Obstetric Emergencies in Prehospital Care According to ICD-10: 5-Year Retrospective Cohort Registry-Based Study
Makaleler > Tam Makale · 2026
Yazarlar: BATUHAN TAY, Hafize ÖZTÜRK CAN
Turkiye Klinikleri Journal of Health Sciences, Diğer Kurumların Hakemli Dergileri, Uluslararası, TR Dizin (Ulakbim), 2026, cilt 11, ss 159-169
DOI: 10.5336/healthsci.2025-111982
Özet
Objective: This study aims to examine the 5-year distribution of obstetric emergencies (OEs) classified according to International Classification of Disease-10 (ICD-10) codes in prehospital emergency medical services and provide evidence for field-level response planning. Material and Methods: This retrospective cohort study analyzed OE cases recorded between 2019-2023 in a provincial Emergency Health Automation System. ICD-10 codes were utilized for classification. Descriptive statistics and chi-square tests were conducted to explore patterns by year, time of day, geographic location, triage code, and patient nationality. Results: Among 880,612 emergency medical services records, 3,957 (0.45%) were identified as OE cases. Most cases occurred outside working hours, in peripheral districts, and were predominantly assigned a yellow triage code. Abortive outcomes were the largest ICD category. Over the study period, there was a notable decrease in delivery complications and a corresponding increase in abortion-related emergencies. Seasonal peaks occurred in summer, particularly in delivery-related and maternal conditions. Fetal and hypertensive disorders were more frequently reported during daytime. Yellow triage codes dominated across all categories, emphasizing the need for structured, symptom-based triage protocols. Conclusion: The identified temporal, seasonal, and geographic trends highlight critical areas for targeted improvement in prehospital OE care. The prevalence of yellow triage codes underscores the necessity for standardized obstetric triage protocols.