Abstract

Introduction: The majority of births in the UK happen in hospital or at stand alone midwife led centres, or with the support of midwives in a planned fashion outside of hospital. the unplanned birth of a baby in the prehospital setting is a rare event which may result in an ambulance being called, so attendance at a birth is a rare event for ambulance clinicians. A service evaluation was conducted to report which clinical observations were recorded on babies born in the prehospital setting who were attended by ambulance clinicians form the NEAS over a one year period.
Methods: a retrospective service evaluation was conducted using routinely collected data. All electronic patient care records covering a one year period between 1 October 2017 and 30 September 2018 with a primary impression of 'childbirth' were examined.
Results: this evaluation identified 168 individual prehospital childbirth cases attended by NEAS clinicians during the evaluation timeframe. The majority (85%) of babies were born to multiparous mothers with a median gestation of 39 weeks. Very few clinical observations were recorded on the babies (respiratory rate 23%, heart rate 21%, temperature 10%, APGAR 8%, blood sugar 1%) and no babies had all five of these observations documented. Only 5% of babies had any complications documented.
Conclusion: this study showed that NEAS ambulance clinicians rarely attend babies born in the prehospital setting and that complications were infrequently recorded. There was a lack of observations recorded on the babies, which is an issue due to the clear link between easily measurable characteristics such as temperature and mortality and morbidity.