[Deliveries outside maternity hospitals. 5-year prospective study apropos of 150 cases]

Abstract

Deliveries outside of maternity hospitals in 1983 resulted in many high risk newborns. In 40% of cases it occurred in lower socio-economic groups and in 60% was due to lack of information with regards to recent progress in obstetrical care. The presence of regional emergency services (SAMU) and competent pediatric care, has allowed for rapid transport and medical intervention. One hundred and fifty newborns weighing between 850 and 3,790 gms were thus transported: 50% were of low birth weight, 63% born after 38 weeks gestation and 37% were premature. Hypothermia was common and details of labour were unknown. Despite rapid intervention, there were 9 deaths including 6 with severe neonatal asphyxia. Morbidity was related to socio-economic and intellectual parental levels.