In-Flight Breech Delivery in Finnish Lapland

Pulkkinen, Ilkka; Pirnes, Jari

doi:10.1016/j.amj.2014.04.005

Cited by 3 publications

(1 citation statement)

References 10 publications

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“… 46 A review of in-flight deliveries in Finland revealed one in a fixed wing aircraft in 1939 and a breech delivery in a helicopter in 2013. 47 There was no information on how many pregnant women were transported by air in Finland between 1939 and 2013. A 2-year assessment of air transport of obstetrical patients to Halifax Nova Scotia documented 121 flights with no in-flight deliveries.…”

Section: Births Before Arrivalmentioning

confidence: 99%

Maternal Transport, What Do We Know: A Narrative Review

Barnes,

Sutliff,

Wendel

et al. 2024

IJWH

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Objective This review examines the initial development of a transport system for neonates, followed by a subsequent evolution of a transportation system for the maternal/fetal unit, and then a maternal transport system (antepartum, intrapartum, and postpartum) to specifically address maternal morbidity/mortality. Methods A literature search was undertaken using the electronic databases PubMed, Embase, and CINAHL. The search terms used were “maternal transport” AND “perinatal care” OR “labor” “obstetrics” OR “delivery”. The years searched were 1960–2023. Results There were 260 abstracts identified and 52 of those are the basis of this review. The utilization of a transportation system with the regionalization of levels of care has resulted in a significant reduction in neonatal, perinatal, and maternal morbidity and mortality. Although preterm delivery remains a concern in women transported, the number of deliveries that have occurred during transport is relatively small. Reimbursement for transportation continues to be a problem in several states. Conclusion A state-of-the-art transportation system has evolved that transfers neonates, maternal/fetal dyad, and pregnant women (antepartum, intrapartum, postpartum) to the appropriate level of care facility to ensure the best maternal/fetal/neonatal outcomes.

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Section: Births Before Arrivalmentioning

confidence: 99%

Maternal Transport, What Do We Know: A Narrative Review

Barnes,

Sutliff,

Wendel

et al. 2024

IJWH

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Birth in Aerial Transit: Be Prepared, It Does Happen

Shepherd

2020

Air Medical Journal

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

Hill,

Miles,

Flanagan

et al. 2024

Preprint

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Objective Emergency ambulance services attend a wide array of medical and trauma patients. Infrequently, this includes imminent or out-of-hospital births (OOHBs). There is a paucity of research pertaining to OOHBs. This scoping review explores emergency ambulance clinician involvement with OOHBs, and patient and clinician experiences with birthing in the out-of-hospital setting. Design Scoping review; two reviewers independently determined inclusion using the Joanna Briggs Institute framework and participant, concept, context criteria. Methods CINAHL, Embase, Medline, Web of Science, and Wiley Online were searched from database inception until 20 February 2024. Articles discussing an unplanned OOHB, or a planned home birth with complications where an emergency ambulance was required were included. Results Sixty-three articles were included for review. The majority (n=36) involved retrospective research. Most articles were published since 2015 (n=38), with the highest contributing countries being USA (n=17) and Australia (n=13). Risks factors for OOHBs were varied with maternal age or being multigravida/multiparous often cited. Ninety-nine complications were described in the literature ranging from relatively minor ailments such as nausea and vomiting through to life-threatening situations such as maternal or neonatal cardiac arrest. The most common management/interventions reported were assisting with birth, maternal intravenous cannulation, and medication administration. Birth parents, partners and clinicians all describe OOHBs as anxiety-provoking but joyous when a healthy neonate is born. The OOHB experience is enhanced for patients when clinicians communicate well, while those who appeared inexperienced increased patient anxiety. OOHBs experience many challenges to optimal care, falling under the broad categories of; emergency ambulance clinicians desiring additional education and training; communication and collaboration difficulties; environmental issues; technology and aids; and other; limitations. Conclusion OOHBs are rare events requiring expert assistance to optimise patient outcomes. There remains significant challenges to unplanned OOHBs; ongoing training and skill competency is required to improve patient safety and clinician confidence.

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In-Flight Breech Delivery in Finnish Lapland

Cited by 3 publications

References 10 publications

Maternal Transport, What Do We Know: A Narrative Review

Maternal Transport, What Do We Know: A Narrative Review

Birth in Aerial Transit: Be Prepared, It Does Happen

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

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