Assessing the Risk of Interfacility Transport in Pregnant Patients Due to Progression of Labor: Lessons From a Specialized Maternal-Fetal Transport Program

dc.contributor.authorLardaro, Thomas
dc.contributor.authorBalaji, Adhitya
dc.contributor.authorYang, David
dc.contributor.authorKuhn, Diane
dc.contributor.authorGlober, Nancy
dc.contributor.authorBrent, Christine M.
dc.contributor.authorCouturier, Katherine
dc.contributor.authorBreyre, Amelia
dc.contributor.authorVaizer, Julia
dc.contributor.authorHunter, Benton R.
dc.contributor.departmentEmergency Medicine, School of Medicine
dc.date.accessioned2024-10-29T14:05:10Z
dc.date.available2024-10-29T14:05:10Z
dc.date.issued2024-09-30
dc.description.abstractBackground: Pregnant laboring patients sometimes require interfacility transfer to a higher level of care. There is a paucity of evidence to inform when it is safe to transfer a laboring patient and when delivery may be too imminent to transfer. Methods: This is a retrospective study of pregnant patients undergoing interfacility transfer with a specialized obstetric transport team deployed from a large Midwest regional healthcare system. The primary outcome was delivery prior to or within one hour of arrival at the receiving institution due to progression of labor. Data collected included basic demographics, vital signs, gravidity, parity, gestational age, contraction frequency if contractions were present, and cervical dilation. We sought to define the association between these variables and the primary outcome to inform risk assessment for precipitous delivery among patients being considered for interfacility transfer. Results: Of the 370 pregnant patients for whom the specialized transfer team was requested, 11 (3%) met the primary outcome. Those with more advanced cervical dilation and those who did not receive regular prenatal care were more likely to meet the criteria for the primary outcome. For every centimeter of cervical dilation, the odds of meeting the primary outcome increased 2.3-fold (95% CI: 1.5-3.4). Conclusions: We identified risk factors for early delivery among pregnant patients for whom an interfacility transfer was requested and described patients who were high-risk for obstetric interfacility transport due to the progression of labor. Our results can help inform risk assessments for transferring potentially high-risk laboring patients.
dc.eprint.versionFinal published version
dc.identifier.citationLardaro T, Balaji A, Yang D, et al. Assessing the Risk of Interfacility Transport in Pregnant Patients Due to Progression of Labor: Lessons From a Specialized Maternal-Fetal Transport Program. Cureus. 2024;16(9):e70542. Published 2024 Sep 30. doi:10.7759/cureus.70542
dc.identifier.urihttps://hdl.handle.net/1805/44331
dc.language.isoen_US
dc.publisherSpringer Nature
dc.relation.isversionof10.7759/cureus.70542
dc.relation.journalCureus
dc.rightsAttribution 4.0 Internationalen
dc.rights.urihttps://creativecommons.org/licenses/by/4.0
dc.sourcePMC
dc.subjectEMS
dc.subjectEmergency medicine
dc.subjectPregnancy
dc.subjectObstetric transport
dc.subjectLabor
dc.subjectInterfacility transport
dc.titleAssessing the Risk of Interfacility Transport in Pregnant Patients Due to Progression of Labor: Lessons From a Specialized Maternal-Fetal Transport Program
dc.typeArticle
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