Accidental out-of-hospital deliveries: a case-control study

Aim To determine risk factors for accidental out‐of‐hospital deliveries (OHDs), which represent 0.5% of live births in France and are associated with poor neonatal outcomes. Methods This retrospective case–control study assessed accidental OHDs that occurred in the Finistère District (Brittany, Fran...

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Bibliographic Details
Published in:Acta Paediatrica 2013-04, Vol.102 (4), p.e174-e177
Main Authors: Renesme, L, Garlantézec, R, Anouilh, F, Bertschy, F, Carpentier, M, Sizun, J
Format: Article
Language:English
Subjects:
Accidental out-of-hospital delivery
Adolescent
Adult
Birth Certificates
Case-Control Studies
Family Characteristics
Female
France
Gestational Age
Health Services Accessibility
Home-to-delivery unit distance
Humans
Infant, Newborn
Life Sciences
Maternal Age
Multivariate Analysis
Neonatal outcome
Parturition
Pregnancy
Pregnancy Outcome - epidemiology
Prenatal Care - standards
Prenatal Care - statistics & numerical data
Retrospective Studies
Risk factor
Risk Factors
Santé publique et épidémiologie
Unemployment
Young Adult
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Summary:Aim To determine risk factors for accidental out‐of‐hospital deliveries (OHDs), which represent 0.5% of live births in France and are associated with poor neonatal outcomes. Methods This retrospective case–control study assessed accidental OHDs that occurred in the Finistère District (Brittany, France) between January 2007 and December 2009. For each OHD case, two controls were randomly selected. Outcome measures included maternal demographics, obstetric characteristics and neonatal outcomes. Results During the study period, accidental OHDs accounted for 0.42% of all births; 76 accidental OHDs were included in the analysis. Multivariate analysis found four independent risk factors for accidental OHD: multiparity [OR: 8.84 (3.22–24.29)], unemployment [OR: 4.99 (1.85–13.47)], lack of or poor antenatal care [OR: 9.00 (2.41–33.72)] and a travel time >45 min from home to the delivery unit [OR: 6.18 (1.33–28.65) versus 
ISSN:0803-5253
1651-2227
DOI:10.1111/apa.12156