor health literacy, and a fear of interventions or adverse outcomes. To improve care, the migrant Somali women highlighted a need for: 1) flexibility, tailored information and practical guidance before birth; and 2) face-to-face assessment in early labor. CONCLUSIONS The findings in this study indicate that the needs of laboring migrant Somali women are not fully met by antenatal or pre-hospital maternity care services. To improve the critical first contact with the labor ward for migrant Somali women, this study suggests that antenatal care services offer practical guidance on whom to contact and what to expect at the hospital in early labor. Face-to-face assessment of maternal and fetal well-being should be the first choice of care for Somali women in early labor who are unfamiliar with the healthcare system after immigration. Interpretation services need strengthening and our findings support a need for increased continuity of care.

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“…Both birth parents and emergency ambulance clinicians have described some unplanned OOHBs as traumatic, requiring psychological support following their experiences 9 16. Excluding planned home births under the care of midwives, birth parents and neonates born in the prehospital environment are at increased risk of adverse outcomes in comparison to their counterparts born in hospital 17 18. The most common maternal consequences are a prolonged placental birth (third stage) and postpartum haemorrhage, which may necessitate a blood transfusion 10.…”

Section: Introductionmentioning

confidence: 99%

“…The most common maternal consequences are a prolonged placental birth (third stage) and postpartum haemorrhage, which may necessitate a blood transfusion 10. For the neonate, hypothermia is the leading complication8 10 17 and neonatal mortality rates have been shown to be significantly higher for unplanned OOHBs 17 18…”

Section: Introductionmentioning

confidence: 99%

Out-of-hospital births and the experiences of emergency ambulance clinicians and birthing parents: a scoping review protocol

et al. 2022

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IntroductionEmergency ambulance clinicians attend a wide range of prehospital emergencies, including out-of-hospital births (OOHBs). Intrapartum care comprises approximately 0.05% of emergency medical services’ caseload, with only ~10% of intrapartum cases progressing to birth in emergency ambulance clinician care. However, this low exposure rate potentially allows obstetric clinical skills and knowledge to decay, which may impact on patient care. Additionally, unplanned OOHBs are known to have a higher incidence of complications and adverse outcomes than their counterparts born in hospital, such as postpartum haemorrhage or hypothermia. This scoping review will explore OOHBs and associated complications in emergency ambulance clinician care, investigate birth parent, significant partner and clinician experiences regarding OOHBs, and consider barriers and challenges to optimal patient care, to identify future research opportunities and associated knowledge gaps for this patient cohort.Methods and analysisThis scoping review will follow the nine-step methodological framework suggested by the Joanna Briggs Institute and use the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. Five electronic databases (MEDLINE via EBSCO, CINAHL, Embase, Web of Science and Wiley Online) will be searched to identify articles for inclusion. The ‘participant, concept, context’ criteria will be used to identify suitable search words regarding OOHBs in emergency ambulance clinician care. The review will include peer-reviewed and preprint literature. Two reviewers will independently assess articles based on title and abstract for inclusion in the review. Data will be charted using a data extraction tool for consistency and provide a succinct descriptive summary of the results.Ethics and disseminationThis study does not require ethical review as all the information obtained will come from publicly available resources. Results will be disseminated via a peer-reviewed publication. This scoping review is preregistered with the Open Science Framework (https://osf.io/ta35q).

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Emergency medical technicians' experiences with unplanned births outside institutions: A qualitative interview study

Cited by 17 publications

References 33 publications

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

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

Migrant Somali women’s experiences with their first contact with the labor ward prior to admission: A qualitative study

Out-of-hospital births and the experiences of emergency ambulance clinicians and birthing parents: a scoping review protocol

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