title: In-flight breech delivery in Finnish lapland.
abstract: Although medical crews may initially approach obstetric transport requests with (at least internal) trepidation, it has been shown that the risk of an in-flight delivery occurring is extremely low, even among patients considered high risk.(1-4) Nevertheless, the greatest concern of helicopter emergency medical service (HEMS) personnel remains the potential for in-flight delivery.(5) Finland is a Northern European country, with a land area almost equivalent to that of the US state of New Mexico. The Finnish HEMS system is managed by FinnHEMS, and there are 6 HEMS units in Finland. The northernmost HEMS unit, FinnHEMS 51, is based at Rovaniemi Airport in Finnish Lapland, which is located within the Arctic Circle; it operates over a remote and sparsely habited area. Finnish Lapland accounts for almost 30% of Finland by area; however, the density of population is low (only 2.0 persons per square kilometer), and the average annual year-round temperature is only -1°C (30°F).(6) So far, there has been only 1 reported in-flight delivery; in 1939, a baby girl was born in an airplane operated by the Finnish Border Guard.(7.)
authors.affiliation: FinnHEMS 51, Lapland, Finland. Electronic address: ilkka.pulkkinen@lshp.fi.
authors.forename: Ilkka
authors.initials: I
authors.lastname: Pulkkinen
authors.affiliation: FinnHEMS 51, Lapland, Finland.
authors.forename: Jari
authors.initials: J
authors.lastname: Pirnes
mesh_terms: D017732:Air Ambulances; D001946:Breech Presentation; D005260:Female; D005387:Finland; D006801:Humans; D011247:Pregnancy