{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T09:02:37Z","timestamp":1789549357115,"version":"build-2803163510"},"reference-count":0,"publisher":"SEMES (Sociedad Espanola de Medicina de Urgencias y Emergencias)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emergencias"],"published-print":{"date-parts":[[2026,9,16]]},"abstract":"<jats:p>Objetivo. Describir la evoluci\u00f3n temporal en la atenci\u00f3n obst\u00e9trica prehospitalaria a los partos extrahospitalarios no\nplanificados (PENP), evaluar el cumplimiento de las gu\u00edas cl\u00ednicas e identificar \u00e1reas de mejora en la formaci\u00f3n y en la\norganizaci\u00f3n asistencial.\nM\u00e9todos. Se realiz\u00f3 un an\u00e1lisis retrospectivo de datos recogidos de forma prospectiva en el registro franc\u00e9s de PENP.\nSe incluyeron 3.473 partos atendidos entre octubre de 2011 y junio de 2024 por 79 servicios de emergencias m\u00e9dicas. Se analizaron tendencias temporales en las caracter\u00edsticas maternas, las modalidades del parto, la atenci\u00f3n obst\u00e9trica y neonatal prehospitalaria, as\u00ed como los principales tiempos asistenciales.\nResultados. Se observaron incrementos significativos en el intervalo desde la llamada al centro coordinador hasta la\nllegada del equipo asistencial (p = 0,01) y en el tiempo desde el parto hasta la expulsi\u00f3n de la placenta (p &lt; 0,01). El\nuso de oxitocina profil\u00e1ctica para el manejo activo de la expulsi\u00f3n de la placenta aument\u00f3 (p = 0,01). Por el contrario, disminuyeron la medici\u00f3n de la glucemia neonatal (p = 0,01) y la aspiraci\u00f3n nasofar\u00edngea rutinaria (p &lt; 0,01). En\nel \u00e1mbito neonatal, la medici\u00f3n de la temperatura in situ se redujo (p &lt; 0,01). El uso de gorros, bolsas de polietileno\ny mantas disminuy\u00f3, mientras que aumentaron el contacto piel con piel y el uso de incubadora durante el traslado.\nLa proporci\u00f3n de reci\u00e9n nacidos que no recibi\u00f3 ninguna medida de protecci\u00f3n t\u00e9rmica aument\u00f3 (p = 0,045).\nConclusiones. La difusi\u00f3n peri\u00f3dica de gu\u00edas cl\u00ednicas se ha asociado con cambios relevantes en las pr\u00e1cticas prehospitalarias y con un mayor cumplimiento de las recomendaciones. No obstante, persisten retos importantes, como el incremento de los tiempos de respuesta, la necesidad de consolidar el uso sistem\u00e1tico de oxitocina profil\u00e1ctica y la prevenci\u00f3n eficaz de la hipotermia neonatal.<\/jats:p>","DOI":"10.55633\/s3me\/108.2026","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T08:04:44Z","timestamp":1789545884000},"source":"Crossref","is-referenced-by-count":0,"title":["Progression of emergency obstetric care for unplanned out-of-hospital births: contributions from a 13-year prospective multicenter study in France"],"prefix":"10.55633","author":[{"given":"Charl\u00e8ne","family":"Duchanois","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, University Hospital Nancy, INSERM, UMR_S 1116, DCAC, Nancy, Francia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9dric","family":"Laurent","sequence":"additional","affiliation":[{"name":"CNRS UMR 7239 LEM3, University Hospital Nancy, Nancy, Francia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K\u00e9vin","family":"Duarte","sequence":"additional","affiliation":[{"name":"INSERM U1433, CIC-P, Nancy University Hospital Nancy, Nancy, Francia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois","family":"Javaudin","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University Hospital Nantes, CHU Nantes, Francia. 5Medical informatics department, University Hospital Nantes, CHU Nantes, Francia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Pes","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University Hospital Nantes, CHU Nantes, Francia. 5Medical informatics department, University Hospital Nantes, CHU Nantes, Francia Medical informatics department, University Hospital Nantes, CHU Nantes, Francia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agn\u00e8s","family":"Ricard-Hibon","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, SAMU 95-Pontoise General Hospital, Pontoise, Francia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Bizouard","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University Hospital Angers, Francia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Bounaud","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Carcassonne, ORU Occitanie, Francia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Morel","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University Hospital Nancy, INSERM U1254, IADI, Nancy, Francia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tahar","family":"Chouihed","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University Hospital Nancy, INSERM, UMR_S 1116, DCAC, Nancy, Francia. INSERM U1433, CIC-P, Nancy University Hospital Nancy, Nancy, Francia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"33356","published-online":{"date-parts":[[2026,9,16]]},"container-title":["Emergencias"],"original-title":["Evoluci\u00f3n en la atenci\u00f3n obst\u00e9trica urgente a los partos extrahospitalarios no planificados: estudio multic\u00e9ntrico prospectivo de un periodo de 13 a\u00f1os en Francia"],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T08:04:45Z","timestamp":1789545885000},"score":1,"resource":{"primary":{"URL":"https:\/\/revistaemergencias.org\/articulo\/evolucion-en-la-atencion-obstetrica-urgente-a-los-partos-extrahospitalarios-no-planificados-estudio-multicentrico-prospectivo-de-un-periodo-de-13-anos-en-francia\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,16]]},"references-count":0,"URL":"https:\/\/doi.org\/10.55633\/s3me\/108.2026","relation":{},"ISSN":["1137-6821","2386-5857"],"issn-type":[{"value":"1137-6821","type":"print"},{"value":"2386-5857","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,16]]}}}