[Regionalization of obstetric services and anaesthetic workload in a tertiary level perinatal unit].
OBJECTIVE
Evaluation of anaesthetic workload associated with care of high-risk pregnant women (i.e. patients transferred to a referral perinatal center).


METHODS
A case-control prospective study.


METHODS
During a three-month period, 63 women with in-utero transfer and their control counterparts (63 normal pregnancies) were prospectively followed until discharge.


RESULTS
At inclusion, high-risk patients (n = 63) were more frequently scored ASA 2 or more (21 vs 0%, p < 0.05). ASA score had increased at delivery in 8% of high-risk women and in none of controls. ICU admission (4 vs none), Caesarean delivery (57 vs 11%), preanaesthetic visit at night (41 vs 0%) and general anaesthesia (27 % versus none) were all more frequent in high-risk parturients (p < 0.05).


CONCLUSIONS
Comparison of the workload associated with high-risk patients and normal pregnant women confirms the need for increased anaesthetic staffing in referral perinatal centers and provides a basis for better understanding the distribution of anaesthetic requirements in each perinatal network.
Miliani
Y
Y
Département d'anesthésie-réanimation, hôpital Antoine-Béclère, 157, rue de la-Porte-de-Trivaux, BP 405, 92140 Clamart cedex, France.
Deruddre
S
S
Benhamou
D
D
D000328:Adult; D000768:Anesthesia, General; D000773:Anesthesia, Obstetrical; D016022:Case-Control Studies; D002585:Cesarean Section; D005260:Female; D006757:Hospital Units / Q000458:organization & administration*; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration; D018743:Perinatal Care / Q000458:organization & administration*; D011247:Pregnancy; D018566:Pregnancy, High-Risk; D011446:Prospective Studies; D012040:Regional Health Planning; D000078329:Workforce; D016526:Workload