Medical University, Warsaw, Poland.
Medical University, Lublin, Poland.
Ann Agric Environ Med. 2022 Mar 21;29(1):110-114. doi: 10.26444/aaem/138158. Epub 2021 May 28.
Vaginal bleeding during pregnancy is associated with risks to the health and life of the woman and/or the foetus. Moreover, it is usually unanticipated, which requires on-site care to be provided to the woman. Such care is handled by emergency medical services (EMS) teams until specialist obstetric care can be provided. The purpose of study was to analyze the characteristics of EMS team responses to calls regarding pregnant women with vaginal bleeding, considering the location of call: urban vs. rural area.
The study was based on a retrospective analysis of 5,487 EMS team interventions due to vaginal bleeding in pregnant women in Poland. The data analyzed included the period January 2018-December 2019, obtained from the National Monitoring Centre of Emergency Medical Services.
The teams were more commonly dispatched to pregnant women in rural areas, who were more likely to be older and in the course of a second (27.52% vs. 26.88%) or subsequent pregnancy (34.00% vs. 27.49%), to have had one (28.22% vs. 26.75%) or more previous births (28.87% vs. 22.87%), and to have antepartum bleeding (23.91% vs. 20.36%) than those from urban areas. The mean time between receipt of the call and patient hand-over at the hospital by the EMS team was longer in rural areas (50.00 vs. 37.23 minutes).
EMS teams responding to calls from rural areas regarding pregnant women with vaginal bleeding were most commonly dispatched in the summer, and the mean time between the receipt of the call and patient hand-over at the hospital was longer than in the calls from urban areas. Compared to patients calling from urban areas, those from rural areas were also more likely to be pregnant for the second or subsequent time, to have antepartum bleeding, and to have given birth before.
孕期阴道出血会对妇女和/或胎儿的健康和生命造成风险。此外，这种情况通常是意料之外的，需要现场护理。这种护理由紧急医疗服务（EMS）团队提供，直到能够提供专业的产科护理。本研究的目的是分析 EMS 团队对孕妇阴道出血的电话响应特征，同时考虑呼叫地点：城市与农村地区。
本研究基于对波兰因孕妇阴道出血而进行的 5487 次 EMS 团队干预的回顾性分析。分析的数据包括 2018 年 1 月至 2019 年 12 月期间从国家紧急医疗服务监测中心获得的数据。
农村地区的孕妇更常被派往，且她们更有可能是二胎（27.52%比 26.88%）或多胎（34.00%比 27.49%）孕妇，曾有一次（28.22%比 26.75%）或更多次分娩（28.87%比 22.87%），且产前出血（23.91%比 20.36%）的可能性更大。农村地区 EMS 团队从接到电话到将患者送到医院的平均时间（50.00 分钟）长于城市地区（37.23 分钟）。
EMS 团队对农村地区孕妇阴道出血的电话响应最常发生在夏季，从接到电话到将患者送到医院的平均时间长于城市地区的电话。与城市地区的呼叫者相比，农村地区的呼叫者更有可能是二胎或多胎孕妇，更有可能出现产前出血，且之前有过分娩。
