title: [Assessment of imminence of unplanned out-of-hospital deliveries in Guadeloupe: experience of the mobile emergency and resuscitation service of Pointe-à-Pitre].
abstract: OBJECTIVE
  Medical tools to determine the imminence of unplanned out-of-hospital birth have not been validated. The main goal of this study was to analyze assessments of the imminence of these deliveries, by methods such as the Manilas score and the need to push.
  
  
  METHODS
  All calls made to the Emergency Medical Aid Service in Guadeloupe concerning risks of unplanned delivery between January 1st and June 30th 2011 were reviewed retrospectively, and 69 of the 85 cases cared for by the hospital mobile emergency unit were included.
  
  
  RESULTS
  Risks of unplanned out-of-hospital deliveries represented 1.9% of the calls during the study period. The Malinas score was used for dispatching in only 13% and was not used for intervention in any case. It was estimated that the need-to-push feeling was used for 58% (dispatching) and 54.5% (intervention) of patients. Its sensitivity, specificity and predictive values were higher than those of the Malinas score in dispatching and substantially higher in intervention.
  
  
  CONCLUSIONS
  These results argue for the development of tools for estimating the imminence of unplanned delivery. Such tools should be applicable in extra-hospital emergency situations to ensure their use in practice.
authors.affiliation: Pôle urgences soins critiques, Samu du CHU de Pointe-à-Pitre/Abymes, route de Chauvel, 97159 Pointe-à-Pitre cedex, Guadeloupe.
authors.forename: J-B
authors.initials: JB
authors.lastname: Butori
authors.affiliation: Service d'accueil des urgences, pôle urgences soins critiques, CHU de Pointe-à-Pitre/Abymes, route de Chauvel, 97159 Pointe-à-Pitre cedex, Guadeloupe.
authors.forename: O
authors.initials: O
authors.lastname: Guiot
authors.affiliation: Pôle urgences soins critiques, Samu du CHU de Pointe-à-Pitre/Abymes, route de Chauvel, 97159 Pointe-à-Pitre cedex, Guadeloupe.
authors.forename: J-L
authors.initials: JL
authors.lastname: Luperon
authors.affiliation: Service de gynécologie et obstétrique, pôle parent-enfant, CHU de Pointe-à-Pitre/Abymes, route de Chauvel, 97159 Pointe-à-Pitre cedex, Guadeloupe.
authors.forename: E
authors.initials: E
authors.lastname: Janky
authors.affiliation: Service de gynécologie et obstétrique, pôle parent-enfant, CHU de Pointe-à-Pitre/Abymes, route de Chauvel, 97159 Pointe-à-Pitre cedex, Guadeloupe; Institut national de la recherche médicale (Inserm) U1085 (IRSET), faculté de médecine, campus de Fouillole, BP 145, 97154 Pointe-à-Pitre, Guadeloupe. Electronic address: philippe.kadhel@orange.fr.
authors.forename: P
authors.initials: P
authors.lastname: Kadhel
mesh_terms: D000328:Adult; D000552:Ambulances; D036861:Delivery, Obstetric; D004630:Emergencies; D005260:Female; D019430:Guadeloupe; D006801:Humans; D007743:Labor, Obstetric; D011237:Predictive Value of Tests; D011247:Pregnancy; D011256:Pregnancy Outcome; D015203:Reproducibility of Results; D012151:Resuscitation / Q000379:methods; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D012680:Sensitivity and Specificity; D013997:Time Factors
keywords: Accouchement inopiné à domicile; Guadeloupe; Home unplanned delivery; Malinas score; Medical dispatching; Obstetrical emergency; Régulation médicale; Score de Malinas; Urgence obstétricale