title: [Maternal and neonatal outcomes of unplanned deliveries].
abstract: OBJECTIVE
  Know the impact of the unplanned deliveries in a town of medium size, the characteristics of these women and maternal and neonatal risks.
  
  
  METHODS
  This was a retrospective study conducted between January 2002 and December 2009. Unexpected delivery was defined as any delivery taking place outside of a non-elective way maternity. Each unexpected delivery was matched at nearest delivery of equivalent term, at the CHU maternity, with an onset of spontaneous labour.
  
  
  RESULTS
  Ninety-four women gave birth unexpectedly for a total of 48,721 births (incidence of 0.19%). There was a significant difference between cases and controls for parity (1.8 versus 0.9), the lack of follow-up of pregnancy (21.3% versus 1.1%), tobacco (57.4% versus 25.5%), the socio-economic level, the type of feeding (artificial: 61.7% versus 30.6%), the home-hospital distance and obstetric follow-up. We found a significant increase in perinatal mortality (6.4% versus 1%) and stay in Neonatal ICU (19.1% versus 9.2%). The main neonatal morbidity was hypothermia.
  
  
  CONCLUSIONS
  It is difficult to target a population at risk because the type of these women is non-specific. Prevention of unplanned deliveries and their morbidities through information of patients on the grounds of urgent consultation and support of the newborn to limit hypothermia.
authors.affiliation: Service de gynécologie, CHU Côte-de-Nacre, avenue Côte-de-Nacre, 14033 Caen cedex, France. Electronic address: may_lise@hotmail.com.
authors.forename: M-L
authors.initials: ML
authors.lastname: Nguyen
authors.affiliation: Service de gynécologie, centre hospitalier de Bayeux, 13, rue Nesmond, BP 18127, 14401 Bayeux cedex, France.
authors.forename: P
authors.initials: P
authors.lastname: Lefèvre
authors.affiliation: Service de gynécologie, CHU Côte-de-Nacre, avenue Côte-de-Nacre, 14033 Caen cedex, France.
authors.forename: M
authors.initials: M
authors.lastname: Dreyfus
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D036861:Delivery, Obstetric / Q000706:statistics & numerical data*; D005260:Female; D005602:France; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome; D012189:Retrospective Studies
keywords: Accidental out-of-hospital delivery; Accouchement accidentel; Accouchement inopiné extrahospitalier; Accouchement non planifié; Accouchement à domicile; Home delivery; Unexpected out-of-hospital delivery; Unplanned delivery; Unplanned home birth