{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T16:55:38Z","timestamp":1792169738105,"version":"4.4.0"},"reference-count":40,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:00:00Z","timestamp":1792108800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:00:00Z","timestamp":1792108800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Although poorly researched, unplanned out\u2010of\u2010hospital deliveries are considered to carry a high risk of maternal and neonatal complications, with the primary suspected risk factor being the home\u2010to\u2010hospital travel time. The objective of this study was to describe the characteristics of unplanned out\u2010of\u2010hospital deliveries and to identify factors associated with maternal and neonatal complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>Data were collected from the French unplanned out\u2010of\u2010hospital deliveries registry (79 of 402 mobile intensive care units). Analysis included 3473 deliveries between October 2011 and June 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean women maternal age was 32.0\u2009\u00b1\u20095.4\u2009years (range 15\u201349). Median parity was 2.0 (IQR 2.0\u20133.0). Gestational age was 39.1\u2009\u00b1\u20092.3\u2009weeks. Most pregnancies were low\u2010risk (84%). Mean home\u2010to\u2010hospital travel time was 20.7\u2009\u00b1\u200913.6\u2009min (range 0\u2013200), with more than 45\u2009min for only 3% of women (110\/3221) and over 1\u2009h for 1% (23\/3221). Maternal complications accounted in 8.4% of women (290\/3472), placental hemorrhage in 4.5% (156\/3471) and maternal death in 0.1% (2\/3471). Perinatal complications occurred in 4.4% (149\/3393) of all deliveries, with neonatal deaths accounting for 1.1% (38\/3456). Among unplanned out\u2010of\u2010hospital deliveries, factors associated with maternal and\/or neonatal complications included birth at 32\u2009+\u20090\u201333\u2009+\u20096\u2009weeks of gestation (adjusted OR 2.86, 95% CI 1.69 to 4.83;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001), birth before 32\u2009+\u20090\u2009weeks of gestation (adjusted OR 25.21, 95% CI 12.13 to 52.40;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001), and neonatal hypothermia upon hospital admission (adjusted OR 1.74, 95% CI 1.10 to 2.76;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.019). Hypothermia affected 63% of newborns (1256\/2002). Unplanned out\u2010of\u2010hospital deliveries prior to mobile intensive care unit arrival were significantly associated with neonatal hypothermia on\u2010site (adjusted OR 2.02, 95% CI 1.57 to 2.61;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001) and at hospital admission (adjusted OR 1.56, 95% CI 1.21 to 2.00;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0005).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Severe outcomes of unplanned out\u2010of\u2010hospital deliveries were uncommon but did occur. Complications were associated with prematurity and hypothermia, but not with home\u2010to\u2010hospital travel time. These findings highlight the importance of universal prehospital preparedness, with particular attention to early prevention of neonatal hypothermia and initial hemorrhage management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.70357","type":"journal-article","created":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T16:42:52Z","timestamp":1792168972000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Unplanned out\u2010of\u2010hospital deliveries: Insights from 3473 births of a 13\u2010year prospective cohort study in France"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-3072-8944","authenticated-orcid":false,"given":"Charl\u00e8ne","family":"Duchanois","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine University Hospital Nancy, INSERM, UMR_S 1116, DCAC  Nancy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7121-5522","authenticated-orcid":false,"given":"C\u00e9dric","family":"Laurent","sequence":"additional","affiliation":[{"name":"CNRS UMR 7239 LEM3 University Hospital Nancy  Nancy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0292-0498","authenticated-orcid":false,"given":"K\u00e9vin","family":"Duarte","sequence":"additional","affiliation":[{"name":"INSERM U1433, CIC\u2010P Nancy University Hospital Nancy  Nancy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7728-2320","authenticated-orcid":false,"given":"Fran\u00e7ois","family":"Javaudin","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University Hospital Nantes  Nantes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5200-3591","authenticated-orcid":false,"given":"Philippe","family":"Pes","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University Hospital Nantes  Nantes France"},{"name":"Medical Informatics Department University Hospital Nantes  Nantes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0061-7505","authenticated-orcid":false,"given":"Agn\u00e8s","family":"Ricard\u2010Hibon","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine SAMU 95\u2010Pontoise General Hospital  Pontoise France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5654-7944","authenticated-orcid":false,"given":"Thomas","family":"Bizouard","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University Hospital Angers  Angers France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8269-367X","authenticated-orcid":false,"given":"Nicolas","family":"Bounaud","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine ORU Occitanie  Carcassonne France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6359-1328","authenticated-orcid":false,"given":"Olivier","family":"Morel","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University Hospital Nancy, INSERM U1254, IADI  Nancy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2486-3049","authenticated-orcid":false,"given":"Tahar","family":"Chouihed","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University Hospital Nancy, INSERM, UMR_S 1116, DCAC  Nancy France"},{"name":"INSERM U1433, CIC\u2010P Nancy University Hospital Nancy  Nancy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"AIE Group Investigators","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,16]]},"reference":[{"key":"e_1_2_14_2_1","unstructured":"CinelliH LelongN Le RayC ENP2021 Study Group.French National Perinatal Survey 2021: Births 2\u2010month follow\u2010up and establishments. 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