385 UNPLANNED, UNEXPECTED AND UNATTENDED DELIVERY (UUUD) OUTSIDE OF HOSPITAL

Abstract

In the USA, very little data is available on UUUD. Maternal characteristics and perinatal outcome of 70 UUUD from Oct.′76 to Nov.′77 were identified. All mothers of UUUD were admitted to Lincoln Hospital within 4 hrs. of delivery. During the same period, there were a total of 3,703 in-hospital deliveries (HD), giving an UUUD incidence of 18.5 per 1,000 HD. The main features of UUUD consist of: 1)59% Black (23% HD); 2)37% more than 24 yrs. old (28% HD); 3)17% with parity more than 3 (12% HD); 4)77% on public assistance (43% HD); 5)89%, education below high school (76% HD); 6)58% no prenatal care (19% HD); 7)67% broken families (57% HD); and 8)13% drug-addicted (4% HD). Low-birth-weight rate (no.≤2,500 gm/1,000 livebirth), perinatal mortality rate (no. per 1,000 deliveries) and neonatal mortality rate (no./1,000 livebirth) associated with UUUD are compared with those of HD as below:

The UUUD is associated with poor antenatal planning, lack of education and low socioeconomic condition. These mothers are at great risk for future pregnancies and must be provided with intensive education and medical care.

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