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Staffing needs for unscheduled activity in obstetrics and gynecology.
Sentilhes, Loïc; Galley-Raulin, Fabienne; Boithias, Claire; Sfez, Michel; Goffinet, François; Le Roux, Sylvie; Benhamou, Dan; Garnier, Jean-Michel; Paysant, Sabine; Bounan, Stéphane; Michel, Christine; Coudray, Jean; Rozé, Jean-Christophe; Elleboode, Benoit; Ducloy-Bouthors, Anne-Sophie.
Affiliation
  • Sentilhes L; Collège National des Gynécologues Obstétriciens Français (CNGOF), France; Société Française de Médecine Périnatale (SFMP), France; Service de Gynécologie-Obstétrique, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France. Electronic address: loicsentilhes@hotmail.com.
  • Galley-Raulin F; Collège National des Sages-femmes de France (CNSF), France; Pôle Mère-Enfant, Verdun, St Mihiel, France.
  • Boithias C; Société Française de Médecine Périnatale (SFMP), France; Société Française de Néonatologie (SFN), France; Réanimation Pédiatrique et Néonatale, Hôpital Bicètre, Assistance Publique-Hôpitaux de Paris (APHP), Paris, France.
  • Sfez M; Société Française d'Anesthésie Réanimation (SFAR), France; Clinique Oudinot, Paris, France; Club d'Anesthésie Réanimation en Obstétrique (CARO), France.
  • Goffinet F; Collège National des Gynécologues Obstétriciens Français (CNGOF), France; Société Française de Médecine Périnatale (SFMP), France; Maternité Port-Royal, Université Paris Descartes, DHU Risques et Grossesse, Hôpitaux Universitaires Paris-Centre, Assistance Publique-Hôpitaux de Paris (APHP), Paris, Fr
  • Le Roux S; Collège National des Sages-femmes de France (CNSF), France; Pôle Femme Mère Enfant, Centre Hospitalier Annecy-Genevois, Annecy, France.
  • Benhamou D; Société Française d'Anesthésie Réanimation (SFAR), France; Club d'Anesthésie Réanimation en Obstétrique (CARO), France; Pole d'Anesthésie-Réanimation, Hôpital Bicêtre, Assistance Publique-Hôpitaux de Paris (APHP), Paris, France.
  • Garnier JM; Collège National des Gynécologues Obstétriciens Français (CNGOF), France; Polyclinique de l'Atlantique, Nantes, France.
  • Paysant S; Collège National des Sages-femmes de France (CNSF), France; Centre Hospitalier du Cateau-Cambrésis, Le Cateau-Cambrésis, France.
  • Bounan S; Collège National des Gynécologues Obstétriciens Français (CNGOF), France; Centre Hospitalier de Saint Denis, Saint-Denis, France.
  • Michel C; Société Française de Néonatologie (SFN), France; Pôle Santé Léonard de Vinci, Chambray Les Tours, France.
  • Coudray J; Fédération Françaises des Réseaux de Soins en Périnatalité (FFRSP), France.
  • Rozé JC; Société Française de Médecine Périnatale (SFMP), France; Société Française de Néonatologie (SFN), France; Pole de Néonatologie, Centre Hospitalier Universitaire de Nantes, France.
  • Elleboode B; ELSAN, France.
  • Ducloy-Bouthors AS; Société Française d'Anesthésie Réanimation (SFAR), France; Club d'Anesthésie Réanimation en Obstétrique (CARO), France; Pole Anesthésie Réanimation, Maternité Jeanne de Flandre, Centre Hospitalier Régional Universitaire de Lille, France.
Eur J Obstet Gynecol Reprod Biol ; 245: 19-25, 2020 Feb.
Article in En | MEDLINE | ID: mdl-31821921
ABSTRACT

INTRODUCTION:

To determine a minimum threshold of medical staffing needs (obstetricians-gynecologists, anesthesiologists-resuscitation specialists, nurse-anesthetists, pediatricians, and midwives) to ensure the safety and quality of care for unscheduled obstetrics-gynecology activity. MATERIALS AND

METHODS:

Face to face meetings of French healthcare professionals involved in perinatal care in different types of practices (academic hospital, community hospital or private practice) who belong to French perinatal societies French National College of Gynecologists-Obstetricians (CNGOF), the French Society of Anesthesia and Resuscitation Specialists (SFAR), the French Society of Neonatology (SFN), the French Society of Perinatal Medicine (SFMP), the National College of French Midwives (CNSF), and the French Federation of Perinatal Care Networks (FFRSP).

RESULTS:

Different minimum thresholds for each category of care provider were proposed according to the number of births/year in the facility. These minimum thresholds can be modulated upwards as a function of the level of care (Level 1, 2 or 3 for perinatal centers), existence of an emergency department, and responsibilities as a referral center for maternal-fetal and/or surgical care. For example, an obstetrics-gynecology department handling 3000-4500 births per year without serving as a referral center must have an obstetrician-gynecologist, an anesthesiologist-resuscitation specialist, a nurse-anesthetist, and a pediatrician onsite specifically to provide care for unscheduled obstetrics-gynecology needs and a second obstetrician-gynecologist available within a time compatible with security requirements 24/7; the number of midwives always present (24/7) onsite and dedicated to unscheduled care is 5.1 for 3000 births and 7.2 for 4500 births. A maternity unit's occupancy rate must not exceed 85 %.

CONCLUSION:

The minimum thresholds proposed here are intended to improve the safety and quality of care of women who require unscheduled care in obstetrics-gynecology or during the perinatal period.
Subject(s)
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Personnel Staffing and Scheduling / Emergency Medical Services / Gynecology / Health Workforce / Obstetrics Limits: Female / Humans / Pregnancy Country/Region as subject: Europa Language: En Journal: Eur J Obstet Gynecol Reprod Biol Year: 2020 Document type: Article Country of publication: IE / IRELAND / IRLANDA

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Personnel Staffing and Scheduling / Emergency Medical Services / Gynecology / Health Workforce / Obstetrics Limits: Female / Humans / Pregnancy Country/Region as subject: Europa Language: En Journal: Eur J Obstet Gynecol Reprod Biol Year: 2020 Document type: Article Country of publication: IE / IRELAND / IRLANDA