Observatory of Unintentional Births Hospital Extras

Study Overview
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Brief Summary
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In France, pre-hospital unexpected birth is a rare situation, but over the last ten years, the investigators have seen an increase in the number of these. For this, the investigators realize an observatory of these deliveries and their care from the call for help and the investigators continue the follow-up and the future of patients and newborns until J7 postpartum.

Detailed Description
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As a result, the investigators also found a very high variability in the number of deliveries per month for the EMS 34 and the SSSM of the SDIS 34, which can reach up to 11 deliveries per month (May 2014 example). Formalized expert recommendations were published in 2010 by SFAR, which then led to the establishment of a national observatory for IEA at the end of 2011, in which the investigators have been participating for 4 years. Currently the national database lists 2000 unannounced deliveries including 230 in the Hérault. This observational study allows us to evaluate the management of these patients and newborns, the risks and needs of pre-hospital teams, including the need for reinforcement and expertise of midwives. The investigators can also assess mortality and morbidity, as well as the extension of hospital stays beyond J7

Official Title
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Observatory of Unintentional Births Hospital Extras in Hérault

Conditions
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Unexpected Delivery Outside Maternity

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Unexpected delivery outside maternity, presence of a medical team during the care Exclusion Criteria: Absence of medicalization
Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| number of unexpected hospital deliveries (AIE) | Estimate the impact of non-maternal AIE by the SMUR and the SSM in the department of Héraul, and compare it to the national overall activity | DAY 0 TO DAY 7 TO DELIVRERY | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Method of taking care of unannounced extra hospital deliveries | Method of taking care of unannounced extra hospital deliveries | DAY 0 TO DAY 7 POST DELIVRERY | 
| Difficulties during an unexpected delivery outside maternity | Identify the difficulties during an unexpected delivery outside maternity | DAY 0 TO DAY 7 POST DELIVRERY | 
| Risks during an unexpected delivery outside maternity | Identify the risks during an unexpected delivery outside maternity | DAY 0 TO DAY 7 POST DELIVRERY | 
| Possible immediate complications during an unexpected delivery outside maternity | Identify the possible immediate complications during an unexpected delivery outside maternity | DAY 0 TO DAY 7 POST DELIVRERY | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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obstetrics, pre-hospital emergencies unannounced delivery outside maternity,, mortality-morbidity, reinforcement midwife in pre-hospital