ArticleBMC pregnancy and childbirth2018
Epidemiology of unplanned out-of-hospital births attended by paramedics.
Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 61 citations in OpenAlex.
- Unplanned out-of-hospital deliveries: Insights from 3473 births of a 13-year prospective cohort study in France.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Emergency medical team interventions involving pregnant patients of the Warmian-Masurian Voivodeship (Poland) in 2020-2022.BMC pregnancy and childbirth · 2026Article
- Resuscitative Efforts by Emergency Medical Services for Neonates Within the First Six Hours of Life: A Nationwide Cross-Sectional Analysis.Pediatric emergency care · 2026Article
- When Every Minute Counts: Predicting Pre-Hospital Deliveries and Neonatal Risk in Emergency Medical Services Using Data-Driven Models.Journal of clinical medicine · 2026Article
- Frequency and Factors Associated with Patient Safety Events During Prehospital Obstetric Emergencies.Prehospital emergency care · 2026Article
- Disparities in Access to the Northwest Ambulance Service during pregnancy, birth and postpartum period and its association with neonatal and maternal outcomes [DiAAS]: a retrospective cohort study and qualitative framework analysis.BMC pregnancy and childbirth · 2025Article
- Navigating emotions, communication, and pain during prehospital labour: a mixed-methods survey with emergency ambulance services.BMC emergency medicine · 2025Article
- Out-of-hospital births and the experiences of emergency ambulance clinicians and birthing parents: a scoping review of the literature.BMJ open · 2025Article
- Uterotonic Drugs in Prevention and Management in Postpartum Haemorrhage in Prehospital Deliveries-A Systematic Review.Healthcare (Basel, Switzerland) · 2025Review
- Evaluation of a new out-of-hospital newborn life support (OH-NLS) course in the UK South West region: a mixed-methods survey study.British paramedic journal · 2024Article
- Epidemiology of Emergency Medical Services-Attended out-of-Hospital Deliveries and Complications in the United States.Prehospital emergency care · 2024Article
- EMS Interventions during Planned Out-of-Hospital Births with a Midwife: A Retrospective Analysis over Four Years in the Polish Population.Journal of clinical medicine · 2023Article
- Childbearing with Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders: A Large International Survey of Outcomes and Complications.International journal of environmental research and public health · 2023Article
- Article
- Displaced risk. Keeping mothers and babies safe: a UK ambulance service lens.British paramedic journal · 2023Article
- Midwives' experiences with accompaniment service work in Norway: A qualitative study.European journal of midwifery · 2023Article
- Research protocol for delivering on the front line: a qualitative exploration of paramedics' experiences of providing pre-hospital maternity care in the United Kingdom.British paramedic journal · 2022Article
- Out-of-hospital births and the experiences of emergency ambulance clinicians and birthing parents: a scoping review protocol.BMJ open · 2022Article
- Article
- Suspected Labour as a Reason for Emergency Medical Services Team Interventions in Poland-A Retrospective Analysis.Healthcare (Basel, Switzerland) · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOver the previous two decades the incidence and number of unplanned out of hospital births Victoria has increased. As the only out of hospital emergency care providers in Victoria, paramedics would provide care for women having birth emergencies in the community. However, there is a lack of research about the involvement of paramedics provide for these women and their newborns. This research reports the clinical profile of a 1-year sample caseload of births attended by a state-wide ambulance service in Australia.
methodsRetrospective data previously collected via Victorian Ambulance Clinical Information System (VACIS ®) an in-field electronic patient care record was provided by Ambulance Victoria. Cases were identified via a comprehensive filter, and analysed using SPSS version 19.
resultsOver a 12-month period paramedics attended 324 out-of-hospital births including 190 before paramedics' arrival. Most (88.3%) were uncomplicated precipitous term births. However, paramedics documented various obstetric complications including postpartum haemorrhage, breech, cord prolapse, prematurity and neonatal death. Furthermore, nearly one fifth (16.7%) of the women had medical histories that had potential to complicate their clinical management, including taking illicit or prescription drugs. Mothers were more likely to be multiparas. Births were more likely to occur between 2200 and 0600 h. Paramedics performed a range of interventions for both mothers and babies.
conclusionsParamedics provided emergency care for prehospital out-of-hospital births. Although most were precipitous uneventful births at term, paramedics used complex obstetric assessment and clinical skills. These findings have implications for paramedic clinical practice and education around management of unplanned out of hospital births.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.